积极、消极和无组织分裂型与日常生活中分裂型经历的时间动态相关性。

IF 5.3 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2024-07-04 DOI:10.1093/schbul/sbae112
Kathryn C Kemp, Sarah H Sperry, Laura Hernández, Neus Barrantes-Vidal, Thomas R Kwapil
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引用次数: 0

摘要

背景与假设:分裂型是研究精神分裂症谱系精神病理学的病因、发展和表现的一个有用的统一概念。积极型、消极型和混乱型精神分裂症与精神分裂症谱症状和损害的不同模式有关。此外,它们还可以通过日常生活中精神病样、多疑、阴性和无序精神分裂症体验的平均水平以及情感的时间动态加以区分。因此,我们假设精神分裂症各维度可通过日常生活中精神分裂症体验的时间动态来区分:研究设计:本研究采用经验抽样方法,在一个非临床确定的大型样本(n = 693)中考察了多维精神分裂症与日常生活中精神病样、多疑、消极和无组织精神分裂症体验的关联,以及与这些体验的时间动态(可变性、反应性、惯性和不稳定性)的关联:研究结果:我们重复了多维精神分裂症与日常生活中的精神分裂症经历之间的平均水平关联。此外,积极型、消极型和无组织型精神分裂症表现出了假设的、不同的精神分裂症体验时间动态模式。无组织分裂型表现出了最强有力的关联,包括无组织分裂型体验的强度、可变性和惯性。在之前报告的压力之后,无序分裂型还能调节精神病样和无序分裂型体验的反应性。阳性分裂型与精神病样体验的强度和变异性有关。结论:研究结果表明,精神分裂症可以通过日常生活中精神病样、多疑、消极和无组织精神分裂症体验的平均水平和时间模式来区分,其中无组织精神分裂症的独特特征是应激反应性。
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Association of Positive, Negative, and Disorganized Schizotypy With the Temporal Dynamics of Schizotypic Experiences in Daily Life.

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.

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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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