Yes,they can! Efficient physical effort mobilization according to task difficulty in schizophrenia

The current literature has largely highlighted a deficit of effort-based decision-making for reward in schizophrenia. However, not all studies have dissociated effort from reward, while other studies emphasize that difficulty is the main determinant of effort rather than reward. In this study, 33 individuals with schizophrenia and 32 healthy controls were recruited to perform a decision-making isometric force task. According to motivational intensity theory, task difficulty (i.e., required force) but not reward was manipulated from easy to impossible. Accuracy between force exerted and force required, and choice to perform a task or not were our effort measures. Clinical variables including depression, defeatist beliefs, and apathy were assessed. Our results demonstrated that the schizophrenia group chose to perform easy, moderate, and difficult tasks and exerted the necessary effort to succeed similarly to the non-clinical group. No association between effort and clinical variables was found. Our findings provide new understandings related to effort mechanisms in schizophrenia.

     

Projecting the self into the future in individuals with schizophrenia: a preliminary cross-sectional study

The ability to project oneself into the future contributes to development and maintenance of a coherent sense of identity. If recent research has revealed that schizophrenia is associated with difficulties envisioning the future, little is known about patients’ future self-representations. In this study, 27 participants with schizophrenia and 26 healthy controls were asked to simulate mental representations of plausible and highly significant future events (self-defining future projections, SDFPs) that they anticipate to happen in their personal future. Main results showed that schizophrenia patients had difficulties in reflecting on the broader meaning and implications of imagined future events. In addition, and contrary to our hypothesis, a large majority of SDFPs in schizophrenia patients were positive events, including achievements, relationship, and leisure contents. Interestingly, patients and controls did not differ on the perceived probability that these events will occur in the future. Our results suggest that schizophrenia patients have an exaggerated positive perception of their future selves. Together, these findings lend support to the idea that past and future self-defining representations have both similar and distinct characteristics in schizophrenia.