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This study aimed to examine the general coping patterns of people at clinical high risk of psychosis (<jats:styled-content style=\"fixed-case\">CHR<\/jats:styled-content>) and to investigate whether pre\u2010therapy coping behaviour plays a role in predicting responsiveness to early interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred twenty\u2010eight help\u2010seeking <jats:styled-content style=\"fixed-case\">CHR<\/jats:styled-content> outpatients were randomized into two treatment groups: either receiving integrated psychological intervention (<jats:styled-content style=\"fixed-case\">IPI<\/jats:styled-content>), including cognitive behaviour therapy, or supportive counselling (<jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content>) for 12 months. Of those, 91 persons completed a <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tress <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>oping <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire (<jats:styled-content style=\"fixed-case\">SCQ<\/jats:styled-content>) at intake: 45 in the <jats:styled-content style=\"fixed-case\">IPI<\/jats:styled-content> group and 46 in the <jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content> group. General coping behaviour in this sample was analysed and several regressions were conducted separately for each treatment group to examine coping as a predictor of outcome after 12 months of different forms of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants relied significantly more on negative than on positive coping strategies, <jats:italic>t<\/jats:italic>(90)\u2009=\u2009\u22127.185, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001, and within the positive strategies, stress control was the most preferred one,<jats:italic> t<\/jats:italic>(90)\u2009=\u200910.979, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001. Several pre\u2010therapy coping strategies significantly predicted improvement in symptomatic outcome in both treatment groups, explaining between 16% and 25% of variance. The predictive value of coping was higher in the <jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content> group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Maladaptive coping behaviours were found to emerge in the early stages of psychosis and coping behaviour contributed significantly to the prediction of post\u2010treatment symptom improvement. These findings indicate a need for psychosocial support and coping strategy enhancement in people at risk of psychosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12130","type":"journal-article","created":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T10:40:41Z","timestamp":1393324841000},"page":"17-27","source":"Crossref","is-referenced-by-count":22,"title":["Coping as a predictor of treatment outcome in people at clinical high risk of psychosis"],"prefix":"10.1111","volume":"10","author":[{"given":"Mareike","family":"Kommescher","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena","family":"P\u00fctzfeld","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Berning","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgit","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of D\u00fcsseldorf  D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Decker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Bottlender","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans\u2010J\u00fcrgen","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Gaebel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of D\u00fcsseldorf  D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Maier","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Klosterk\u00f6tter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Bechdolf","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(00)00145-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702005895"},{"issue":"1","key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"S64","DOI":"10.1093\/schbul\/sbl030","article-title":"Efficacy of psychological therapy in schizophrenia: conclusions from meta\u2010analyses","volume":"32","author":"Pfammatter M","year":"2006","journal-title":"Schizophr Bull"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbm114"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2005.02.018"},{"key":"e_1_2_6_7_1","unstructured":"NICE.Schizophrenia: core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. 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