title: [Coping styles in schizophrenia: study of clinical and functional variables  as determinants of strategies to cope with stress].
abstract: OBJECTIVE
  The purpose of this study was to analyze the relation between coping styles, and both clinical and functional variables in a sample of patients with stable schizophrenia.
  
  
  METHODS
  Forty-seven consecutive outpatients were enrolled in a cross-sectional study. A clinical assessment was performed and included: the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS), the Scale for the Assessment of Unawareness of Mental Disorder (SUMD), the Rosenberg Self-Esteem Scale (RSES), the Quality of Life Scale (QLS) and the questionnaire Short Form Health Survey 36 (SF-36). Coping strategies were assessed with the Coping Inventory for Stressful Situations (CISS), identifying three main coping styles: task-, emotion- and avoidance-oriented. Three different multiple regression models with backward elimination were performed in order to discover contributing factors to coping styles.
  
  
  RESULTS
  From the results of multiple regression, depressive symptoms and objective quality of life were contributing factors to task-oriented coping style, explaining about 32% of variance. Negative symptoms, subjective quality of life, self-esteem, awareness of symptomatology and attribution of symptoms to illness resulted to be contributing factors to emotion-oriented coping strategies, explaining about 60% of variance.
  
  
  CONCLUSIONS
  These results suggested the role of some clinical and functional variables as contributing factors to coping styles. In this context, supportive and rehabilitative interventions and cognitive-behavioral therapy focused to manage psychotic symptoms and to decrease distress could help patients to employ more adaptive coping strategies and improve their outcomes.
authors: Dipartimento di Neuroscienze, Sezione di Psichiatria, Università di Torino.
authors: Serena
authors: S
authors: Zappia
authors: Cristiana
authors: C
authors: Montemagni
authors: Antonio
authors: A
authors: Macrì
authors: Luisa
authors: L
authors: Sandei
authors: Monica
authors: M
authors: Sigaudo
authors: Paola
authors: P
authors: Rocca
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D012559:Schizophrenia / Q000150:complications; D012565:Schizophrenic Psychology; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology*