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Title: Resilience in early psychosis
Author: Georgiades, Anna
Awarding Body: University of London
Current Institution: Royal Holloway, University of London
Date of Award: 2013
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Stress has been implicated in the onset and exacerbation of psychotic symptoms. Some authors have thus suggested that interventions should target reducing stress levels and improving resilience in patients with early psychosis. However, no study to date has investigated resilience in early psychosis or how resilience influences the relationship between stress and positive symptoms of psychosis. Some authors have also suggested that using a measure of coping with the illness (recovery style), rather than coping with stress per se, may aid in understanding the relationship between stress and symptoms. The present study employed the Brief Resilience Scale and the Can nor-Davidson Resilience Scale to measure two different conceptualisations of resilience. This study also measured stress, recovery style, the severity of positive symptoms of psychosis, and the dimensions of delusions, and auditory hallucinations. The total sample comprised of 44 patients with early psychosis recruited from three Early Intervention in Psychosis Services in London. The main findings were that lower levels of brief resilience and a sealing over recovery style were associated with a greater severity of delusions, when levels of stress were controlled for. Neither resilience nor recovery style moderated the relationship between stress and the dimension of delusions. However, stress, brief resilience, and recovery style significantly accounted for 28% of the variance in delusional severity. Moreover, stress, brief resilience, and recovery style were all found to be significant independent predictors of delusional severity. These findings indicate that high levels of stress, low levels of brief resilience, and a sealing over recovery style were associated with higher levels of delusional severity. Overall, the findings suggest that enhancing stress coping strategies, building resilience in terms of bouncing back from stress, and developing a more integrative recovery style may be helpful in reducing the severity of delusions in patients with early psychosis.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available