Hai-song Shi

Meta-analysis of prospective memory in schizophrenia: Nature, extent, and correlates

Prospective memory (PM) is the ability to remember to carry out an intended action in the future and it is an important function for everyday living. Studies have found that the neural basis of PM is located mainly in the prefrontal lobes (particularly in Brodmann Area 10) and patients with schizophrenia have functional deficits in this area. The present study provided a meta-analytic review of PM performances in patients with schizophrenia in 11 studies. A total of 485 patients with schizophrenia and 409 controls were included. Results showed that patients with schizophrenia exhibited impairments in all time- (d=-1.33), event- (d=-0.827), and activity-based (d=-0.729) PM, with time-based PM more impaired than event-based PM. In addition, PM was found to be significantly correlated with negative symptoms (r=-0.18), general psychopathology (r=-0.168), medication dosage (r=-0.119), duration of illness (r=-0.131), age (r=-0.23), education (r=0.249), IQ (r=0.439) and premorbid IQ (r=0.356). It has theoretical and clinical implications. Theoretically, the results indicate time-based PM involves more initiation than event-based PM. Clinically, the results indicate patients on high dose of antipsychotic medication and with long duration of illness need special attention from care givers for PM problems.

Cross-cultural validation of the Depression Anxiety Stress Scale-21 in China.

The gap between the demand and delivery of mental health services in mainland China can be reduced by validating freely available and psychometrically sound psychological instruments. The present research examined the Chinese version of the 21-item Depression Anxiety Stress Scales (DASS-21). Study 1 administered the DASS-21 to 1,815 Chinese college students and found internal consistency indices (Cronbachs alpha) of .83, .80, and .82 for the Depression, Anxiety, and Stress subscales, respectively, and .92 for the total DASS total. Test-retest reliability over a 6-month interval was .39 to .46 for each of the 3 subscales and .46 for the total DASS. Moderate convergent validity of the Depression and Anxiety subscales was demonstrated via significant correlations with the Chinese Beck Depression Inventory (r = .51 at Time 1 and r = .64 at Time 2) and the Chinese State-Trait Anxiety Inventory (r = .41), respectively. Confirmatory factor analyses supported the original 3-factor model with 1 minor change (nonnormed fit index [NNFI] = .964, comparative fit index [CFI] = .968, and root mean square error of approximation [RMSEA] = .079). Study 2 examined the clinical utility of the Chinese DASS-21 in 166 patients with schizophrenia and 90 matched healthy controls. Patients had higher Depression and Anxiety but not Stress subscale scores than healthy controls. A discriminant function composed of the linear combination of 3 subscale scores correctly discriminated 69.92% of participants, which again supported the potential clinical utility of the DASS in mainland China. Taken together, findings in these studies support the cross-cultural validity of the DASS-21 in China. (PsycINFO Database Record

Prospective memory in non-psychotic first-degree relatives of patients with schizophrenia

Although a number of studies have found prospective memory (PM) impairment in patients with schizophrenia, very little is known about the PM performance in non-psychotic relatives of these patients. The current study aimed to explore the PM performance in non-psychotic first-degree relatives of these patients. Two groups of participants (26 non-psychotic first-degree relatives of schizophrenia patients and 26 healthy comparison participants) were administered three PM tasks (time-, event-, and activity-based) and a set of neurocognitive tests. Results showed that the relatives performed significantly worse than the comparisons on most indices of the PM tasks, with a similar pattern of impairment found in other neurocognitive measures. Together with findings from previous studies, results of the current study suggest that PM may be a potential endophenotype for schizophrenia.

The Chapman psychosis-proneness scales: Consistency across culture and time

The purpose of the present study was to examine the factor structure and the temporal stability of the Chapman psychosis-proneness scales in a representative sample of nonclinical Chinese young adults. The four psychosis-proneness scales evaluated were the Perceptual Aberration (PAS), Magical Ideation (MIS), revised Social Anhedonia (RSAS), and revised Physical Anhedonia (RPAS) scales. The sample consisted of 1724 young adults with a mean age of 18.8 years (S.D. = 0.84). The results of the confirmatory factor analyses indicated that the best fitting model was a two-factor model with positive schizotypy (PER and MIS) scales and negative schizotypy (RSAS and RPAS) scales. The data add to the growing literature indicating that the measurement of schizotypal traits is consistent across cultures. In addition, the results support the measurement invariance of the Chapman psychosis-proneness scales across time, i.e., there was ample evidence of test-retest reliability over a test interval of 6 months.

Witnessed Presence and the YUTPA Framework

The Temporal Experience of Pleasure Scale (TEPS) is a self-report instrument that assesses pleasure experience. Initial scale development and validation in the United States yielded a two-factor solution comprising anticipatory and consummatory pleasure. However, a four-factor model that further parsed anticipatory and consummatory pleasure experience into abstract and contextual components was a better model fit in China. In this study, we tested both models using confirmatory factor analysis in an American and a Chinese sample and examined the configural measurement invariance of both models across culture. We also examined the temporal stability of the four-factor model in the Chinese sample. The results indicated that the four-factor model of the TEPS was a better fit than the two-factor model in the Chinese sample. In contrast, both models fit the American sample, which also included many Asian American participants. The four-factor model fit both the Asian American and Chinese samples equally well. Finally, the four-factor model demonstrated good measurement and structural invariance across culture and time, suggesting that this model may be applicable in both cross-cultural and longitudinal studies.

