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Neural mechanisms of prospection in individuals with schizotypal traits, autistic traits, or depressive symptoms. 具有分裂型特征、自闭症特征或抑郁症状个体前景的神经机制
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 DOI: 10.1037/abn0000709
Rui-Ting Zhang, Zhuo-Ya Yang, Jia Huang, Yong-Ming Wang, Han-Yu Zhou, Yi Wang, Simon S Y Lui, Eric F C Cheung, Raymond C K Chan

Prospection refers to the ability to mentally construct future events, which is closely related to motivation and anhedonia. The neural underpinning of impaired prospection in psychiatric populations remains unclear. We recruited 34 individuals with autistic traits (AT), 27 individuals with schizotypal traits (ST), 31 individuals with depressive symptoms (DS), and 35 controls. Participants completed a prospection task while undergoing functional Magnetic Resonance Imaging (MRI). We found that regions of the "default mode network" including the medial frontal gyrus, the posterior cingulate cortex, the precuneus and the parahippocampus were activated; and regions of the "task-positive network" including the inferior parietal lobe, the inferior frontal gyrus and the precentral gyrus were deactivated during prospection in controls. Compared with controls, AT, ST, and DS showed comparable behavioral performance on prospection. However, reduced activation in anterior cingulate cortex and frontal gyrus was found in AT individuals relative to controls during prospection. ST individuals showed hyperactivation in the caudate relative to controls when processing positive emotion, while DS individuals and controls showed similar neural responses during prospection. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

预期是指在心理上构建未来事件的能力,它与动机和快感缺乏症密切相关。精神科人群前景受损的神经基础仍不清楚。我们招募了34名具有自闭症特征(AT)的个体,27名具有分裂型特征(ST)的个体,31名具有抑郁症状(DS)的个体和35名对照组。参与者在接受功能性磁共振成像(MRI)的同时完成了一项前瞻性任务。我们发现,包括内侧额回、后扣带皮层、楔前叶和副海马体在内的“默认模式网络”区域被激活;而在对照组中,包括顶叶下叶、额下回和中央前回在内的“任务积极网络”区域在展望期间被停用。与对照组相比,AT、ST和DS在前景方面表现出相当的行为表现。然而,在前瞻性研究中,与对照组相比,AT个体的前扣带皮层和额回的激活减少。ST组在处理积极情绪时尾状核相对于控制组表现出过度激活,而DS组和控制组在展望期表现出相似的神经反应。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 3
Satiety does not alter the ventral striatum's response to immediate reward in bulimia nervosa. 在神经性贪食症中,饱腹感不会改变腹侧纹状体对即时奖赏的反应。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 DOI: 10.1037/abn0000712
Amanda Bischoff-Grethe, Christina E Wierenga, Ursula F Bailer, Samuel M McClure, Walter H Kaye

Individuals with bulimia nervosa (BN) cycle between periods of binge-eating and compensatory behavior and periods of dietary restraint, suggesting extremes of under and overcontrol that may be metabolic-state related. This study examined the influence of hunger and satiety on impulsivity and neural responding during decision-making. Twenty-three women remitted from BN (RBN) and 20 healthy comparison women (CW) performed a delay discounting task after a 16-hr fast and following a standardized meal during functional neuroimaging. A dual-systems approach examined reward valuation (decision trials where the early reward option was available immediately) and cognitive control (all decision trials). Interactions of Group × Visit (Hungry, Fed) for immediate reward revealed that CW had greater activation when hungry versus fed in the ventral striatum and dorsal caudate, whereas RBN had greater response when fed versus hungry in the dorsal caudate. Compared to CW, RBN showed decreased response when hungry within the left dorsal caudate and ventral striatum and increased response when fed in bilateral dorsal caudate. No differences were found within cognitive control regions or with choice behavior. Reward sensitivity is normally increased when hungry and decreased when fed; our findings in CW provide further support of hunger-based reward sensitivity within the striatum. However, RBN showed no differences for hunger and satiety in the ventral striatum and greater activation in the dorsal caudate when fed compared to hungry. This suggests RBN may be less sensitive to reward when hungry but do not devalue reward when satiated, indicating altered metabolic modulation of self-regulatory control. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

