The impact of neuropsychological functioning and coping style on perceived stress in individuals with first-episode psychosis and healthy controls

Allott, Kelly A., Rapado-Castro, Marta, Proffitt, Tina-Marie, Bendall, Sarah, Garner, Belinda, Butselaar, Felicity, Markulev, Connie, Phassouliotis, Christina, McGorry, Patrick D., Wood, Stephen J., Cotton, Susan M., & Phillips, Lisa J. (2015) The impact of neuropsychological functioning and coping style on perceived stress in individuals with first-episode psychosis and healthy controls. Psychiatry Research, 226(1), pp. 128-135.

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Stress is implicated in the development and course of psychotic illness, but the factors that influence stress levels are not well understood. The aim of this study was to examine the impact of neuropsychological functioning and coping styles on perceived stress in people with first-episode psychosis (FEP) and healthy controls (HC). Thirty-four minimally treated FEP patients from the Early Psychosis Prevention and Intervention Centre, Melbourne, Australia, and 26 HC participants from a similar demographic area participated in the study. Participants completed a comprehensive neuropsychological test battery as well as the Coping Inventory for Stressful Situations (task-, emotion- and avoidance-focussed coping styles) and Perceived Stress Scale (PSS). Linear regressions were used to determine the contribution of neuropsychological functioning and coping style to perceived stress in the two groups. In the FEP group, higher levels of emotion-focussed and lower levels of task-focussed coping were associated with elevated stress. Higher premorbid IQ and working memory were also associated with higher subjective stress. In the HC group, higher levels of emotion-focussed coping, and contrary to the FEP group, lower premorbid IQ, working memory and executive functioning, were associated with increased stress. Lower intellectual functioning may provide some protection against perceived stress in FEP.

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ID Code: 84452
Item Type: Journal Article
Refereed: Yes
Keywords: stress, cognition, early psychosis, intelligence, working memory
DOI: 10.1016/j.psychres.2014.12.032
ISSN: 0165-1781
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Psychiatry (incl. Psychotherapy) (110319)
Divisions: Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2015 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Psychiatry Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Psychiatry Research, [VOL 226, ISSUE 1, (2015)] DOI: 10.1016/j.psychres.2014.12.032
Deposited On: 25 May 2015 23:08
Last Modified: 03 Jun 2015 04:36

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