Metamotivation in people diagnosed with schizophrenia: A conceptual introduction and qualitative study.
Metamotivation in people diagnosed with schizophrenia: A conceptual introduction and qualitative study.
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DOI：
10.1016/j.schres.2021.06.003
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发表时间：
2022-05
影响因子：
4.5
通讯作者：
Medalia, Alice
中科院分区：
文献类型：
--
作者：
Hansen, Marie C.;Lynch, David A.;Stefancic, Ana;Medalia, Alice
阴性症状，如意志力，被认为是精神分裂症最令人衰弱的症状之一，但对其形成和持续的机制却知之甚少。在这篇文章中，我们介绍了一个新的概念——元动机，它对核心消极症状——无欲有潜在的影响。元动机被定义为识别、监控和自我调节动机以实现目标的能力。为了探索元动机对精神分裂症谱系人群的潜在适用性，对 21 名被诊断患有精神分裂症或分裂情感障碍的人进行半结构化访谈的定性数据进行了主题分析。分析中出现了四个核心主题：动机是不可塑的，动机是主要通过奖励和/或关注任务结果进行自我调节，动机是毫不费力的行动，动机是一种愉快的感觉。我们讨论了关于精神分裂症患者可能出现的动机知识的潜在不足/错误的这些发现，这反过来可能与无欲的发展和维持有关。我们的结论是，元动机是理解精神分裂症的一个有价值的概念，具有重要的研究和临床意义。
Negative symptoms, such as avolition, are considered to be some of the most debilitating symptoms of schizophrenia, yet the mechanisms that contribute to their formation and persistence are poorly understood. In this article, we introduce a novel concept, metamotivation, as having potential implications for avolition, a core negative symptom. Metamotivation is defined as the ability to identify, monitor, and self-regulate motivation in service of goal attainment. In order to explore the potential applicability of metamotivation to schizophrenia spectrum populations, qualitative data from semi-structured interviews were thematically analyzed from 21 people diagnosed with schizophrenia or schizoaffective disorder. Four core themes emerged from the analysis: motivation as unmalleable, motivation as self- regulated primarily through rewards and/or a focus on task outcome, motivation as effortless actions, and motivation as a pleasurable feeling. We discuss these findings with respect to potential inadequacies/errors in motivational knowledge that may occur in people with schizophrenia, which may in turn be implicated in the development and maintenance of avolition. We conclude that metamotivation is a valuable concept for understanding schizophrenia with important research and clinical implications.
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