神经性贪食症(BN)患者在暴饮暴食和代偿行为和饮食限制之间循环,表明极端控制不足和过度控制可能与代谢状态有关。本研究考察了饥饿和饱腹感对决策过程中冲动和神经反应的影响。在功能性神经成像期间,23名从BN中解脱出来的女性(RBN)和20名健康对照女性(CW)在16小时禁食后和标准化膳食后执行延迟折扣任务。双系统方法检查了奖励评估(早期奖励选项立即可用的决策试验)和认知控制(所有决策试验)。实验组x访问(饥饿,进食)对即时奖励的相互作用表明,在饥饿和进食时,连续波在腹侧纹状体和尾状背有更大的激活,而在进食和饥饿时,RBN在尾状背有更大的反应。与连续进食相比,RBN在左侧尾状背侧和腹侧纹状体饥饿时反应减弱,在双侧尾状背侧进食时反应增强。在认知控制区域或选择行为中没有发现差异。奖励敏感性通常在饥饿时增强,在进食时减弱;我们的研究结果为纹状体中基于饥饿的奖励敏感性提供了进一步的支持。然而,RBN在腹侧纹状体中显示饥饿和饱腹没有差异,而在喂食时与饥饿时相比,尾状体背面的激活更大。这表明RBN可能在饥饿时对奖励不那么敏感,但在饱足时不会贬低奖励,这表明自我调节控制的代谢调节发生了变化。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 1
Context matters: Neighborhood disadvantage is associated with increased disordered eating and earlier activation of genetic influences in girls. 环境问题:邻里不利与女孩饮食失调的增加和基因影响的早期激活有关。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 DOI: 10.1037/abn0000719
Megan E Mikhail, Sarah L Carroll, D Angus Clark, Shannon O'Connor, S Alexandra Burt, Kelly L Klump

Emerging evidence suggests socioeconomic disadvantage may increase risk for eating disorders (EDs). However, there are very few studies on the association between disadvantage and EDs, and all have focused on individual-level risk factors (e.g., family income). Neighborhood disadvantage (i.e., elevated poverty and reduced resources in one's neighborhood) is associated with increased risk for anxiety/depression and poor physical health. To date, no studies have examined phenotypic associations between neighborhood disadvantage and disordered eating, or how any form of disadvantage may interact with genetic individual differences in risk for EDs. We examined phenotypic and etiologic associations between neighborhood disadvantage and disordered eating in 2,922 girls ages 8-17 from same-sex twin pairs recruited through the Michigan State University Twin Registry. Parents rated the twins on nine items assessing core disordered eating symptoms (e.g., weight preoccupation, binge eating), and neighborhood disadvantage was calculated from 17 indicators of contextual disadvantage (e.g., median home value, neighborhood unemployment). Puberty was measured using the Pubertal Development Scale to examine whether associations were consistent across development. At a phenotypic level, greater neighborhood disadvantage was associated with significantly greater disordered eating symptoms in girls at all stages of puberty (β = .07). Moreover, Genotype × Environment models showed that girls living in more disadvantaged neighborhoods exhibited stronger and earlier (i.e., during pre/early puberty) activation of genetic influences on disordered eating. Results highlight the critical importance of considering contextual disadvantage in research on etiology and risk for disordered eating, and the need for increased screening and treatment for EDs in disadvantaged youth. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

越来越多的证据表明,社会经济劣势可能会增加饮食失调(EDs)的风险。然而,关于劣势与ed之间关系的研究很少,而且都集中在个人层面的风险因素(如家庭收入)上。邻里劣势(即一个人所在社区的贫困加剧和资源减少)与焦虑/抑郁风险增加和身体健康状况不佳有关。到目前为止,还没有研究调查邻里劣势和饮食失调之间的表型关联,或者任何形式的劣势如何与ed风险的遗传个体差异相互作用。我们从密歇根州立大学双胞胎登记处招募了2,922名8-17岁的同性双胞胎女孩,研究了邻里劣势和饮食失调之间的表型和病因学关联。父母根据评估核心饮食失调症状的9个项目对双胞胎进行评分(例如,体重关注,暴饮暴食),并根据17个环境劣势指标(例如,房屋中位数价值,社区失业)计算邻里劣势。青春期是用青春期发育量表来测量的,以检查在整个发育过程中是否存在一致的关联。在表型水平上,在青春期的所有阶段,更大的邻里劣势与更严重的饮食失调症状显著相关(β = .07)。此外,基因型x环境模型显示,生活在更弱势社区的女孩表现出更强、更早(即在青春期前/青春期早期)激活饮食失调的遗传影响。结果强调了在研究饮食失调的病因和风险时考虑环境劣势的重要性,以及增加对弱势青年ed的筛查和治疗的必要性。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 13
Applying hierarchical bayesian modeling to experimental psychopathology data: An introduction and tutorial. 层次贝叶斯模型在实验精神病理学数据中的应用:介绍与教程。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 DOI: 10.1037/abn0000707
Ivy F Tso, Stephan F Taylor, Timothy D Johnson

