{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:51:45Z","timestamp":1791435105311,"version":"4.3.3"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/S026428\/1"],"award-info":[{"award-number":["MR\/S026428\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Compromised coping responses to life stressors may influence the development, maintenance, and recovery of psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A longitudinal design assessed 269 First Episode Psychosis (FEP) patients at baseline, 4, 8, and 12\u00a0months. Linear\/logistic regressions and machine learning techniques evaluated whether baseline coping styles predicted clinical and functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Results<\/jats:title>\n                    <jats:p>Relapse occurred in 22 (9%), 35 (14%), and 50 (20%) participants within 4, 8, and 12\u00a0months, respectively. Maladaptive coping was associated with higher odds of relapse within 12\u00a0months (OR\u2009=\u20091.06, 95% CI: 1.00\u20131.12), hallucinations (OR\u2009=\u20091.07, 95% CI: 1.01\u20131.13) and delusions (OR\u2009=\u20091.07, 95% CI: 1.02\u20131.13), and with poorer Global Assessment of Functioning symptom and disability scores across follow-up. Adaptive coping was significantly associated with lower odds of hallucinations (OR\u2009=\u20090.96, 95% CI: 0.92\u20131.00) and delusions (OR\u2009=\u20090.95, 95% CI: 0.91\u20130.99) and with better functioning at 4\u00a0months (B\u2009=\u20090.35, SE\u2009=\u20090.13). Machine learning indicated that maladaptive (AUC\u2009=\u20090.770, accuracy [ACC]\u2009=\u20090.750) and adaptive coping (AUC\u2009=\u20090.729, ACC\u2009=\u20090.696) were significantly associated with relapse within 12\u00a0months, with maladaptive coping showing stronger predictive accuracy. Key contributors included self-distraction and substance use for maladaptive coping, and spiritual\/religious coping and active problem-solving for adaptive coping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Baseline coping styles were associated with clinical and functional outcomes in FEP. These findings suggest that targeting maladaptive coping, particularly self-distraction and substance use, while promoting active problem-solving and spiritual\/religious coping, may inform future intervention development aimed at improving symptom trajectories and long-term functional recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/schbul\/sbag079","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T11:41:25Z","timestamp":1776944485000},"source":"Crossref","is-referenced-by-count":0,"title":["Coping Style as a Predictor of Relapse and Functioning in First Episode Psychosis"],"prefix":"10.1093","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9781-3531","authenticated-orcid":false,"given":"Anna","family":"Georgiades","sequence":"first","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King\u2019s College London , London SE5 8AF 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Chiara","family":"Del Piccolo","sequence":"additional","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King\u2019s College London , London SE5 8AF ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aljawharah","family":"Almuqrin","sequence":"additional","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King\u2019s College London , London SE5 8AF ,","place":["United Kingdom"]},{"name":"Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdul Rahman University , Riyadh ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Jorovat","sequence":"additional","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King\u2019s College London , London SE5 8AF ,","place":["United Kingdom"]},{"name":"CNWL, NHS Foundation Trust, Brent Early Intervention Service , 27-29 Fairlight Avenue, London NW10 8AL ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandinee","family":"Rajkhowa","sequence":"additional","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King\u2019s College London , London SE5 8AF ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1983-9135","authenticated-orcid":false,"given":"Stefania","family":"Tognin","sequence":"additional","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King\u2019s College London , London SE5 8AF ,","place":["United 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