Stuiver, Y (Yildiz) (2019) SOCIAL SUPPORT, COPING, RESILIENCE AND STRESS IN THE EARLY STAGES OF PSYCHOSIS : AN ASSESSMENT OF PROTECTIVE- AND RISK FACTORS IN INDIVIDUALS WITH MILD PSYCHOTIC SYMPTOMS OR AT RISK MENTAL STATE FOR PSYCHOSIS. thesis, Medicine.
Full text available on request.Abstract
The ‘clinical staging model’ is a model that enables us to define multiple consecutive stages in disease progression. As such, it assists in understanding where a patient lies along the continuum of the course of a disease and in making better treatment choices. Developed in the context of psychosis, a mental disorder characterized mainly by hallucinations and delusions, the clinical staging model also recognizes a prodromal period. However, it remains unclear how transitioning through the stages of the clinical staging model takes place and which factors are important in this process. The goal of this study was to obtain a better understanding of the nature of the clinical stages by investigating how risk and protective factors differ among individuals in subsequent early clinical stages. Second, it was investigated if and which of these factors were associated with clinical or functional outcome. The study population (n = 84) was divided over four subgroups with increasing risk for psychosis. The protective factors ‘social support’, ‘coping’ and ‘resilience’ were assessed. As risk factor, ‘stress’ was assessed. As outcomes, severity of psychopathological symptomatology and (social) functioning were assessed. Differences in the protective- and risk factors were evaluated per subgroup and associations between these factors and outcomes were assessed over the whole study population. The level of stress and one of the sub-measures for social support, namely the experienced shortage of social support, differed among subgroups. Both clinical and functional outcome were shown to be related to stress. One of the sub-measures of coping was related to one of the sub-measures of clinical as well as functional outcome. Resilience was associated with neither outcome. Different aspects of social support were shown to be related to different sub-measures of the two outcomes. The results on social support were too diverse to draw a distinct conclusion. Overall, the study demonstrates the importance of stress and coping in individuals in early stages of psychotic disease. As stress is a well-known risk factor for the development of clinical psychosis, stress and management thereof represent treatment targets in clinical care that may help preventing these individuals from progressing through further stages of psychosis or psychopathology in general.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Wardenaar-Wigman, J.T.W. and Booij, S.H. |
| Faculty: | Medical Sciences |
| Date Deposited: | 11 Sep 2020 09:47 |
| Last Modified: | 11 Sep 2020 09:47 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2761 |
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