OpenLB
Open Library of Bioscience
Advanced Search
International journal of mental health nursing
Oct, 2021;30 (5): 1149-1159.

Relationship between stressful life events, coping styles, and schizophrenia relapse.

Qing Wang, Xiaodan Zhu, Xiaojian Jiang, Meizhi Li, Ru Chang, Bing Chen, Juan Liu
Author Information
  1. Qing Wang: School of Nursing, Ningxia Medical University, Ningxia, China.
  2. Xiaodan Zhu: School of Nursing, Ningxia Medical University, Ningxia, China.
  3. Xiaojian Jiang: School of Nursing, Hunan University of Chinese Medicine, Changsha, China.
  4. Meizhi Li: Department of Nursing, The Second People's Hospital of Hunan Province, Changsha, China.
  5. Ru Chang: School of Nursing, Ningxia Medical University, Ningxia, China.
  6. Bing Chen: School of Nursing, Ningxia Medical University, Ningxia, China.
  7. Juan Liu: School of Basic Medical Sciences, Ningxia Medical University, Ningxia, China.
PMID: 33960095 DOI: 10.1111/inm.12865

Abstract

This study aimed to explore the relationship between stressful life events, coping styles, and schizophrenia relapse. The sample for this study included 248 patients with schizophrenia from a psychiatric outpatient clinic in Hunan Province, China. Stressful life events, occurrence of schizophrenia relapse, and coping style were assessed by the Scale for the Social Readjustment Rating, Brief Psychiatric Rating Scale, and Simplified Coping Style Questionnaire, respectively. Spearman correlation analysis and binary logistic regression analysis were adopted to explore the relationships among coping styles, schizophrenia relapse, and stressful life events. Stressful life events and negative coping exhibited significant positive association with schizophrenia relapse, while positive coping exhibited a significant negative association with schizophrenia relapse. Stressful life events and positive coping exerted significant effects on schizophrenia relapse, while negative coping did not. We also found that both positive coping and negative coping have moderating effects on the relationship between stressful life events and schizophrenia relapse, but the relationship is weak. The study highlighted the importance of interventions designed to reduce stressful life events, promote positive coping, and address negative coping in patients with schizophrenia.

Keywords

coping styles schizophrenia relapse stressful life events

References

  1. J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57 [PMID: 9881538]
  2. Neuropsychiatr Dis Treat. 2019 Feb 21;15:523-530 [PMID: 30863074]
  3. Issues Ment Health Nurs. 2007 Apr;28(4):325-40 [PMID: 17454286]
  4. J Addict Med. 2020 Sep/Oct;14(5):367-375 [PMID: 32058337]
  5. Int J Ment Health Nurs. 2013 Jun;22(3):256-71 [PMID: 22882803]
  6. Arch Gen Psychiatry. 1967 Feb;16(2):146-51 [PMID: 6019329]
  7. JMIR Ment Health. 2016 Jul 27;3(3):e34 [PMID: 27465803]
  8. J Clin Nurs. 2007 Jun;16(6):1151-61 [PMID: 17518890]
  9. Psychiatry Res. 2018 Jun;264:380-384 [PMID: 29677621]
  10. Front Psychiatry. 2019 Sep 10;10:641 [PMID: 31551832]
  11. Adv Exp Med Biol. 2020;1228:317-332 [PMID: 32342467]
  12. Reprod Health. 2020 May 7;17(1):63 [PMID: 32381087]
  13. Mol Psychiatry. 2021 Jun;26(6):2562-2576 [PMID: 32382134]
  14. J Psychosom Res. 1967 Aug;11(2):213-8 [PMID: 6059863]
  15. J Clin Psychopharmacol. 2020 Jan/Feb;40(1):18-29 [PMID: 31804452]
  16. Schizophr Res. 2012 Aug;139(1-3):116-28 [PMID: 22658527]
  17. J Clin Gastroenterol. 2020 May/Jun;54(5):445-451 [PMID: 31503051]
  18. Neurogastroenterol Motil. 2020 Jan;32(1):e13706 [PMID: 31854090]
  19. Neuropsychopharmacology. 2019 Aug;44(9):1589-1596 [PMID: 30836381]
  20. Epidemiology. 1992 Sep;3(5):452-6 [PMID: 1391139]
  21. J Child Adolesc Psychopharmacol. 2020 Apr;30(3):166-172 [PMID: 32101469]
  22. Schizophr Bull. 2002;28(4):731-43 [PMID: 12795502]
  23. Emotion. 2020 Feb;20(1):120-125 [PMID: 31961190]
  24. Psychiatr Rehabil J. 2008 Summer;32(1):59-62 [PMID: 18614451]
  25. J Ment Health. 2020 May 13;:1-11 [PMID: 32401072]
  26. J Neurosci. 2020 May 27;40(22):4391-4400 [PMID: 32321745]
  27. Int J Psychiatry Clin Pract. 2016;20(2):54-69 [PMID: 27052109]
  28. J Neurochem. 2002 Dec;83(6):1241-51 [PMID: 12472879]
  29. Biol Psychiatry. 2005 Jul 15;58(2):105-10 [PMID: 16038680]
  30. Patient Prefer Adherence. 2010 Oct 05;4:363-8 [PMID: 21049088]
  31. J Clin Hypertens (Greenwich). 2008 May;10(5):348-54 [PMID: 18453793]
  32. Psychoneuroendocrinology. 2012 Oct;37(10):1600-13 [PMID: 22663896]
  33. J Neural Transm (Vienna). 2006 Jul;113(7):877-86 [PMID: 16604301]
  34. J Psychiatr Ment Health Nurs. 2006 Dec;13(6):651-64 [PMID: 17087667]
  35. BMC Psychiatry. 2014 Aug 30;14:240 [PMID: 25168715]
  36. Soc Sci Med. 1988;26(3):309-17 [PMID: 3279520]
  37. Med Care. 1986 Jan;24(1):67-74 [PMID: 3945130]
  38. Schizophr Res. 2004 Aug 1;69(2-3):333-42 [PMID: 15469205]
  39. Int J Methods Psychiatr Res. 2004;13(3):141-51 [PMID: 15297898]
  40. N Engl J Med. 2002 Jan 3;346(1):16-22 [PMID: 11777998]
  41. BMC Psychiatry. 2014 Jul 04;14:191 [PMID: 24996420]

Grants

  1. 2019BFG02023/Key R & D Projects of Ningxia

MeSH Term

Adaptation, Psychological
Chronic Disease
Humans
Recurrence
Schizophrenia
Surveys and Questionnaires
Journal Article
Article has an altmetric score of 3

Word Cloud

Created with Highcharts 10.0.0copingschizophrenialifeeventsrelapsestressfulnegativepositivestylesstudyrelationshipStressfulsignificantexplorepatientsScaleRatinganalysisexhibitedassociationeffectsaimedsampleincluded248psychiatricoutpatientclinicHunanProvinceChinaoccurrencestyleassessedSocialReadjustmentBriefPsychiatricSimplifiedCopingStyleQuestionnairerespectivelySpearmancorrelationbinarylogisticregressionadoptedrelationshipsamongexertedalsofoundmoderatingweakhighlightedimportanceinterventionsdesignedreducepromoteaddressRelationship

Similar Articles

Cited By