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Vulnerabilität und psychische Erkrankung


Stassen, Hans H; Delfino, Juan P; Kluckner, Viktoria J; Lott, Petra; Mohr, Christine (2014). Vulnerabilität und psychische Erkrankung. Schweizer Archiv für Neurologie und Psychiatrie, 165(05):152-157.

Abstract

Based on a sample of 1701 college and university students from four different sites in Switzerland, the U.S., and Argentina, this study investigated the interrelationships between insufficient coping skills under chronic stress and impaired general health. We sought to develop standardised means for “early” identification of students at risk of mental health problems, as these students may benefit from “early” interventions before psychiatric symptoms develop and reach clinically relevant thresholds. All students completed two self-report questionnaires: the Coping Strategies Inventory “COPE” and the Zurich Health Questionnaire “ZHQ”, with the latter assessing “regular exercises”, “consumption behavior”, “impaired physical health”, “psychosomatic disturbances”, and “impaired mental health”. This data was subjected to structure analyses based on neural network approaches, using the different study sites’ data subsets as independent “learning” and “test” samples. We found two highly stable COPE scales that quantified basic coping behaviour in terms of “activity-passivity” and “defeatism-resilience”. The excellent reproducibility across study sites suggested that the new scales characterise socioculturally independent personality traits. Correlation analyses for external validation revealed a close relationship between high scores on the defeatism scale and impaired physical and mental health, hence underlining the scales’ clinical relevance. Our results suggested in particular: (1.) the proposed method to be a powerful screening tool for early detection and prevention of psychiatric disorders; (2.) physical activity like regular exercises to play a critical role not only in preventing health problems but also in contributing to early intervention programs.

Abstract

Based on a sample of 1701 college and university students from four different sites in Switzerland, the U.S., and Argentina, this study investigated the interrelationships between insufficient coping skills under chronic stress and impaired general health. We sought to develop standardised means for “early” identification of students at risk of mental health problems, as these students may benefit from “early” interventions before psychiatric symptoms develop and reach clinically relevant thresholds. All students completed two self-report questionnaires: the Coping Strategies Inventory “COPE” and the Zurich Health Questionnaire “ZHQ”, with the latter assessing “regular exercises”, “consumption behavior”, “impaired physical health”, “psychosomatic disturbances”, and “impaired mental health”. This data was subjected to structure analyses based on neural network approaches, using the different study sites’ data subsets as independent “learning” and “test” samples. We found two highly stable COPE scales that quantified basic coping behaviour in terms of “activity-passivity” and “defeatism-resilience”. The excellent reproducibility across study sites suggested that the new scales characterise socioculturally independent personality traits. Correlation analyses for external validation revealed a close relationship between high scores on the defeatism scale and impaired physical and mental health, hence underlining the scales’ clinical relevance. Our results suggested in particular: (1.) the proposed method to be a powerful screening tool for early detection and prevention of psychiatric disorders; (2.) physical activity like regular exercises to play a critical role not only in preventing health problems but also in contributing to early intervention programs.

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Additional indexing

Other titles:Vulnerability and Psychic Illness
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Psychiatry, Psychotherapy, and Psychosomatics
04 Faculty of Medicine > Institute of Response Genetics
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:chronic stress, insufficient coping skills, affective disorders, early detection, prevention, students
Language:English
Date:2014
Deposited On:19 Jan 2018 11:40
Last Modified:20 Sep 2018 04:27
Publisher:EMH Swiss Medical Publishers
ISSN:0258-7661
Funders:7th EU Framework Programme for Research and Technological Development: 248544; OPTIMI
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.4414/sanp.2014.00261

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