Positive emotions from social company in women with persisting subclinical psychosis: lessons from daily life

Positive emotions from social company in women with persisting subclinical psychosis: lessons from daily life
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DOI:
10.1111/acps.12151
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发表时间:
2014-03-01
影响因子:
6.7
通讯作者:
Myin-Germeys, I.
Myin-Germeys, I.
中科院分区:
医学1区
文献类型:
--
作者:
Collip, D.;Wigman, J. T. W.;Myin-Germeys, I.

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目的社会奖赏功能的改变与精神病有关,无论其分期和严重程度如何。前瞻性地考察社会奖赏功能在精神体验变得持续和潜在残疾之前的作用,有助于阐明导致向更严重的精神状态转变的社会机制,而不会受到临床障碍的混杂影响。方法在纵向总体样本(N=566)中,使用经验抽样方法(重复随机抽样瞬时情绪和社会背景)来评估基线时的日常生活社会功能。亚临床精神病体验的持续性是基于社区心理体验评估,在14个月内评估了三次。结果虽然有持续性精神病经历的个体与没有持续性精神病经历的个体相比,在积极效应的总体水平、独处时间和社会满意度方面没有差异,但他们对社会公司的回报效应更加敏感。结论社会奖励体验的改变可能是随着时间的推移而形成延伸精神病表型的机制之一。
ObjectiveAltered social reward functioning is associated with psychosis irrespective of stage and severity. Examining the role of social reward functioning prospectively in relation to psychotic experiences before these become persistent and potentially disabling can aid in elucidating social mechanisms that induce shifts toward more severe psychotic states, without the confounding effects of clinical disorder.MethodIn a longitudinal general population sample (N=566), the experience sampling method (repetitive random sampling of momentary emotions and social context) was used to assess daily life social functioning at baseline. Persistence of subclinical psychotic experiences was based on the Community Assessment of Psychic Experiences assessed three times over 14months. Analyses examined to what degree i) social context and ii) appreciation thereof differentiated between those who did and did not develop persistent psychotic experiences.ResultsAlthough individuals with persistent psychotic experiences did not differ in overall level of positive effect, the amount of time spent alone or the level of social satisfaction compared to individuals without persistent psychotic experiences, they were more sensitive to the rewarding effects of social company.ConclusionAlterations in social reward experience may form one of the mechanisms that precede the development of the extended psychosis phenotype over time.