Over the past 2 decades Bayesian methods have been gaining popularity in many scientific disciplines. However, to this date, they are rarely part of formal graduate statistical training in clinical science. Although Bayesian methods can be an attractive alternative to classical methods for answering certain research questions, they involve a heavy "overhead" (e.g., advanced mathematical methods, complex computations), which pose significant barriers to researchers interested in adding Bayesian methods to their statistical toolbox. To increase the accessibility of Bayesian methods for psychopathology researchers, this article presents a gentle introduction of the Bayesian inference framework and a tutorial on implementation. We first provide a primer on the key concepts of Bayesian inference and major implementation considerations related to Bayesian estimation. We then demonstrate how to apply hierarchical Bayesian modeling (HBM) to experimental psychopathology data. Using a real dataset collected from two clinical groups (schizophrenia and bipolar disorder) and a healthy comparison sample on a psychophysical gaze perception task, we illustrate how to model individual responses and group differences with probability functions respectful of the presumed underlying data-generating process and the hierarchical nature of the data. We provide the code with explanations and the data used to generate and visualize the results to facilitate learning. Finally, we discuss interpretation of the results in terms of posterior probabilities and compare the results with those obtained using a traditional method. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

在过去的二十年中,贝叶斯方法在许多科学学科中越来越受欢迎。然而,到目前为止,他们很少是正式的研究生统计培训在临床科学的一部分。尽管贝叶斯方法可以作为经典方法的一个有吸引力的替代方法来回答某些研究问题,但它们涉及沉重的“开销”(例如,先进的数学方法,复杂的计算),这对有兴趣将贝叶斯方法添加到他们的统计工具箱中的研究人员构成了重大障碍。为了增加贝叶斯方法对精神病理学研究人员的可访问性,本文介绍了贝叶斯推理框架和实施教程。我们首先介绍贝叶斯推理的关键概念以及与贝叶斯估计相关的主要实现考虑因素。然后,我们演示了如何将层次贝叶斯建模(HBM)应用于实验精神病理学数据。使用从两个临床组(精神分裂症和双相情感障碍)收集的真实数据集和心理物理凝视感知任务的健康比较样本,我们说明了如何使用概率函数来模拟个人反应和群体差异,尊重假定的潜在数据生成过程和数据的层次性质。我们为代码提供了解释和用于生成和可视化结果的数据,以促进学习。最后,我们讨论了后验概率对结果的解释,并将结果与使用传统方法获得的结果进行了比较。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 3
Momentary dynamics of emotion-based impulsivity: Exploring associations with dispositional measures of externalizing and internalizing psychopathology. 情绪冲动的瞬间动态:探索与外化和内化心理病理学倾向性测量的关联。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 DOI: 10.1037/abn0000720
Sarah H Sperry, Brinkley M Sharpe, Aidan G C Wright

