Multivariate patterns of gray matter volume in thalamic nuclei are associated with positive schizotypy in healthy individuals.

BACKGROUND: Previous models suggest biological and behavioral continua among healthy individuals (HC), at-risk condition, and full-blown schizophrenia (SCZ). Part of these continua may be captured by schizotypy, which shares subclinical traits and biological phenotypes with SCZ, including thalamic structural abnormalities. In this regard, previous findings have suggested that multivariate volumetric patterns of individual thalamic nuclei discriminate HC from SCZ. These results were obtained using machine learning, which allows case-control classification at the single-subject level. However, machine learning accuracy is usually unsatisfactory possibly due to phenotype heterogeneity. Indeed, a source of misclassification may be related to thalamic structural characteristics of those HC with high schizotypy, which may resemble structural abnormalities of SCZ. We hypothesized that thalamic structural heterogeneity is related to schizotypy, such that high schizotypal burden would implicate misclassification of those HC whose thalamic patterns resemble SCZ abnormalities. METHODS: Following a previous report, we used Random Forests to predict diagnosis in a case-control sample (SCZ = 131, HC = 255) based on thalamic nuclei gray matter volumes estimates. Then, we investigated whether the likelihood to be classified as SCZ (π-SCZ) was associated with schizotypy in 174 HC, evaluated with the Schizotypal Personality Questionnaire. RESULTS: Prediction accuracy was 72.5%. Misclassified HC had higher positive schizotypy scores, which were correlated with π-SCZ. Results were specific to thalamic rather than whole-brain structural features. CONCLUSIONS: These findings strengthen the relevance of thalamic structural abnormalities to SCZ and suggest that multivariate thalamic patterns are correlates of the continuum between schizotypy in HC and the full-blown disease.

A diagnostic classification version of Schizotypal Personality Questionnaire using diagnostic classification models.

OBJECTIVE: To obtain more precise and rich information from the measurements for schizotypal personality disorder (SPD), a cutting-edge psychometric theory called diagnostic classification models (DCMs) was first employed in the present study to develop a diagnostic classification version of the Schizotypal Personality Questionnaire (DC-SPQ) based on the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. METHODS: Under the framework of DCMs, 980 college students were recruited to calibrate item parameters of the Schizotypal Personality Questionnaire. Items that fit the psychometric characteristic would be selected to compose the DC-SPQ, prior to an analysis of its indexes. RESULTS: Results showed that the DC-SPQ had high reliability and validity in both the classical test theory and DCMs, in addition to showing a sensitivity of 0.921 and a specificity of 0.841 with area under receiver operating characteristic curve = 0.936. Meanwhile, the four-factor model proposed adequately fits with the data. More importantly, the DC-SPQ provides not only the general-level information similar to traditional questionnaires but also the symptom-level information with the posterior probability, which provides an insight into delivering the individual-specific intervention that is tailor made to schizotypal personality disorder. CONCLUSIONS: This study demonstrates that the DC-SPQ is very valuable for psychometric detection in that it can clarify the symptom being measured and provide more reasonable estimates.

Validation of the Chinese version of the Anticipatory and Consummatory Interpersonal Pleasure Scale.

Social anhedonia, the reduced capacity for social and interpersonal pleasure, often accompanies several forms of psychopathology. The goal of the present study was to validate the Chinese translation of the Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS), a promising new tool for the assessment of individual differences in social pleasure. The Chinese versions of the ACIPS, the Temporal Experience of Pleasure Scale (TEPS), and the Schizotypal Personality Questionnaire (SPQ) were administered to 389 nonclinical adults. Factor analysis revealed that a four-factor structure accounted for nearly 53% of the variance, and the factors were consistent with those identified from factor analyses of the ACIPS in Western (U.S.) samples. The ACIPS measure showed high internal consistency as well. Correlational analysis revealed evidence of convergent validity. Individuals who scored high on the ACIPS were more likely to score high on measures of anticipatory and consummatory pleasure. Moreover, ACIPS total scores were inversely associated with scores on the No Close Friends subscale and the Constricted Affect subscale of the Schizotypal Personality Questionnaire (SPQ). Taken together, the findings suggest that the Chinese translation of the ACIPS is a reliable, valid measure that can be used to assess individual differences in the capacity to experience social and interpersonal pleasure in Chinese individuals.