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1.
Hippocampus ; 33(10): 1139-1153, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37345675

RESUMO

Current developmental psychopathology models indicate that schizophrenia can be understood as the most extreme expression of a multidimensional continuum of symptoms and impairment referred to as schizotypy. In nondisordered adults, schizotypy predicts risk for developing schizophrenia-spectrum psychopathology. Schizophrenia is associated with disruptions in detecting subtle differences between objects, which is linked to hippocampal dysfunction. These disruptions have been shown in the Mnemonic Similarity Task (MST) when patients are less likely to reject lures that are similar but not identical to studied objects, and instead mistake them for studied items. This pattern of errors may be a behavioral manifestation of impaired pattern separation, a key episodic memory ability associated with hippocampal integrity and overreliance on pattern completion. We examined whether multidimensional schizotypy is associated with such deficits in nondisordered young adults. Participants (n = 230) were assessed for positive, negative, and disorganized schizotypy and completed the MST and a perceptual discrimination task. MST performance showed that a combination of elevated negative and disorganized schizotypy was associated with decreased rejections of similar lures because they were mistakenly identified as studied items. These deficits were not observed in traditional recognition measures within the same task, nor in perceptual discrimination, suggesting that mnemonic discrimination deficits assessed by MST were selective and did not reflect generalized deficits. These findings extend the results obtained in schizophrenia patients and support a multidimensional model of schizophrenia-spectrum psychopathology.


Assuntos
Memória Episódica , Esquizofrenia , Transtorno da Personalidade Esquizotípica , Adulto Jovem , Humanos , Transtorno da Personalidade Esquizotípica/complicações , Reconhecimento Psicológico
2.
Eur Arch Psychiatry Clin Neurosci ; 273(8): 1665-1675, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37301774

RESUMO

Schizophrenia (SZ) is a complex disorder with a highly polygenic inheritance. It can be conceived as the extreme expression of a continuum of traits that are present in the general population often broadly referred to as schizotypy. However, it is still poorly understood how these traits overlap genetically with the disorder. We investigated whether polygenic risk for SZ is associated with these disorder-related phenotypes (schizotypy, psychotic-like experiences, and subclinical psychopathology) in a sample of 253 non-clinically identified participants. Polygenic risk scores (PRSs) were constructed based on the latest SZ genome-wide association study using the PRS-CS method. Their association with self-report and interview measures of SZ-related traits was tested. No association with either schizotypy or psychotic-like experiences was found. However, we identified a significant association with the Motor Change subscale of the Comprehensive Assessment of At-Risk Mental States (CAARMS) interview. Our results indicate that the genetic overlap of SZ with schizotypy and psychotic-like experiences is less robust than previously hypothesized. The relationship between high PRS for SZ and motor abnormalities could reflect neurodevelopmental processes associated with psychosis proneness and SZ.


Assuntos
Transtornos Psicóticos , Esquizofrenia , Humanos , Esquizofrenia/genética , Estudo de Associação Genômica Ampla , Predisposição Genética para Doença/genética , Transtornos Psicóticos/genética , Herança Multifatorial/genética
3.
Behav Res Methods ; 55(1): 327-347, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35381956

RESUMO

Mind-wandering assessment relies heavily on the thought probe technique as a reliable and valid method to assess momentary task-unrelated thought (TUT), but there is little guidance available to help researchers decide how many probes to include within a task. Too few probes may lead to unreliable measurement, but too many probes might artificially disrupt normal thought flow and produce reactive effects. Is there a "Goldilocks zone" for how few thought probes can be used to reliably and validly assess individual differences in mind-wandering propensity? We address this question by reanalyzing two published datasets (Study 1, n = 541; Study 2, ns ≈ 260 per condition) in which thought probes were presented in multiple tasks. Our primary analyses randomly sampled probes in increments of two for each subject in each task. A series of confirmatory factor analyses for each probe "bin" size tested whether the latent correlations between TUT rate and theoretically relevant constructs like working memory capacity, attention-control ability, disorganized schizotypy, and retrospective self-reported mind wandering changed as more probes assessed the TUT rate. TUT rates were remarkably similar across increasing probe-bin sizes and zero-order correlations within and between tasks stabilized at 8-10 probes; moreover, TUT-rate correlations with other latent variables stabilized at about 8 thought probes. Our provisional recommendation (with caveats) is that researchers may use as few as 8 thought probes in prototypical cognitive tasks to gain reliable and valid information about individual differences in TUT rate.


