Schizophrenia Research最新文献

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Schizotypal traits and daily social functioning: Insights from ecological momentary assessment 精神分裂型特征和日常社会功能：来自生态瞬时评估的见解

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-02 DOI: 10.1016/j.schres.2025.12.011

Madisen T. Russell , Wei Wu , Michelle P. Salyers , Tess F. Filip , Sarah Akhras , Heather Busanet , Amanda McCleery , Katharine N. Thakkar , Kyle S. Minor

Elevated schizotypal traits are a risk factor for developing schizophrenia and other forms of psychopathology. Because schizophrenia is marked by social functioning difficulties, examining how schizotypal traits shape everyday interactions can clarify early risk processes. Although ecological momentary assessment (EMA) has been used to examine social interaction likelihood (how often people interact), depth (complexity of content in interactions), and enjoyment (pleasure derived from interactions) in people with schizophrenia, few have explored differences in social interactions across schizotypal traits (positive, negative, and disorganized). This study used EMA to evaluate how positive, negative, and disorganized schizotypal traits in college students (n = 185) relate to social interaction likelihood, depth, and enjoyment in daily life. Given their established role in social functioning and their complex relationships with schizotypal traits, we also investigated whether affect and stress predict individuals' concurrent likelihood, depth, and enjoyment of social interactions. Results revealed that negative traits more strongly predicted reduced social interaction likelihood (B = −0.02, p = .04) and enjoyment (B = -0.06, p < .01) compared to positive (likelihood: B = 0.01, p = .37; enjoyment: B = 0.03, p = .02) and disorganized (likelihood: B = 0.00, p = .85; enjoyment: B = -0.04, p = .04) traits. Contrary to hypotheses, positive affect emerged as the strongest predictor of social interaction outcomes, surpassing negative affect and stress. Additionally, we observed a significant interaction between positive schizotypal traits and negative affect (B = -0.01, p = .03), such that individuals higher in positive traits showed a stronger reduction in enjoyment when experiencing negative affect. These findings enhance our understanding of how schizotypal traits and affect impact daily social interactions and may inform future personalized interventions designed to improve social functioning deficits in at-risk individuals.

升高的分裂型特征是发展为精神分裂症和其他形式的精神病理的危险因素。因为精神分裂症的特点是社会功能障碍，研究精神分裂症的特征是如何影响日常互动的，可以澄清早期的风险过程。虽然生态瞬间评估（EMA）已被用于检查精神分裂症患者的社会互动可能性（人们互动的频率）、深度（互动内容的复杂性）和享受（互动带来的快乐），但很少有人探索精神分裂症特征（积极、消极和无组织）在社会互动方面的差异。本研究使用EMA来评估大学生（n = 185）的积极、消极和无组织分裂型特征与日常生活中社会互动的可能性、深度和享受之间的关系。考虑到它们在社会功能中的既定作用及其与分裂型特征的复杂关系，我们还研究了影响和压力是否能预测个体同时进行社会互动的可能性、深度和乐趣。结果表明，与积极特质（likelihood: B = 0.01, p = 0.37; enjoy: B = 0.03, p = 0.02）和无序特质（likelihood: B = 0.00, p = 0.85; enjoy: B = -0.04, p = 0.04）相比，消极特质更能预测社会交往可能性（B = - 0.02, p = 0.04）和享受（B = -0.06, p = 0.01）的降低。与假设相反，积极影响成为社会互动结果的最强预测因子，超过了消极影响和压力。此外，我们观察到积极的分裂型特征与消极情绪之间存在显著的相互作用（B = -0.01, p = .03），因此，积极特征越高的个体在经历消极情绪时，享受程度越低。这些发现增强了我们对分裂型特征和影响如何影响日常社会互动的理解，并可能为未来个性化干预提供信息，旨在改善高危个体的社会功能缺陷。

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引用次数: 0

Predictions of different elements of everyday functional outcomes in bipolar disorder and schizophrenia: Cognition, social cognition, clinical symptoms, and mood states as predictors 双相情感障碍和精神分裂症日常功能结果的不同因素预测：认知、社会认知、临床症状和情绪状态作为预测因子

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-02 DOI: 10.1016/j.schres.2025.12.018

Megan A. Neff , Katherine V. Raffensperger , Raeanne C. Moore , Colin A. Depp , Robert A. Ackerman , Amy E. Pinkham , Philip D. Harvey

Background

Disability is common in serious mental illnesses across employment, everyday activities, and social outcomes. Although cognition and social cognition are known to predict disability, the level of influence across elements of functioning and condition and is not certain. We examined the correlations between cognition and social cognition, measured with observer ratings and performance, with ratings of performance in employment, everyday activities, and social outcomes in a transdiagnostic sample.

Methods

Participants with bipolar disorder (BD; n = 114) and SZ (SZ; n = 126) were studied. Everyday functioning was indexed with observer ratings of functioning, consolidating self and informant reports. In order to evaluate the usefulness of additional information sources, predictors also included clinical symptoms in domains of psychosis, negative symptoms, and depression, and momentary data on moods, location, and social context collected over 30 days of Ecological Momentary Assessment (EMA).

Results

Observer ratings of neurocognition and social cognition were uniformly correlated with functioning across diagnoses, with performance-based tests less strongly correlated with outcomes. Negative symptoms were the best predictor of interpersonal functioning, with mood symptoms also predictive in BD.

Implications

Observer-rated social cognition emerged as the most consistent predictor of disability across all domains and diagnoses. Negative symptoms had a relatively specific contribution to interpersonal outcomes, with sadness also contributing in BD. As observer ratings of social cognition and cognition were better predictors of outcomes than performance based tests, this may suggest a practical assessment strategy in general clinical settings with limited access to testing specialists.

残疾在严重精神疾病中很常见，涉及就业、日常活动和社会结果。虽然已知认知和社会认知可以预测残疾，但功能和状况各要素之间的影响程度尚不确定。我们研究了认知和社会认知之间的相关性，通过观察评分和表现、就业表现评分、日常活动评分和跨诊断样本的社会结果来衡量。方法以双相情感障碍（BD, n = 114）和SZ （SZ, n = 126）患者为研究对象。日常功能以观察者的功能评分为索引，整合自我和信息报告。为了评估其他信息来源的有用性，预测因子还包括精神病、阴性症状和抑郁领域的临床症状，以及在30天的生态瞬时评估（EMA）中收集的情绪、位置和社会背景的瞬时数据。结果神经认知和社会认知的观察者评分与诊断的功能一致相关，基于表现的测试与结果的相关性较弱。消极症状是人际关系功能的最佳预测指标，情绪症状也能预测抑郁症。研究结果表明，在所有领域和诊断中，bserver评定的社会认知是最一致的残疾预测指标。阴性症状对人际关系结果有相对特定的影响，悲伤也对双相障碍有影响。由于社会认知和认知的观察者评分比基于表现的测试更能预测结果，这可能建议在一般临床环境中使用一种实用的评估策略，因为测试专家的机会有限。

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IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

引用次数: 0

IF 3.5 2区医学 Q1 PSYCHIATRY

Schizophrenia Research

Pub Date : 2026-01-01

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