Illness Perception Mediates the Effect of Illness Course on the Quality of Life of Mexican Patients with Psychosis

Learning about possible factors influencing, positively or negatively, the Quality of Life (QoL) of patients with psychosis is an important task for both, research and treatment. The study examined the association of illness course with QoL in a sample of Mexican patients with psychosis. It was hypothesized that illness perception would mediate the relation of illness course to QoL. Sixty-one (56 % female) patients were interviewed and assessed for illness course (relapses, residual symptoms, and diagnosis), QoL, and illness perception. Mediation analyses (simple and multiple) with bootstrapping procedures were applied, including residual symptoms as the predictor of QoL, and illness perception dimensions as candidate mediators. Residual symptoms, rather than a relapsing course or a diagnosis of schizophrenia, have a diminishing effect in the subjective QoL. This effect is fully mediated by illness perception, particularly by the cognitive and the emotional representations. Results underscore the importance that patients’ beliefs have on their perceived QoL, encouraging further research and development of interventions targeting illness perceptions.     

Brief assessment of schizotypy: Developing short forms of the Wisconsin Schizotypy Scales

The Wisconsin Schizotypy Scales—the Perceptual Aberration, Magical Ideation, Physical Anhedonia, and Revised Social Anhedonia Scales—have been used extensively since their development in the 1970s and 1980s. Based on psychometric analyses using item response theory, the present work presents 15-item short forms of each scale. In addition to being briefer, the short forms omit items with high differential item functioning. Based on data from a sample of young adults (n = 1144), the short forms have strong internal consistency, and they mirror effects found for the longer scales. They thus appear to be a good option for researchers interested in the brief assessment of schizotypic traits. The items are listed in an Appendix A.     

When the need to belong goes wrong: the expression of social anhedonia and social anxiety in daily life

People possess an innate need to belong that drives social interactions. Aberrations in the need to belong, such as social anhedonia and social anxiety, provide a point of entry for examining this need. The current study used experience-sampling methodology to explore deviations in the need to belong in the daily lives of 245 undergraduates. Eight times daily for a week, personal digital assistants signaled subjects to complete questionnaires regarding affect, thoughts, and behaviors. As predicted, higher levels of social anhedonia were associated with increased time alone, greater preference for solitude, and lower positive affect. Higher social anxiety, in contrast, was associated with higher negative affect and was not associated with increased time alone. Furthermore, greater social anxiety was associated with greater self-consciousness and preference to be alone while interacting with unfamiliar people. Thus, deviations in the need to belong affect social functioning differently depending on whether this need is absent or thwarted.     

Comparing static and dynamic measures of affect intensity and affective lability: do they measure the same thing?

This was the first study to our knowledge to examine whether dispositional scales of affect intensity and affective lability map on to corresponding momentary affective dynamics. Specifically, we assessed whether the Affect Intensity Measure (AIM) and Affective Lability Scale (ALS) are differentially associated with mean, variability, and instability of negative affect (NA) and positive affect (PA). Young adults (n?=?135) completed the AIM, ALS, and 7 days of experience sampling assessments. Higher scores on the AIM were associated with variability and instability of NA and PA whereas the ALS was associated with mean levels of NA and PA. Neither the AIM nor the ALS were associated with reactivity to stressful, negative, or positive experiences in the moment. The AIM and ALS accounted for little variance in momentary affective dynamics and effects were generally small. Findings highlighted that static measures of dynamic phenomena poorly map onto momentary measures of affect in daily life. Theoretical and methodological implications are discussed.

     

Planned missing-data designs in experience-sampling research: Monte Carlo simulations of efficient designs for assessing within-person constructs

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.     

Reinforcement sensitivity theory predicts positive and negative affect in daily life

Laboratory studies of Reinforcement Sensitivity Theory have associated sensitivity to punishment (SP) with negative affect and sensitivity to reward (SR) with positive affect. However, few studies have examined the expression of these systems and their response to cues of reward in daily life. The current study employed experience sampling methodology (ESM) to assess the association of SP and SR with affect and perceptions of situations in daily life. SP was positively associated with negative affect and negatively associated with positive affect in daily life, whereas SR was associated with positive affect and one aspect of negative affect, irritability/anger. Furthermore, high SP participants experienced smaller increases in positive affect and smaller decreases in negative affect in some situations that were perceived as positive, in comparison to low SP participants. In contrast, high SR participants experienced greater decreases in negative affect in some situations that were perceived as positive, in comparison to low SR participants.     

Facilitation of word recognition by semantic priming in schizophrenia

Schizophrenic (n = 21), bipolar (n = 18), and normal control subjects (n = 21) were compared on a word recognition measure of semantic priming. The task involved the presentation of related, neutral, and unrelated word pairs; the second word (target word) in each pair was presented in a degraded form. Facilitation was defined as the accuracy of target word recognition for the related word pairs minus accuracy for the neutral word pairs. Titration, achieved by manipulating the degradation of the target word, was used to maintain each subject's overall accuracy for related and neutral items at approximately 50%. This procedure minimized the artifactual effects of overall accuracy on the difference score. Schizophrenics exceeded both normal control subjects and bipolar subjects on facilitation. Bipolar subjects did not differ from control subjects. The results support Maher's hypothesis that semantic priming effects are heightened in schizophrenia.     

Conscientiousness and effort-related cardiac activity in response to piece-rate cash incentives

Although conscientiousness predicts many aspects of motivation, from delay of gratification to higher achievement, its relationship to responses to monetary incentives is surprisingly inconsistent. Several studies have found null or negative relationships between conscientiousness and behavioral performance in piece-rate, pay-for-performance tasks, in which people earn money for each unit of work completed. In the present study, we examined the role of conscientiousness in effort-related cardiac activity and behavioral performance during a pay-for-performance task. People worked on a self-paced, piece-rate cognitive task in which they earned 1 cent or 5 cents, manipulated within-person, for each correct response. Conscientiousness predicted greater physiological effort (i.e., shorter pre-ejection period [PEP] reactivity) as incentives increased but had no effect on behavioral performance. The findings suggest that conscientiousness is significantly related to effort for piece-rate tasks, and they reinforce a core idea in motivational intensity theory: effort, performance, and persistence are distinct outcomes that often diverge, so drawing conclusions about effort from performance can be complex.     

Music to the inner ears: Exploring individual differences in musical imagery

In two studies, we explored the frequency and phenomenology of musical imagery. Study 1 used retrospective reports of musical imagery to assess the contribution of individual differences to imagery characteristics. Study 2 used an experience sampling design to assess the phenomenology of musical imagery over the course of one week in a sample of musicians and non-musicians. Both studies found episodes of musical imagery to be common and positive: people rarely wanted such experiences to end and often heard music that was personally meaningful. Several variables predicted musical imagery, including personality, musical preferences, and positive mood. Musicians tended to hear musical imagery more often, but they reported less frequent episodes of deliberately-generated imagery. Taken together, the present research provides new insights into individual differences in musical imagery, and it supports the emerging view that such experiences are common, positive, and more voluntary than previously recognized.