Assuntos
Análise de Dados Secundários , Pensamento , Humanos , Estudos Retrospectivos , Atenção , Memória de Curto Prazo
4.
Compr Psychiatry ; 115: 152306, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35315343

RESUMO

BACKGROUND: The Hypomanic Personality Scale (HPS) assesses bipolar spectrum psychopathology and risk for bipolar disorders. Despite the developers' intent to create a scale that provides a unitary score, several studies have examined whether the HPS has a multidimensional structure. These models have been unable to identify a replicable multidimensional structure, with models varying from fairly similar to entirely dissimilar, and have suffered from theoretical and methodological concerns. PROCEDURES: We therefore examined the multidimensional structure of the HPS in a large undergraduate and adult sample (n = 5002). MAIN FINDINGS: We failed to reproduce factors with equal congruence to those of previously published models. PRINCIPLE CONCLUSIONS: We concluded that the HPS lacks factorial validity in previous research as a multidimensional measure of bipolar spectrum psychopathology. We further recommend the creation of a novel multidimensional assessment of bipolar spectrum psychopathology developed from a theoretically driven, comprehensive model, rather than examining a multidimensional model of a pre-existing measure, such as the HPS.


Assuntos
Transtorno Bipolar , Transtorno Ciclotímico , Adulto , Transtorno Bipolar/diagnóstico , Doença Crônica , Humanos , Personalidade , Psicopatologia
5.
Behav Sleep Med ; 20(1): 90-99, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33678084

RESUMO

INTRODUCTION: Although sleep disturbances are well documented in bipolar spectrum disorders (BSDs), significantly less research has examined whether these disturbances are present in those at risk for developing BSDs or with subsyndromal symptoms. The present study examined associations between risk for BSDs, as measured by the Hypomanic Personality Scale (HPS), and sleep assessed using experience sampling. We assessed whether intraindividual variability in sleep was associated with affect, cognition, and behavior in daily life and potential directionality of these relationships. METHODS: 233 young adults oversampled for high scores on the HPS completed 14 days of experience sampling assessing total sleep time (TST), bed/rise time, sleep quality, affect (negative and positive affect), cognition (difficulty concentrating, racing thoughts), and behavior (impulsivity) in daily life. We used Dynamic Structural Equation Modeling (DSEM) to assess within-person links between sleep and bipolar spectrum psychopathology. RESULTS: HPS scores were associated with less TST, later bedtime, and more variable TST and bedtime. Variability in TST was associated with negative affect, difficulty concentrating/racing thoughts, and impulsivity. Within-person decreases in sleep were associated with next day increases in negative affect, stress, difficulty concentrating, and racing thoughts. LIMITATIONS: Measurement of sleep was limited. Future studies should examine both objective measures of sleep (e.g., actigraphy) and fragmentation in sleep. CONCLUSIONS: Risk for BSD was associated with similar patterns of sleep disruptions as seen in BSDs. Important dynamic links between sleep and bipolar spectrum psychopathology emerged indicating that sleep is an important target for improving symptoms of BSDs in daily life.


Assuntos
Transtorno Bipolar , Transtorno Bipolar/complicações , Cognição , Avaliação Momentânea Ecológica , Humanos , Sono , Adulto Jovem
6.
Proc Natl Acad Sci U S A ; 115(5): 1087-1092, 2018 01 30.
Artigo em Inglês | MEDLINE | ID: mdl-29339474

RESUMO

People's ability to think creatively is a primary means of technological and cultural progress, yet the neural architecture of the highly creative brain remains largely undefined. Here, we employed a recently developed method in functional brain imaging analysis-connectome-based predictive modeling-to identify a brain network associated with high-creative ability, using functional magnetic resonance imaging (fMRI) data acquired from 163 participants engaged in a classic divergent thinking task. At the behavioral level, we found a strong correlation between creative thinking ability and self-reported creative behavior and accomplishment in the arts and sciences (r = 0.54). At the neural level, we found a pattern of functional brain connectivity related to high-creative thinking ability consisting of frontal and parietal regions within default, salience, and executive brain systems. In a leave-one-out cross-validation analysis, we show that this neural model can reliably predict the creative quality of ideas generated by novel participants within the sample. Furthermore, in a series of external validation analyses using data from two independent task fMRI samples and a large task-free resting-state fMRI sample, we demonstrate robust prediction of individual creative thinking ability from the same pattern of brain connectivity. The findings thus reveal a whole-brain network associated with high-creative ability comprised of cortical hubs within default, salience, and executive systems-intrinsic functional networks that tend to work in opposition-suggesting that highly creative people are characterized by the ability to simultaneously engage these large-scale brain networks.


