Department of Psychology, Louisiana State University, United States.
Department of Psychology, Louisiana State University, United States.
Eur Psychiatry. 2019 Oct;62:20-27. doi: 10.1016/j.eurpsy.2019.08.006. Epub 2019 Sep 8.
The dysfunctional cognitive and reasoning biases which underpin psychotic symptoms are likely to present prior to the onset of a diagnosable disorder and should therefore be detectable along the psychosis continuum in individuals with schizotypal traits. Two reasoning biases, Bias Against Disconfirmatory Evidence (BADE) and Jumping to Conclusions (JTC), describe how information is selected and weighed under conditions of uncertainty during decision making. It is likely that states such as elevated stress exacerbates JTC and BADE in individuals with high schizotypal traits vulnerable to displaying these information gathering styles. Therefore, we evaluated whether stress and schizotypy interacted to predict these reasoning biases using separate samples from the US (JTC) and England (BADE). Generally speaking, schizotypal traits and stress were not independently associated with dysfunctional reasoning biases. However, across both studies, the interaction between schizotypy traits and stress significantly predicted reasoning biases such that increased stress was associated with increased reasoning biases, but only for individuals low in schizotypal traits. These patterns were observed for positive schizotypal traits (in both samples), for negative traits (in the England sample only), but not for disorganization traits. For both samples, our findings suggest that the presence of states such as stress is associated with, though not necessarily dysfunctional, reasoning biases in individuals with low schizotypy. These reasoning biases seemed, in some ways, relatively immutable to stress in individuals endorsing high levels of positive schizotypal traits.
潜在精神症状的认知和推理功能障碍偏差很可能在可诊断疾病发作之前出现,因此应该可以在具有分裂型特质的个体的精神病连续体中检测到。两种推理偏差,即反证证据偏差(BADE)和草率结论(JTC),描述了在不确定条件下进行决策时如何选择和权衡信息。在易患这些信息收集方式的高分裂型特质个体中,压力升高可能会加剧 JTC 和 BADE。因此,我们使用来自美国(JTC)和英国(BADE)的两个独立样本评估了压力和分裂型特质是否相互作用以预测这些推理偏差。一般来说,分裂型特质和压力与功能失调的推理偏差没有独立关联。然而,在两项研究中,分裂型特质和压力之间的相互作用显著预测了推理偏差,即压力增加与推理偏差增加有关,但仅针对低分裂型特质个体。这些模式在阳性分裂型特质(两个样本中)和阴性特质(仅在英国样本中)中观察到,但在组织障碍特质中未观察到。对于两个样本,我们的研究结果表明,在具有低分裂型特质的个体中,压力等状态的存在与推理偏差有关,尽管不一定是功能失调的。在高阳性分裂型特质个体中,这些推理偏差似乎在某些方面对压力相对不可改变。