TY - JOUR
T1 - Self-Reported Stress and the Deficit Syndrome of Schizophrenia
AU - Cohen, Alex S.
AU - Docherty, Nancy M.
AU - Nienow, Tasha
AU - Dinzeo, Thomas
PY - 2003/12
Y1 - 2003/12
N2 - GENERALLY speaking, schizophrenia is not associated with diminished positive and negative emotions. Even patients with negative symptoms such as blunted affect have generally not differed in their levels of self-reported emotionality compared to patients without negative symptoms. However, there is evidence to suggest that a subgroup of patients with negative symptoms, those with the deficit syndrome, have a diminished capacity to experience positive and negative emotions. The present study examined whether ratings of the deficit and negative syndrome were associated with lower levels of self-reported stress during a laboratory-based, emotion-induction manipulation. Thirty-six participants with schizophrenia were asked to produce separate affectively positive and affectively negative narratives. Immediately following each narrative, participants were asked to report the level of stress they had experienced while recounting their memories. The deficit syndrome ratings, analyzed in a continuous and a categorical manner, were associated with lower levels of self-reported stress in the affectively negative condition. Moreover, the deficit and negative syndrome ratings significantly differed in their associations to levels of self-reported stress during both tasks, supporting the notion that there are appreciable differences between the two syndromes. Given that stress has been an essential component in conceptualizations of schizophrenia onset and relapse, the possibility of stress-resistant properties associated with the deficit syndrome should be tested in future research.
AB - GENERALLY speaking, schizophrenia is not associated with diminished positive and negative emotions. Even patients with negative symptoms such as blunted affect have generally not differed in their levels of self-reported emotionality compared to patients without negative symptoms. However, there is evidence to suggest that a subgroup of patients with negative symptoms, those with the deficit syndrome, have a diminished capacity to experience positive and negative emotions. The present study examined whether ratings of the deficit and negative syndrome were associated with lower levels of self-reported stress during a laboratory-based, emotion-induction manipulation. Thirty-six participants with schizophrenia were asked to produce separate affectively positive and affectively negative narratives. Immediately following each narrative, participants were asked to report the level of stress they had experienced while recounting their memories. The deficit syndrome ratings, analyzed in a continuous and a categorical manner, were associated with lower levels of self-reported stress in the affectively negative condition. Moreover, the deficit and negative syndrome ratings significantly differed in their associations to levels of self-reported stress during both tasks, supporting the notion that there are appreciable differences between the two syndromes. Given that stress has been an essential component in conceptualizations of schizophrenia onset and relapse, the possibility of stress-resistant properties associated with the deficit syndrome should be tested in future research.
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U2 - 10.1521/psyc.66.4.308.25440
DO - 10.1521/psyc.66.4.308.25440
M3 - Article
C2 - 14964692
AN - SCOPUS:1642499463
VL - 66
SP - 308
EP - 316
JO - Psychiatry (New York)
JF - Psychiatry (New York)
SN - 0033-2747
IS - 4
ER -