Assuntos
Mapeamento Encefálico/métodos , Encéfalo/fisiologia , Conectoma/métodos , Criatividade , Pensamento , Adulto , Comportamento , Encéfalo/anatomia & histologia , Cognição , Feminino , Humanos , Modelos Lineares , Imageamento por Ressonância Magnética , Masculino , Rede Nervosa , Adulto Jovem
7.
Appl Psychophysiol Biofeedback ; 46(1): 83-90, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33170410

RESUMO

Research on effort and motivation commonly assesses how the sympathetic branch of the autonomic nervous system affects the cardiovascular system. The cardiac pre-ejection period (PEP), assessed via impedance cardiography, is a common outcome, but assessing PEP requires identifying subtle points on cardiac waveforms. The present research examined the psychometric value of the RZ interval (RZ), which has recently been proposed as an indicator of sympathetic activity, for effort research. Also known as the initial systolic time interval (ISTI), RZ is the time (in ms) between the ECG R peak and the dZ/dt Z peak. Unlike PEP, RZ involves salient waveform points that are easily and reliably identified. Data from two experiments evaluated the suitability of RZ for effort paradigms and compared it to a popular automated PEP method. In Studies 1 (n = 89) and 2 (n = 71), participants completed a standard appetitive task in which each correct response earned a small amount of cash. As expected, incentives significantly affected PEP and RZ in both experiments. PEP and RZ were highly correlated (all rs ≥ 0.89), and RZ consistently yielded a larger effect size than PEP. In Study 3, a quantitative synthesis of the experiments indicated that the effect size of RZ's response to incentives (Hedges's g = 0.432 [0.310, 0.554]) was roughly 15% larger than PEP's effect size (g = 0.376 [0.256, 0.496]). RZ thus appears promising for future research on sympathetic aspects of effort-related cardiac activity.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Cardiografia de Impedância , Motivação , Sístole/fisiologia , Adulto , Eletrocardiografia , Feminino , Coração , Humanos , Adulto Jovem
8.
Pers Individ Dif ; 1792021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33994609

RESUMO

Self-report scales are popular tools for measuring anhedonic experiences and motivational deficits, but how well do they reflect clinically significant anhedonia? Seventy-eight adults participated in face-to-face structured diagnostic interviews: 22 showed clinically significant anhedonia, and 18 met criteria for depression. Analyses of effect sizes comparing the anhedonia and depression groups to their respective controls found large effects, as expected, for measures of depressive symptoms, but surprisingly weak effect sizes (all less than d=.50) for measures of general, social, or physical anhedonia, behavioral activation, and anticipatory and consummatory pleasure. Measures of Neuroticism and Extraversion distinguished the anhedonic and depressed groups from the controls at least as well as measures of anhedonia and motivation. Taken together, the findings suggest that caution is necessary when extending self-report findings to populations with clinically significant symptoms.

9.
Br J Clin Psychol ; 59(4): 503-523, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32862467

RESUMO

BACKGROUND: No studies have examined the association between self-esteem and paranoia developmentally across the critical stages of psychosis emergence. The present study fills this gap and extends previous research by examining how different dimensions, measures, and types of self-esteem relate to daily-life paranoia across at-risk mental states for psychosis (ARMS) and first episode of psychosis (FEP) stages. Furthermore, the moderation effects of momentary anxiety and momentary perceived social support on the association between momentary self-esteem and paranoia were examined. DESIGN: This study used a multilevel, cross-sectional design. METHODS: One-hundred and thirteen participants (74 ARMS and 39 FEP) were assessed repeatedly over seven consecutive days on levels of momentary paranoia, self-esteem, anxiety and perceived social support using experience sampling methodology. Measures of trait and implicit self-esteem were also collected. RESULTS: Global momentary and trait self-esteem, and their positive and negative dimensions, were related to daily-life paranoia in both ARMS and FEP groups. Conversely, implicit self-esteem was not associated with daily-life paranoia in either group. Anxiety negatively moderated the association between positive self-esteem and lower paranoia, whereas both feeling close to others and feeling cared for by others strengthened this association. However, only feeling cared for by others moderated the association between negative self-esteem and higher paranoia. CONCLUSIONS: Different types, measures and dimensions of self-esteem are differentially related to paranoia in early psychosis and are influenced by contextual factors in daily-life. This yields a more complex picture of these associations and offers insights that might aid psychological interventions. PRACTITIONER POINTS: Different measures (trait and momentary) and dimensions (positive and negative) of explicit self-esteem are distinctly related to paranoia across risk and first-episode stages of psychosis. Explicit, but not implicit, self-esteem is associated with real-life paranoia in incipient psychosis. Anxiety boosted the association of poor self-esteem and paranoia ideation in daily-life. Social closeness, but feeling cared for by others in particular, interacts with self-esteem tempering the expression of paranoia in real life.