Emotion-based impulsivity has emerged as an important transdiagnostic risk factor for both internalizing and externalizing psychopathology. However, it is unclear how this dynamic process unfolds within individuals. We measured urgency within-persons as the momentary association between impulsivity and contemporaneous negative and positive affect in 4 ecological momentary assessment samples (N = 233[16,202 observations]; N = 302[11,360]; N = 311[17,517]; N = 291[20,297]) that span clinical, community, and student populations. Based on reflexive responding to emotion (RRE) and urgency frameworks, we hypothesized a) that significant individual differences in the dynamic association between affect and impulsivity would emerge, and b) that individual differences in positive and negative urgency pathways would be associated with externalizing and internalizing psychopathology. Within-person associations between negative affect and impulsivity consistently emerged; however, the association between positive affect and impulsivity was inconsistent across samples. Although average effects were small, significant individual differences existed in both urgency pathways. Consistent with prior studies, within-person urgency pathways were unassociated with global or dispositional measures of impulsivity. Contrary to expectation, within-person urgency was also unassociated with between-person measures of either internalizing or externalizing psychopathology. Yet, robust associations were seen between the same measures and average levels of momentary impulsivity and negative affect. We discuss results in terms of their relevance to both urgency and RRE frameworks and propose future directions to help disentangle emotion-based impulsivity and psychopathology in the moment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

情绪冲动已成为内化和外化精神病理学的一个重要的跨诊断风险因素。然而,目前还不清楚这一动态过程是如何在个体内部展开的。我们在 4 个生态瞬间评估样本(样本数=233[16,202 次观察];样本数=302[11,360];样本数=311[17,517];样本数=291[20,297])中测量了人体内的紧迫性,即冲动与当时的消极和积极情绪之间的瞬间关联,这些样本跨越了临床、社区和学生群体。基于对情绪的反射性反应(RRE)和紧迫性框架,我们假设:a) 情绪和冲动性之间的动态关联会出现显著的个体差异;b) 积极和消极紧迫性途径的个体差异会与外化和内化心理病理学相关。消极情绪与冲动性之间的人际关联始终存在;然而,积极情绪与冲动性之间的关联在不同样本中并不一致。虽然平均效应较小,但两种紧迫性途径都存在显著的个体差异。与之前的研究一致,个人内部的紧迫感途径与冲动性的整体或倾向性测量无关。与预期相反,人内紧迫感也与人与人之间的内化或外化心理病理学测量无关。然而,同样的测量结果与瞬间冲动和消极情绪的平均水平之间却存在着紧密的联系。我们讨论了这些结果与紧迫性和RRE框架的相关性,并提出了未来的研究方向,以帮助区分基于情绪的冲动性和瞬间心理病理学。(PsycInfo Database Record (c) 2021 APA,保留所有权利)。
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引用次数: 0
Higher-order dimensions of psychopathology in a neurodevelopmental transdiagnostic sample. 神经发育跨诊断样本中精神病理学的高阶维度。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 DOI: 10.1037/abn0000710
Joni Holmes, Silvana Mareva, Marc P Bennett, Melissa J Black, Jacalyn Guy

Hierarchical dimensional models of psychopathology derived for adult and child community populations offer more informative and efficient methods for assessing and treating symptoms of mental ill health than traditional diagnostic approaches. It is not yet clear how many dimensions should be included in models for youth with neurodevelopmental conditions. The aim of this study was to delineate the hierarchical dimensional structure of psychopathology in a transdiagnostic sample of children and adolescents with learning-related problems, and to test the concurrent predictive value of the model for clinically, socially, and educationally relevant outcomes. A sample of N = 403 participants from the Centre for Attention Learning and Memory (CALM) cohort were included. Hierarchical factor analysis delineated dimensions of psychopathology from ratings on the Conner's Parent Rating Short Form, the Revised Children's Anxiety and Depression Scale, and the Strengths and Difficulties Questionnaire. A hierarchical structure with a general p factor at the apex, broad internalizing and broad externalizing spectra below, and three more specific factors (specific internalizing, social maladjustment, and neurodevelopmental) emerged. The p factor predicted all concurrently measured social, clinical, and educational outcomes, but the other dimensions provided incremental predictive value. The neurodevelopmental dimension, which captured symptoms of inattention, hyperactivity, and executive function and emerged from the higher-order externalizing factor, was the strongest predictor of learning. This suggests that in struggling learners, cognitive and affective behaviors may interact to influence learning outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

