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<p><b>Objective.</b> To study the relationship between the level of mindfulness and coping strategies in patients with schizophrenia, schizotypal disorder, and anorexia nervosa. <b>Materials and methods.</b> The study included 75 patients (25 with anorexia nervosa (F50.0), 25 with schizotypal disorder (F21), and 25 with paranoid schizophrenia (F20.0)), who were treated in the outpatient departments of the Alekseev Psychiatric Clinical Hospital No. 1 in Moscow, as well as a control group of 25 people who were mentally healthy volunteers. Clinical, psychopathological, psychometric and statistical methods were used. Mindfulness was studied using the Five-Factor Mindfulness Questionnaire (FFMQ). Karpov’s Reflexivity Questionnaire was used. Coping strategies were examined using the World Coping Questionnaire (WCQ), and the Difficulties in Emotion Regulation Scale-18 short version (DERS-18). <b>Results.</b> Significant between-group differences in relationships between measures of mindfulness and coping strategies were found. In the control group, nonjudging and describing correlated negatively with self-controlling (<i>p</i> &lt; 0.001 and <i>p</i> = 0.018), distancing (<i>p</i> = 0.023), accepting responsibility (<i>p</i> &lt; 0.001), and avoidance (<i>p</i> = 0.001). In patients with schizotypal disorder, nonjudging correlated negatively with avoidance (<i>p</i> &lt; 0.001), distancing (<i>p</i> = 0.017), and clarity (<i>p</i> = 0.007). In paranoid schizophrenia, nonjudging and reflexivity were negatively associated with distancing (<i>p</i> = 0.018) and accepting responsibility (<i>p</i> = 0.021). In patients with anorexia nervosa, nonjudging behavior was negatively associated with avoidance (<i>p</i> = 0.008) and nonacceptance (<i>p</i> &lt; 0.001). <b>Conclusions.</b> There were no direct relationships between components of mindfulness and the selection of coping strategies in clinical groups. In patients with paranoid schizophrenia and schizotypal disorder, these results are presumably due to emotional ambivalence and weakened emotional response; in anorexia nervosa, they are due to underdeveloped emotional self-regulation skills.</p>

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Relationship between the Aspects of Mindfulness and Coping Strategies in Patients with Schizophrenic Spectrum Disorders and Anorexia Nervosa

  • 期刊论文

  • 发表日期：

    2026年8月3日

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  • T. V. Moiseeva,
  • E. S. Ryauzova,
  • E. V. Fedorova,
  • D. A. Chugunov,
  • O. V. Mikhalevskaya,
  • E. D. Krasteleva,
  • N. V. Chernov,
  • G. P. Kostyuk

摘要

Objective. To study the relationship between the level of mindfulness and coping strategies in patients with schizophrenia, schizotypal disorder, and anorexia nervosa. Materials and methods. The study included 75 patients (25 with anorexia nervosa (F50.0), 25 with schizotypal disorder (F21), and 25 with paranoid schizophrenia (F20.0)), who were treated in the outpatient departments of the Alekseev Psychiatric Clinical Hospital No. 1 in Moscow, as well as a control group of 25 people who were mentally healthy volunteers. Clinical, psychopathological, psychometric and statistical methods were used. Mindfulness was studied using the Five-Factor Mindfulness Questionnaire (FFMQ). Karpov’s Reflexivity Questionnaire was used. Coping strategies were examined using the World Coping Questionnaire (WCQ), and the Difficulties in Emotion Regulation Scale-18 short version (DERS-18). Results. Significant between-group differences in relationships between measures of mindfulness and coping strategies were found. In the control group, nonjudging and describing correlated negatively with self-controlling (p < 0.001 and p = 0.018), distancing (p = 0.023), accepting responsibility (p < 0.001), and avoidance (p = 0.001). In patients with schizotypal disorder, nonjudging correlated negatively with avoidance (p < 0.001), distancing (p = 0.017), and clarity (p = 0.007). In paranoid schizophrenia, nonjudging and reflexivity were negatively associated with distancing (p = 0.018) and accepting responsibility (p = 0.021). In patients with anorexia nervosa, nonjudging behavior was negatively associated with avoidance (p = 0.008) and nonacceptance (p < 0.001). Conclusions. There were no direct relationships between components of mindfulness and the selection of coping strategies in clinical groups. In patients with paranoid schizophrenia and schizotypal disorder, these results are presumably due to emotional ambivalence and weakened emotional response; in anorexia nervosa, they are due to underdeveloped emotional self-regulation skills.