Assuntos
Ansiedade/psicologia , Transtornos Paranoides/psicologia , Transtornos Psicóticos/psicologia , Autoimagem , Adulto , Transtornos de Ansiedade , Estudos Transversais , Avaliação Momentânea Ecológica , Emoções , Feminino , Humanos , Masculino
10.
J Pers Assess ; 102(4): 508-515, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31012748

RESUMO

We conducted 2 studies examining the psychometric properties of the Multidimensional Schizotypy Scale (MSS) and the Multidimensional Schizotypy Scale-Brief (MSS-B). These studies offered the first examination of the scales' test-retest reliability (dependability), impact of testing interval on test-retest reliability, and concordance of the 2 versions. The MSS and MSS-B contain positive, negative, and disorganized schizotypy subscales that reflect current models of schizotypy. In Study 1, MTurk participants (n = 245) completed the scales at 2 assessments across a 7-week time interval. Test-retest reliabilities (intraclass correlations) ranged from .84 to .90 for the MSS subscales and from .77 to .85 for the MSS-B subscales, and were unaffected by the interval length between administrations. The association between the same subscales of the MSS and MSS-B across the 2 assessments ranged from .79 to .87, indicating good correspondence between the MSS and MSS-B. Scores on the MSS-B subscales in Study 1 were derived from the full-length MSS. Therefore, we replicated the findings using the actual MSS-B subscales in Study 2 in 3 samples (total n = 339). The results indicated that the MSS and MSS-B have good internal consistency and test-retest reliabilities (dependability), and that there is high concordance between the full-length and brief versions.


Assuntos
Escalas de Graduação Psiquiátrica/normas , Psicometria/normas , Transtorno da Personalidade Esquizotípica/diagnóstico , Adulto , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes
11.
J Youth Adolesc ; 48(7): 1353-1364, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30949796

RESUMO

Past research indicates that a history of depression and exposure to abuse and neglect represent some of the most robust predictors of depression in emerging adults. However, studies rarely test the additive or interactive risk associated with these distinct risk factors. In response, the present study explored how these three risk factors (prior depression, abuse, and neglect) synergistically predicted prospective depressive symptoms in a sample of 214 emerging adults (Mage = 21.4 years; SDage = 2.4; 78% females). Subtypes of maltreatment and lifetime history of depression were assessed through semi-structured interviews, and depressive symptoms were assessed annually for three years via self-report measures. The results indicated that for both males and females, a lifetime history of depression, abuse, and neglect-exposure uniquely conferred risk for elevated depressive symptoms. Furthermore, the interaction between neglect and prior depression forecasted increasing depressive symptoms, and a history of abuse also predicted increasing depressive symptoms, but only in females. These findings are contextualized within extant developmental psychopathology theories, and translational implications for trauma-informed depression prevention efforts are discussed.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Depressão/psicologia , Transtorno Depressivo/psicologia , Autorrelato , Feminino , Humanos , Masculino , Estudos Prospectivos , Fatores de Risco , Adulto Jovem
12.
J Pers ; 86(5): 841-852, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29125631

