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Psychiatry Investig. 2018 Sep;15(9):876-883. doi: 10.30773/pi.2018.07.29.2. Epub 2018 Sep 5.

Aberrant Tendency of Noncurrent Emotional Experiences in Individuals at Ultra-High Risk for Psychosis.

Seo E1,2, Bang M2,3, Lee E1,2, An SK1,2,4.

Author information

1
Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, Republic of Korea.
2
Section of Self, Affect, and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
3
Department of Psychiatry, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
4
Graduate Program in Cognitive Science, Yonsei University, Seoul, Republic of Korea.

Abstract

OBJECTIVE:

This study aimed to investigate whether aberrant tendency of noncurrent emotion was present in individuals at ultra-high risk (UHR) for psychosis and to explore its associations with various clinical profiles.

METHODS:

Fifty-seven individuals at UHR and 49 normal controls were enrolled. The tendency of experiencing noncurrent emotion was assessed using various noncurrent emotional self-reported formats, including trait [Neuroticism and Extraversion of the Eysenck Personality Questionnaire], hypothetical (Chapman's Revised Physical and Social Anhedonia Scales), and retrospective [AnhedoniaAsociality Subscale of the Scale for the Assessment of Negative Symptoms (SANS)] measures. Self-related beliefs (Self-Perception Scale), clinical positive and negative symptoms (SA Positive Symptoms and SANS), psychosocial function (Global Functioning Scale: Role Function and Global Functioning Scale: Social Function) were also examined.

RESULTS:

Subjects at UHR for psychosis reported more trait unpleasant and less trait pleasant emotions, more hypothetical physical and social anhedonia, and more retrospective anhedonia than normal controls. In UHR, self-perception was correlated to trait unpleasant emotion and hypothetical physical and social anhedonia. Negative symptoms in UHR were associated with hypothetical physical anhedonia and retrospective anhedonia. Global social functioning was related to trait pleasant emotion, hypothetical physical and social anhedonia, and retrospective anhedonia. Neurocognitive function, positive symptoms, and global role functioning were not related with any noncurrent emotional experience measures in UHR.

CONCLUSION:

These findings suggest that the aberrant tendency of noncurrent emotional experience may be present at the 'putative' prodromal phase and are grossly associated with self-related beliefs and psychosocial functioning but not neurocognitive functioning.

KEYWORDS:

Emotional experience; Neurocognition; Noncurrent emotion; Psychosocial function; Self-perception; Ultra-high risk for psychosis

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