与传统的诊断方法相比,针对成人和儿童社区人群得出的精神病理学分层维度模型为评估和治疗精神疾病的症状提供了更多信息和更有效的方法。目前尚不清楚神经发育障碍青少年的模型应包含多少个维度。本研究的目的是在有学习相关问题的儿童和青少年的跨诊断样本中界定精神病理学的分层维度结构,并测试该模型对临床、社会和教育相关结果的并发预测价值。研究对象包括注意力学习与记忆中心(CALM)的403名参与者。分层因子分析根据康纳家长评分简表、修订版儿童焦虑抑郁量表以及优势与困难问卷的评分结果,划分出心理病理学的各个维度。结果发现了一个分层结构,其顶点是一般 p 因子,下面是广义的内化和广义的外化光谱,以及三个更具体的因子(具体的内化、社会适应不良和神经发育)。p 因子可以预测所有同时测量的社会、临床和教育结果,但其他维度提供了更多的预测价值。神经发育维度捕捉到了注意力不集中、多动和执行功能等症状,并从高阶外化因子中产生,是预测学习效果最强的维度。这表明,对于学习有困难的学生,认知行为和情感行为可能会相互作用,影响学习效果。(PsycInfo Database Record (c) 2021 APA, 版权所有)。
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引用次数: 0
Increased inflammation predicts nine-year change in major depressive disorder diagnostic status. 炎症增加预示着重度抑郁症诊断状态的9年变化。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 Epub Date: 2021-10-07 DOI: 10.1037/abn0000716
Nur Hani Zainal, Michelle G Newman

Cytokine theory of depression proposes that increased baseline inflammatory activity may accumulate over time and lead to future major depressive disorder (MDD). However, most research conducted on this topic has been cross-sectional and examined between- (vs. within-) persons and symptom severity (vs. diagnosis). Therefore, we tested if elevated inflammatory activity at Time 1 (T1) would predict future within-person 9-year change in MDD diagnosis. Community-dwelling adults (n = 945) participated in the Midlife Development in the United States (MIDUS) study. T1 and Time 2 (T2) MDD status was assessed using the Composite International Diagnostic Interview-Short Form, and markers of inflammatory activity at T1 were measured (e.g., levels of serum interleukin-6 [IL-6], C-reactive protein [CRP], fibrinogen). Latent change score modeling was conducted. Higher T1 IL-6, CRP, and fibrinogen levels of inflammatory activity predicted T1-T2 development/relapse of MDD within persons. This effect occurred more strongly among women (vs. men; d = .149 vs. .042), younger (vs. older) adults (d = .137 vs. .119), persons with more (vs. less) chronic health issues (d = .133 vs. .065), low- (vs. middle- or high-) income earners (d = .161 vs. .050), and persons with more (vs. less) frequent childhood trauma (d = .156 vs. .017). Findings aligned with expanded cytokine theories, which posit that the impact of increased T1 inflammatory activity on future change in MDD status will be larger for subgroups vulnerable to increased stress exposure. Cognitive-behavioral or pharmacological approaches to reduce markers of inflammatory activity may prevent development/relapse of MDD. General Scientific Summary: Increased C-reactive protein (CRP), fibrinogen, and interleukin-6 (IL-6) levels predicted 9-year major depressive disorder (MDD) diagnostic status change more strongly in younger than older adults, women but not men, those with low (vs. high) income, as well as persons with high (vs. low) childhood trauma frequency and number of chronic illnesses. Findings aligned with expanded cytokine theories (e.g., social signal transduction theory of depression), which posit that markers of inflammatory activity predict future change in MDD status especially for populations vulnerable to heightened, chronic, and long-term exposure to environmental stressors. Continued efforts to empirically test expanded cytokine theories of depression may improve delineation of patterns of health disparities and facilitate effective measures to prevent the onset or recurrence of MDD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