RESUMO

OBJECTIVE: Impulsivity appears to be best conceptualized as a multidimensional construct. For example, the UPPS-P model posits that there are five underlying facets of impulsivity. The present study examined the expression of the UPPS-P facets in daily life using experience sampling methodology. A specific goal of the study was to examine positive urgency, a facet added to the original UPPS model, and its convergence and divergence from the negative urgency facet. METHOD: A large nonclinical sample of young adults (n = 294) completed the UPPS-P scale and was signaled to complete questionnaires assessing daily affect, cognitions, sense of self, and impulsive behaviors eight times a day for 7 days. RESULTS: Results indicated that the UPPS-P facets are associated with disruptions in affect, cognitions, and behavior in daily life. Furthermore, all of the UPPS-P facets were associated with impulsivity in daily life. Contrary to expectation, positive urgency was associated with negative affect rather than positive affect and had a profile indistinguishable from negative urgency. CONCLUSIONS: These results generally support a four-factor model of multidimensional impulsivity with a general overall urgency factor instead of separate positive and negative urgency facets.


Assuntos
Comportamento Impulsivo/fisiologia , Modelos Psicológicos , Personalidade/fisiologia , Adolescente , Afeto/fisiologia , Feminino , Humanos , Masculino , Inventário de Personalidade , Psicometria , Inquéritos e Questionários , Adulto Jovem
13.
Behav Res Methods ; 50(6): 2531-2550, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29520631

RESUMO

Schizotypy is a multidimensional construct that provides a useful framework for understanding the etiology, development, and risk for schizophrenia-spectrum disorders. Past research has applied traditional methods, such as factor analysis, to uncovering common dimensions of schizotypy. In the present study, we aimed to advance the construct of schizotypy, measured by the Wisconsin Schizotypy Scales-Short Forms (WSS-SF), beyond this general scope by applying two different psychometric network filtering approaches-the state-of-the-art approach (lasso), which has been employed in previous studies, and an alternative approach (information-filtering networks; IFNs). First, we applied both filtering approaches to two large, independent samples of WSS-SF data (ns = 5,831 and 2,171) and assessed each approach's representation of the WSS-SF's schizotypy construct. Both filtering approaches produced results similar to those from traditional methods, with the IFN approach producing results more consistent with previous theoretical interpretations of schizotypy. Then we evaluated how well both filtering approaches reproduced the global and local network characteristics of the two samples. We found that the IFN approach produced more consistent results for both global and local network characteristics. Finally, we sought to evaluate the predictability of the network centrality measures for each filtering approach, by determining the core, intermediate, and peripheral items on the WSS-SF and using them to predict interview reports of schizophrenia-spectrum symptoms. We found some similarities and differences in their effectiveness, with the IFN approach's network structure providing better overall predictive distinctions. We discuss the implications of our findings for schizotypy and for psychometric network analysis more generally.


Assuntos
Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Transtorno da Personalidade Esquizotípica/diagnóstico , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes
14.
Psychol Sci ; 28(9): 1271-1289, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28719760

RESUMO

Undergraduates ( N = 274) participated in a weeklong daily-life experience-sampling study of mind wandering after being assessed in the lab for executive-control abilities (working memory capacity; attention-restraint ability; attention-constraint ability; and propensity for task-unrelated thoughts, or TUTs) and personality traits. Eight times a day, electronic devices prompted subjects to report on their current thoughts and context. Working memory capacity and attention abilities predicted subjects' TUT rates in the lab, but predicted the frequency of daily-life mind wandering only as a function of subjects' momentary attempts to concentrate. This pattern replicates prior daily-life findings but conflicts with laboratory findings. Results for personality factors also revealed different associations in the lab and daily life: Only neuroticism predicted TUT rate in the lab, but only openness predicted mind-wandering rate in daily life (both predicted the content of daily-life mind wandering). Cognitive and personality factors also predicted dimensions of everyday thought other than mind wandering, such as subjective judgments of controllability of thought. Mind wandering in people's daily environments and TUTs during controlled and artificial laboratory tasks have different correlates (and perhaps causes). Thus, mind-wandering theories based solely on lab phenomena may be incomplete.


