Sensitivity to criticism and praise predicts schizotypy in the non-clinical population: The role of affect and perceived expressed emotion
Sensitivity to criticism and praise predicts schizotypy in the non-clinical population: The role of affect and perceived expressed emotion
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DOI：
10.1016/j.eurpsy.2018.10.009
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发表时间：
2019-01-01
影响因子：
7.8
通讯作者：
Kuipers, Elizabeth
中科院分区：
文献类型：
--
作者：
Premkumar, Preethi;Dunn, Andrew K.;Kuipers, Elizabeth
背景：精神分裂症代表一系列人格特征，包括魔法信仰、知觉失常、混乱和快感缺失。精神分裂症表示容易患精神病，原因之一是社会心理压力。高表达情绪（EE）是来自近亲的高度批评、敌意和情绪过度卷入的评级，表示心理社会压力和容易患精神病，并且与精神分裂有关。本研究旨在从情感和感知EE的角度解读精神分裂症与感知批评和感知赞扬的关系。方法：98名健康参与者聆听包含陌生人的批评、赞扬和中立评论的简短音频片段，并根据评论的唤醒度和个人相关性对其进行评估。参与者还回答了关于精神分裂、抑郁、情绪和感知 EE 的自我报告问卷。相关分析检验了精神分裂与批评和赞扬评价之间的关系。然后中介分析测试了抑郁、积极情绪和感知的 EE 是否可以解释这些关系。结果：标准批评的相关性越高，与较高的积极精神分裂相关。这种关联完全是由近亲的高度抑郁和易怒所介导的。标准表扬的相关性较低与较高的认知混乱（另一种精神分裂特征）相关。这种关系在一定程度上是由低积极情绪和近亲的高侵入性所介导的。结论：更大的批评和更低的赞美预示着健康人群的精神分裂。对近亲的情感和人际敏感性解释了这些关系，例如抑郁会增加感知到的批评，而积极的情绪会增加感知到的赞扬。感知 EE 定义了精神分裂症的人际本质。皇冠版权所有 (c) 2018 由 Elsevier Masson SAS 出版。版权所有。
Background: Schizotypy represents a cluster of personality traits consisting of magical beliefs, perceptual aberrations, disorganisation, and anhedonia. Schizotypy denotes a vulnerability for psychosis, one reason being psychosocial stress. High expressed emotion (EE), a rating of high criticism, hostility, and emotional over-involvement from a close relative, denotes psychosocial stress and vulnerability to psychosis, and is associated with schizotypy. This study aimed to decipher the relationship of schizotypy to perceived criticism and perceived praise in terms of affect and perceived EE.Methods: Ninety-eight healthy participants listened to short audio-clips containing criticism, praise, and neutral comments from a stranger, and evaluated them in terms of the comments' arousal and personal relevance. Participants also answered self-report questionnaires of schizotypy, depression, mood, and perceived EE. Correlational analyses tested the relationship between schizotypy and the evaluations of criticism and praise. Mediation analyses then tested whether depression, positive mood, and perceived EE explained these relationships.Results: Greater relevance of standard criticism correlated with higher positive schizotypy. This association was fully mediated by high depression and perceived irritability from a close relative. Lower relevance of standard praise correlated with higher cognitive disorganisation (another schizotypal trait). This relationship was partially mediated by low positive mood and high perceived intrusiveness from a close relative.Conclusion: Greater perceived criticism and lower perceived praise predict schizotypy in the healthy population. Affect and interpersonal sensitivity towards a close relative explain these relationships, such that depression increases perceived criticism, and positive mood increases perceived praise. Perceived EE defines the interpersonal nature of schizotypy. Crown Copyright (c) 2018 Published by Elsevier Masson SAS. All rights reserved.