抑郁症的细胞因子理论认为,基线炎症活性的增加可能会随着时间的推移而积累,并导致未来的严重抑郁症(MDD)。然而,大多数关于这一主题的研究都是在人与人之间(与人内)和症状严重程度(与诊断)进行的横断面研究。因此,我们测试了时间1(T1)的炎症活性升高是否可以预测MDD诊断的未来9年内人内变化。居住在社区的成年人(n=945)参与了美国中年发展研究。使用综合国际诊断访谈简表评估T1和时间2(T2)MDD状态,并测量T1时的炎症活性标志物(例如血清白细胞介素-6、C反应蛋白[CRP]、纤维蛋白原水平)。进行潜在变化评分建模。较高的T1 IL-6、CRP和纤维蛋白原炎症活性水平预测了人内MDD的T1-T2发展/复发。这种影响在女性(与男性相比;d=.149与.042)、年轻人(与老年人相比)(d=.137与.119)、慢性健康问题较多(与较少)的人(d=.133与.065)、低收入者(与中等或高收入者相比)(d=.161与.050)和儿童创伤较多(与较低)的人,其假设,对于易受压力暴露增加影响的亚组,T1炎症活性增加对MDD状态未来变化的影响将更大。减少炎症活动标志物的认知行为或药理学方法可以预防MDD的发展/复发。一般科学摘要:C反应蛋白(CRP)、纤维蛋白原和白细胞介素-6(IL-6)水平的升高预测了9年期重度抑郁症(MDD)诊断状态在年轻人中的变化比老年人更强烈,女性而不是男性,低收入者(与高收入者相比),以及儿童创伤频率和慢性病数量高(与低)的人。研究结果与扩展的细胞因子理论(如抑郁症的社会信号转导理论)一致,该理论认为炎症活动的标志物可以预测MDD状态的未来变化,尤其是对于易受环境压力源强化、慢性和长期暴露的人群。继续努力对抑郁症的扩展细胞因子理论进行实证检验,可以改善健康差异模式的描述,并促进采取有效措施预防MDD的发作或复发。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。
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引用次数: 0
An ecological examination of loneliness and social functioning in people with schizophrenia. 精神分裂症患者孤独感和社会功能的生态学研究。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-11-01 Epub Date: 2021-09-23 DOI: 10.1037/abn0000706
Adam J Culbreth, Deanna M Barch, Erin K Moran

Loneliness is associated with a myriad of detrimental outcomes in mental and physical health. Previous studies have found that people with schizophrenia report greater loneliness than controls, and that loneliness is related to depressive symptoms. However, research has been limited, particularly regarding contributions of loneliness to social and occupational functioning. Further, few studies have examined associations between loneliness and daily experience in schizophrenia. Thus, we recruited 35 individuals with schizophrenia and 37 controls. All participants completed the UCLA loneliness scale, symptom assessments, and measures of social and occupational functioning. Additionally, participants with schizophrenia completed an ecological momentary assessment (EMA) protocol that indexed daily social and emotional experiences, including loneliness. Similar to previous reports, we found that those with schizophrenia reported greater loneliness than controls. Further, loneliness was positively associated with depressive and negative symptoms, and negatively associated with self-reported social functioning. Interestingly, loneliness remained a significant predictor of functioning even when controlling for other symptoms, suggesting that severity of depressive and negative symptoms cannot fully explain the relationship between loneliness and functioning. In our EMA analyses, loneliness did not significantly differ when individuals were alone versus with others, underscoring the notion that being alone is not the same as feeling lonely. However, self-reported engagement during social interactions was negatively associated with loneliness, at a trend-level, suggesting that quality of social interactions is a potentially important consideration. Taken together, these findings suggest that loneliness is an important treatment target and provide understanding for how loneliness may manifest in daily life in schizophrenia. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