Assuntos
Atenção/fisiologia , Função Executiva/fisiologia , Personalidade/fisiologia , Pensamento/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
15.
Eur Arch Psychiatry Clin Neurosci ; 267(1): 19-24, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26910404

RESUMO

The psychosis phenotype is expressed across a continuum known as schizotypy, which ranges from personality variation through subclinical symptoms to severe psychopathology. The study of subclinical manifestations in non-affected individuals minimizes confounding factors associated with the clinical phenotype and facilitates the differentiation of dimension-specific etiological mechanisms. The aim of the present study was to investigate the association between the variation in the regulator of G-protein signaling 4 (RGS4) gene, a putative candidate gene for psychosis previously associated with schizophrenia endophenotypes, and psychotic-like experiences (PLEs). In total, 808 healthy individuals completed the community assessment of psychic experiences (CAPE) to measure positive and negative PLEs and provided a DNA sample. Two RGS4 single-nucleotide polymorphisms (SNPs) (rs951436 [SNP4] and rs2661319 [SNP18]) were genotyped. Analyses of covariance (ANCOVA) were used to explore the association of positive and negative PLEs with RGS4 variation. Our results showed associations of positive and negative PLEs with the two polymorphisms studied: subjects with the T allele (SNP4) and the A allele (SNP18) had higher scores on both the positive and the negative dimensions. Haplotypic analyses supported these results, showing the highest scores in those with the TA haplotype (SNP4-SNP18). The RGS4 variants might exert gene-specific modulating effects on psychosis proneness.


Assuntos
Predisposição Genética para Doença , Polimorfismo de Nucleotídeo Único/genética , Transtornos Psicóticos/genética , Proteínas RGS/genética , Adolescente , Adulto , Análise de Variância , Feminino , Estudos de Associação Genética , Genótipo , Humanos , Masculino , Fenótipo , Escalas de Graduação Psiquiátrica , Psicometria , Adulto Jovem
16.
Actas Esp Psiquiatr ; 45(4): 145-56, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28745387

RESUMO

INTRODUCTION: This study aimed to describe and compare socio-demographic, background, treatment history, and service use, psychopathological and psychosocial characteristics of At-Risk Mental States (ARMS) and First-Episode Psychosis (FEP) patients from the Sant Pere Claver-Early Psychosis Program (SPC-EPP) in Barcelona. METHODS: 43 ARMS-patients and 40 FEP-patients were assessed with several clinical and psychosocial measures at study baseline. RESULTS: Clinical and psychosocial characteristics of the SPC-EPP sample were comparable to those of previous early psychosis studies. Overall, the socio-demographic and clinical background characteristics appeared to be mostly similar between ARMS and FEP patients. As expected, groups differed on history of previous psychiatric hospitalizations and current psychiatric treatment. The age at onset of both unspecific and prodromal symptoms, and age of first specialized psychiatric/psychological treatment were earlier in ARMS than in FEP-patients. FEP-patients showed higher scores on positive symptoms, cognitive and greater overall symptom severity than ARMS-patients. ARMS-patients showed higher scores on mania, general psychopathology and a slightly lower premorbid functioning since earlyadolescence than FEP-patients. CONCLUSIONS: Findings support the notion that ARMSpatients who seek for help can be considered as already highly dysfunctional and in need of treatment, given that they already suffer from multiple mental and functional disturbances. This supports current health care efforts in providing early access to treatment to this population and signals the need to sustain pilot early detection efforts.


Assuntos
Transtornos Psicóticos/diagnóstico , Transtornos Psicóticos/psicologia , Adolescente , Adulto , Diagnóstico Precoce , Feminino , Humanos , Masculino , Medição de Risco , Espanha , Adulto Jovem
17.
Behav Res Methods ; 46(1): 41-54, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23709167

RESUMO

Experience-sampling research involves trade-offs between the number of questions asked per signal, the number of signals per day, and the number of days. By combining planned missing-data designs and multilevel latent variable modeling, we show how to reduce the items per signal without reducing the number of items. After illustrating different designs using real data, we present two Monte Carlo studies that explored the performance of planned missing-data designs across different within-person and between-person sample sizes and across different patterns of response rates. The missing-data designs yielded unbiased parameter estimates but slightly higher standard errors. With realistic sample sizes, even designs with extensive missingness performed well, so these methods are promising additions to an experience-sampler's toolbox.