Domain-specific hedonic deficits towards social affective but not monetary incentives in social anhedonia

Anticipatory and consummatory dissociation of hedonic experience may manifest as anhedonia in schizophrenia. However, it is unclear if this temporal dissociation of pleasure experience is also relevant in other symptoms like social anhedonia in the schizophrenia disorder spectrum. The present study applied two incentive delay tasks involving different incentive types (money vs. social affective images) to a sample of 28 participants with elevated social anhedonia (SocAnh) and 38 healthy controls from a population of 476 college students. The results showed that the SocAnh group had comparable anticipatory sensitivity and consummatory pleasure towards monetary incentives as the controls; but they exhibited significant decrease in both anticipatory sensitivity and consummatory experience to positive social affective images. These findings demonstrate the presence of a domain-specific deficit in people with social anhedonia towards social affective information, and suggest that incentive types could confound the findings on the dissociation of anticipatory vs. consummatory hedonic capacities.

The effect and mechanisms of implementation intentions on prospective memory in individuals with and without schizotypal personality features

Prospective memory (PM) refers to remembering to do something at a future time. Studies have shown that implementation intention can improve PM performance. The present study aimed to examine the effect and mechanism of implementation intention on PM in individuals prone for schizotypal personality disorder (SPD proneness) in a laboratory condition. A total of 51 participants with SPD proneness and 51 controls were administered a PM task. They were further randomly assigned to an implementation intention condition and a typical instruction condition. All participants completed the PM task with low and high cognitive load conditions. The results showed that implementation intention improved PM performances in both SPD prone and control groups, indicating that implementation intention was an effective strategy for improving PM performance. However, the mechanisms were different for the two groups. For controls, implementation intention did not affect their cognitive resources allocation strategy. Participants with SPD proneness allocated significantly more cognitive resources to the PM task in the implementation intention condition.

Cognitive empathy partially mediates the association between negative schizotypy traits and social functioning

The present study aimed to examine empathy in individuals with schizotypy and to explore whether empathy mediates the associations between schizotypy traits and social functioning in college students. 1083 (376 males, mean age 18.78 ± 0.86 years) Chinese university students completed questionnaires measuring empathy, social functioning, and schizotypy. Participants were categorized into four groups based on their scores on the Chapman Psychosis Proneness scales: mixed schizotypy, positive schizotypy, negative schizotypy, and healthy controls. Participants in the negative schizotypy group reported significantly poorer scores on both affective and cognitive empathy than those in the positive schizotypy and healthy control groups. The mixed schizotypy group showed lower affective empathy than the healthy control group. Scores on both cognitive and affective empathy in the positive schizotypy group were similar to those in the healthy control group. In addition, cognitive empathy was found to be a partial mediator of the association between negative schizotypy traits and social functioning. Results suggest that while individuals with negative schizotypy have deficits in empathy, individuals with positive schizotypy show empathy abilities comparable to that of healthy controls. Moreover, only cognitive empathy partially mediated the relationship between negative schizotypy and social functioning.

Social functioning in Chinese college students with and without schizotypal personality traits: an exploratory study of the Chinese version of the First Episode Social Functioning Scale.

Objectives The First Episode Social Functioning Scale (FESFS) was designed to measure social functioning of young individuals with schizophrenia. The aim of this study was to validate a Chinese version of the FESFS in a sample of young Chinese adults. Method The FESFS was translated to Chinese prior to being administered to 1576 college students. The factor structure, reliability, and validity of the scale were examined. Results Two items were deleted after item analysis and the internal consistency of the whole scale was .89. A six-factor structure was derived by exploratory factor analysis. The factors were interpersonal, family and friends, school, living skills, intimacy, and balance. Estimates of the structural equation model supported this structure, with Goodness of Fit Chi-Square χ2 = 1097.53 (p<0.0001), the root mean square error of approximation (RMSEA) = 0.058, and the comparative fit index (CFI) = 0.93. Scale validity was supported by significant correlations between social functioning factors scores and schizophrenia personality questionnaire (SPQ) scores. Individuals with schizotypal personality features presented poorer social functioning than those without schizotypal personality features. Conclusions The Chinese revised version of the FESFS was found to have good psychometric properties and could be used in the future to examine social functioning in Chinese college students.

Effects of working memory load on uncertain decision-making: evidence from the Iowa Gambling Task

The Iowa Gambling Task (IGT) simulates uncertain gains and losses in real life situations and thus is a good measure of uncertain decision-making. The role of working memory (WM) in IGT performance still remains unclear. The present study aimed to examine the effect of WM on IGT performance. Three groups of participants matched on gender ratio were randomly assigned to no WM load, low WM load, and high WM load conditions. Initially the three groups did not show significant difference in WM capacity. They finished a modified version of IGT and then their implicit learning effect and explicit cognition on IGT were assessed. Results indicated a linear increasing trend of IGT performance among high WM load, low WM load and no WM load groups; participants in the no WM load and low WM load groups revealed implicit learning effect, while participants in the high WM load group did not; all participants showed explicit cognition on IGT to the same level. These results suggested that participants in the high WM load group showed good explicit cognition to IGT but showed poor performance. This pattern is similar to frontal patients. Further studies should be conducted to explore this issue.