孤独与心理和身体健康的无数有害结果有关。先前的研究发现,精神分裂症患者比对照组更孤独,而孤独与抑郁症状有关。然而,研究一直有限,特别是关于孤独对社会和职业功能的贡献。此外,很少有研究调查了精神分裂症患者的孤独感和日常经历之间的联系。因此,我们招募了35名精神分裂症患者和37名对照组。所有的参与者都完成了加州大学洛杉矶分校的孤独量表、症状评估以及社会和职业功能的测量。此外,精神分裂症患者完成了一项生态瞬间评估(EMA)协议,该协议将日常社交和情感经历(包括孤独感)编入索引。与之前的报告类似,我们发现精神分裂症患者比对照组更孤独。此外,孤独与抑郁和消极症状呈正相关,与自我报告的社会功能负相关。有趣的是,即使在控制其他症状的情况下,孤独仍然是一个重要的功能预测指标,这表明抑郁和阴性症状的严重程度并不能完全解释孤独和功能之间的关系。在我们的EMA分析中,当个体独处和与他人在一起时,孤独感并没有显著差异,这强调了独处并不等同于感到孤独的概念。然而,在社交互动过程中,自我报告的参与度与孤独感呈负相关,这表明社交互动的质量是一个潜在的重要考虑因素。综上所述,这些发现表明孤独感是一个重要的治疗目标,并为理解孤独感在精神分裂症患者日常生活中的表现提供了依据。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 13
Supplemental Material for Cross-Cultural Comparisons of the Effect of a Schizophrenia Label on Stigmatizing Family Attitudes: A Case Vignette Study 精神分裂症标签对污名化家庭态度影响的跨文化比较补充材料:一项案例Vignette研究
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-10-28 DOI: 10.1037/abn0000708.supp
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引用次数: 0
Self-reported perceptual aberrations in psychosis map to event-related potentials and semantic appraisals of objects. 精神病患者自我报告的知觉偏差与事件相关电位和对客体的语义评价有关。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-10-01 DOI: 10.1037/abn0000697
Julia M Longenecker, Victor J Pokorny, Seung Suk Kang, Cheryl A Olman, Scott R Sponheim

Psychotic disorders have been associated with visual deficits and deviant semantic processing, making it unclear whether object detection abnormalities in psychosis originate from low-level or higher-order visual processes. The current study investigated how high-level visual processing is affected in psychosis by presenting object stimuli with equivalent low-level visual features. Outpatients with affective and nonaffective psychotic disorders, first-degree biological relatives, and psychiatrically unaffected individuals (N = 130) completed the Fragmented Ambiguous Object Task (FAOT) to assess recognition of objects in ambiguous stimuli. During the task, we recorded electroencephalography, quantified event-related potential (ERP) components (P1, N1, negative closure [NCL], N400), and derived four spatiotemporal event-related potential factors using principal components analysis (PCA). In addition to traditional diagnoses, psychosis was characterized using a dimensional measure of individual differences in self-reported sensory experiences (perceptual absorption) calculated from scales that tap the psychotic domain of the hierarchical structure of psychopathology. Rates of detecting objects within fragmented stimuli failed to differ across diagnostic groups or significantly predict perceptual absorption (p = .057). PCA factors that reflected smaller N1 and larger NCL amplitudes were associated with detecting objects. Exploratory analyses revealed that higher perceptual absorption was associated with reductions in the N400 and a late positive PCA factor. Although early and midlatency brain responses modulate during object detection, late brain responses tied to semantic appraisal of objects are related to perceptual aberrations often reported by individuals with severe psychopathology. Dimensional measures of personality appear sensitive to variation in biological systems relevant to psychotic symptomatology and object perception. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

精神障碍与视觉缺陷和异常语义处理有关,这使得人们不清楚精神病中的物体检测异常是源于低阶视觉过程还是高阶视觉过程。目前的研究调查了精神病患者如何通过呈现具有同等低水平视觉特征的物体刺激来影响高水平视觉加工。有情感性和非情感性精神障碍的门诊患者、一级生物亲属和精神未受影响的个体(N = 130)完成了碎片化模糊物体任务(FAOT),以评估在模糊刺激下对物体的识别。在实验过程中,我们记录了脑电图,量化了事件相关电位(ERP)分量(P1、N1、负闭合[NCL]、N400),并利用主成分分析(PCA)导出了4个时空事件相关电位因子。除了传统的诊断之外,精神病的特征是使用自我报告的感觉体验(知觉吸收)的个体差异的维度测量,从精神病理学层次结构的精神病领域计算出来。在碎片刺激中检测物体的比率在诊断组之间没有差异,也不能显著预测感知吸收(p = 0.057)。反映较小N1和较大NCL幅值的PCA因子与检测对象相关。探索性分析显示,较高的感知吸收与N400的减少和晚期阳性PCA因子有关。尽管早期和中潜伏期的大脑反应在物体检测过程中发生调节,但与物体语义评价相关的晚期大脑反应与严重精神病理患者经常报告的感知畸变有关。人格的维度测量似乎对与精神病症状学和客体感知相关的生物系统的变化很敏感。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 3
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Journal of abnormal psychology
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