Assuntos
Pesquisa Comportamental/métodos , Funções Verossimilhança , Método de Monte Carlo , Interpretação Estatística de Dados , Humanos , Projetos de Pesquisa , Tamanho da Amostra
18.
Schizophr Res ; 270: 102-110, 2024 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-38889654

RESUMO

The present study examined three empirically-derived childhood adversity dimensions as predictors of social, psychological, and symptom outcomes across three prospective assessments of a young adult sample. Participants were assessed five times over eight years with semi-structured interviews and questionnaires. The analyses used the dimensions underlying multiple subscales from well-established childhood adversity measures administered at the first two assessment waves (described in a previous report). Outcome data pertain to the last three assessment waves, with sample sizes ranging from 89 to 169. As hypothesized, the childhood adversity dimensions demonstrated overlapping and differential longitudinal associations with the outcomes. Deprivation predicted the negative (deficit-like) dimension of psychosis, while Threat and Intrafamilial Adversity predicted the positive (psychotic-like) dimension. Depression and anxiety symptoms were predicted by different childhood adversity dimensions over time. Furthermore, Threat predicted a smaller and less diverse social network, Intrafamilial Adversity predicted anxious attachment, and Deprivation predicted a smaller social network, anxious and avoidant attachment, perceived social support, and loneliness. The three adversity dimensions combined accounted for moderate to large proportions of variance in several outcomes. These results extend prior work by identifying associations of three meaningful dimensions of childhood adversity with different risk profiles across psychological, social, and psychopathological domains. The findings enhance our understanding of the impact of childhood adversity across young adulthood.

19.
Schizophr Bull ; 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38962937

RESUMO

BACKGROUND AND HYPOTHESIS: Schizotypy is a useful and unifying construct for examining the etiology, development, and expression of schizophrenia-spectrum psychopathology. The positive, negative, and disorganized schizotypy dimensions are associated with distinct patterns of schizophrenia-spectrum symptoms and impairment. Furthermore, they are differentiated by mean levels of psychotic-like, suspicious, negative, and disorganized schizotypic experiences in daily life, and by temporal dynamics of affect. The schizotypy dimensions were thus hypothesized to be differentiated by the temporal dynamics of schizotypic experiences in daily life. STUDY DESIGN: The present study employed experience sampling methodology in a large nonclinically ascertained sample (n = 693) to examine the associations of multidimensional schizotypy with psychotic-like, suspicious, negative, and disorganized schizotypic experiences in daily life, as well as with their temporal dynamics (variability, reactivity, inertia, and instability). STUDY RESULTS: We replicated the mean-level associations between multidimensional schizotypy and schizotypic experiences in daily life. Furthermore, positive, negative, and disorganized schizotypy demonstrated hypothesized, differential patterns of temporal dynamics of schizotypic experiences. Disorganized schizotypy demonstrated the most robust associations, including intensity, variability, and inertia of disorganized schizotypic experiences. Disorganized schizotypy also moderated reactivity of psychotic-like and disorganized schizotypic experiences following previously reported stress. Positive schizotypy was associated with intensity and variability of psychotic-like experiences. Negative schizotypy was associated with intensity and variability of negative schizotypic experiences. CONCLUSIONS: The findings indicate that schizotypy dimensions can be differentiated by both mean levels and temporal patterns of psychotic-like, suspicious, negative, and disorganized schizotypic experiences in daily life, with disorganized schizotypy uniquely characterized by stress reactivity.

20.
Schizophr Res ; 267: 359-366, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38626663

RESUMO

Competing theories have been proposed to explain the considerable overlap in social-cognitive features and risk factors across schizotypy and autism spectrum conditions (ASCs). Six previous factor analyses have been reported in the literature, yet all have major limitations; evidence for the clear superiority of any of the competing theories is insufficient and warrants further investigation. The primary aim of the present research was to identify dimensions that cut across schizotypy and ASCs while addressing limitations of past research. Data were collected from three independent samples (n = 1006, 544, and 2469) in the U.S. and China using the Autism-Spectrum Quotient, the Schizotypal Personality Questionnaire, and the Wisconsin Schizotypy Scales. Exploratory factor analyses in Sample 1 identified an interpretable three-factor structure, which was replicated in Samples 2 and 3 using confirmatory factor analyses. We found consistent evidence for three dimensions (Aberrant Salience, Asociality, and Concrete Thinking) underlying schizotypy and ASCs. This three-dimension model is consistent with a common vulnerability model of schizotypy and ASCs. Implications of these findings for the schizotypy and ASCs literature are discussed.


Assuntos
Transtorno do Espectro Autista , Transtorno da Personalidade Esquizotípica , Humanos , Masculino , Feminino , China , Adulto Jovem , Estados Unidos , Análise Fatorial , Adolescente , Adulto , Fenótipo , Escalas de Graduação Psiquiátrica , Inquéritos e Questionários , População do Leste Asiático
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