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Adapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies

机译:适应精神病的挑战:个人适应力和采用封闭(回避)应对策略

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Background Avoidance coping (e.g. sealing over) is common in people recovering from psychosis, but it is not understood why some individuals a€? seal overa€?. Aims We examined the hypothesis that individuals who a€?seal overa€? do not have the personal resilience to withstand this major life event. Method Fifty participants were interviewed during an acute episode of psychosis and reassessed at 3-month and 6-month follow-up. Measures included psychotic symptoms, recovery style, service engagement, parental and adult attachment and self-evaluative beliefs. Results Sealing-over recovery styles are associated with negative early childhood experience, insecure adult attachment, negative self-evaluative beliefs and insecure identity. Insecure adult attachment was associated with less engagement with services. Conclusions Sealing over was associated with multiple signs of low personal resilience in adapting to psychosis.
机译:背景在精神病康复者中,回避应对(例如封闭)很常见,但是为什么有些人不知道为什么?盖章?目的我们研究了以下假设:密封过度的个人?没有承受这种重大生活事件的个人应变能力。方法在急性精神病发作期间采访了50名参与者,并在3个月和6个月的随访中进行了重新评估。措施包括精神病症状,康复方式,服务参与,父母和成人依恋以及自我评估的信念。结果封闭的恢复方式与负面的儿童早期经历,不安全的成人依恋,负面的自我评价信念和不安全的身份有关。成人不安全的依恋与较少参与服务有关。结论封存与适应精神病的个人适应力低下的多种迹象有关。

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