Coping styles mediate the association between negative life events and subjective well-being in patients with non-affective psychotic disorders and their siblings

• Published in: Psychiatry research Vol. 272; pp. 296 - 303
• Main Authors: van Dijk, Floor A., Schirmbeck, Frederike, Boyette, Lindy-Lou, de Haan, Lieuwe
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01.02.2019
• Subjects: Cohort study; Coping styles; Non-affective psychotic disorders; Subjective well-being under neuroleptic treatment; Non-affective psychotic disorders; Coping styles; Subjective well-being under neuroleptic treatment; Cohort study
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/j.psychres.2018.12.020

•Active coping is related to subjective well-being across the psychosis vulnerability spectrum.•Past negative life events are related to worse subjective well-being.•Passive reacting to negative life events is associated with worse well-being. Coping styles are associated with levels of subjective well-being. Negative life events and reduced subjective well-being are more prevalent in patients with psychotic disorders. The aims of the current study were to test a mediation model, with coping styles as potential mediators of the relation between negative life events and subjective well-being in patients with psychotic disorders (N = 259), and aimed to repeat the potential mediation model in patients’ non-affected siblings (N = 309). Data pertains to a subsample of GROUP, a Dutch naturalistic cohort study. The Subjective Well-being under Neuroleptics-20 (SWN-20) scale was used to assess well-being. Coping styles were assessed with the Utrechtse Coping Lijst (UCL). Life events were assessed using an adaptation of the Interview of the Recent Life Event Scale (IRLES). Siblings, but not patients, who experienced negative life events in the previous three year period were more likely to experience a lower well-being. For both groups passive coping styles mediated the relation between negative life events and subjective well-being. Severity of positive, negative or affective symptoms did not change this relationship. Our findings point to a better recognition of copings styles as a therapeutic target to promote well-being and recovery.