[en] Motivational negative symptoms are an important obstacle to the daily functioning of individuals with schizophrenia. A better understanding of associated processes would help to identify targets for interventions. We used Experience Sampling Method (ESM) to assess the daily cognitive, behavioural and emotional/hedonic processes identified in a redefined theoretical model of motivation in schizophrenia. Further, we applied multilevel network analysis to explore in a preliminary way the potential causal factors that may influence the daily course of motivation. Using a 14-day paradigm ESM in 7 participants with schizophrenia spectrum disorders (276 observations), we examined the interplay between the processes derived from the proposed model. We estimated both contemporaneous and temporal networks using multilevel vector autoregressive analyses for time-series. The contemporaneous network showed that motivation was central and strongly related to levels of energy and (self-)confidence. The temporal network showed that savouring processes (i.e. reminiscence and projection into the future) were the most influential and had an impact on later motivation, mood, effort, energy, (self-)confidence, and discouraging beliefs. These findings provide preliminary evidence in favour of the motivational model presented in this study, shedding new light on the understanding of motivation in schizophrenia and specifically identifying energy levels, savouring processes and confidence as likely beneficial targets for interventions.
Disciplines :
Theoretical & cognitive psychology
Author, co-author :
Thonon, Bénédicte ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie
Contreras, Alba; Complutense University, Madrid > Department of Clinical Psychology
Laroi, Frank ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie
Language :
English
Title :
Motivation in schizophrenia: a theory-driven approach using time-series network analysis
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Bibliography
Aalbers, G., McNally, R. J., Heeren, A., de Wit, S., & Fried, E. I. (2019). Social media and depression symptoms: A network perspective. Journal of Experimental Psychology: General. 10.1037/xge0000528.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: The Association. DOI: 10.1176/appi.books.9780890425596
Beck, A. T., Himelstein, R., Bredemeier, K., Silverstein, S. M., & Grant, P. (2018). What accounts for poor functioning in people with schizophrenia: A re-evaluation of the contributions of neurocognitive v. attitudinal and motivational factors. Psychological Medicine, 48(16), 2776–2785. 10.1017/S0033291718000442. DOI: 10.1017/S0033291718000442
Beck, A. T., & Rector, N. A. (2005). Cognitive approaches to schizophrenia: Theory and therapy. Annual Review of Clinical Psychology, 1(1), 577–606. 10.1146/annurev.clinpsy.1.102803.144205. DOI: 10.1146/annurev.clinpsy.1.102803.144205
Boyer, L., Richieri, R., Guedj, E., Faget-Agius, C., Loundou, A., Llorca, P. M., Auquier, P., & Lançon, C. (2013). Validation of a functional remission threshold for the functional remission of general schizophrenia (FROGS) scale. Comprehensive Psychiatry, 54(7), 1016–1022. 10.1016/j.comppsych.2013.04.008. DOI: 10.1016/j.comppsych.2013.04.008
Bringmann, L. F., Elmer, T., Epskamp, S., Krause, R. W., Schoch, D., Wichers, M., Wigman, J. T. W., & Snippe, E. (2019). What do centrality measures measure in psychological networks? Journal of Abnormal Psychology, 128(8), 892–903. 10.1037/abn0000446. DOI: 10.1037/abn0000446
Campellone, T. R., Sanchez, A. H., & Kring, A. M. (2016). Defeatist performance beliefs, negative symptoms, and functional outcome in schizophrenia: A meta-analytic review. Schizophrenia Bulletin, 42(6), 1343–1352. 10.1093/schbul/sbw026. DOI: 10.1093/schbul/sbw026
Contreras, A., Nieto, I., Valiente, C., Espinosa, R., & Vazquez, C. (2019). The study of psychopathology from the network analysis perspective: A systematic review. Psychotherapy and Psychosomatics, 88, 71–83. 10.1159/000497425. DOI: 10.1159/000497425
Couture, S. M., Blanchard, J. J., & Bennett, M. E. (2011). Negative expectancy appraisals and defeatist performance beliefs and negative symptoms of schizophrenia. Psychiatry Research, 189(1), 43–48. 10.1016/j.psychres.2011.05.032. DOI: 10.1016/j.psychres.2011.05.032
Da Silva, S., Saperia, S., Siddiqui, I., Fervaha, G., Agid, O., Daskalakis, Z. J., et al. (2017). Investigating consummatory and anticipatory pleasure across motivation deficits in schizophrenia and healthy controls. Psychiatry Research, 254, 112–117. 10.1016/j.psychres.2017.04.040. DOI: 10.1016/j.psychres.2017.04.040
de Wit, I., de Haan, L., &; Myin-Germeys, I. (2016). Electronic technology and advances in assessment of outcomes. Beyond Assessment of Quality of Life in Schizophrenia. https://doi.org/10.1007/978-3-319-30061-0_7.
Deci, E. L., & Ryan, R. M. (2000). The " what " and " why " of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 37–41. 10.1207/S15327965PLI1104. DOI: 10.1207/S15327965PLI1104
Epskamp, S., Cramer, A. O. J., Waldorp, L. J., Schmittmann, V. D., & Borsboom, D. (2012). Qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software. https://doi.org/10.18637/jss.v048.i04.
Epskamp, S., van Borkulo, C. D., van der Veen, D. C., Servaas, M. N., Isvoranu, A.-M., Riese, H., & Cramer, A. O. J. (2018a). Personalized network modeling in psychopathology: The importance of contemporaneous and temporal connections. Clinical Psychological Science, 6(3), 416–427. 10.1177/2167702617744325. DOI: 10.1177/2167702617744325
Epskamp, S., Waldorp, L. J., Mõttus, R., & Borsboom, D. (2018b). The Gaussian graphical model in cross-sectional and time-series data. Multivariate Behavioral Research, 53(4), 453–480. 10.1080/00273171.2018.1454823. DOI: 10.1080/00273171.2018.1454823
Favrod, J., Nguyen, A., Chaix, J., Pellet, J., Frobert, L., Fankhauser, C., Ismailaj, A., Brana, A., Tamic, G., Suter, C., Rexhaj, S., Golay, P., & Bonsack, C. (2019). Improving pleasure and motivation in schizophrenia: A randomized controlled clinical trial. Psychotherapy and Psychosomatics, 88(2), 84–95. 10.1159/000496479. DOI: 10.1159/000496479
Gard, D. E., Sanchez, A. H., Starr, J., Cooper, S., Fisher, M., Rowlands, A., & Vinogradov, S. (2014). Using self-determination theory to understand motivation deficits in schizophrenia: The ‘why’ of motivated behavior. Schizophrenia Research, 156(2–3), 217–222. 10.1016/j.schres.2014.04.027. DOI: 10.1016/j.schres.2014.04.027
Granholm, E., Holden, J., & Worley, M. (2018). Improvement in negative symptoms and functioning in cognitive-behavioral social skills training for schizophrenia: Mediation by defeatist performance attitudes and asocial beliefs. Schizophrenia Bulletin, 44(3), 653–661. 10.1093/schbul/sbx099. DOI: 10.1093/schbul/sbx099
Grant, P. M., Huh, G. A., Perivoliotis, D., Stolar, N. M., & Beck, A. T. (2012). Randomized trial to evaluate the efficacy of cognitive therapy for low-functioning patients with schizophrenia. Archives of General Psychiatry, 69(2), 1–7. 10.1001/archgenpsychiatry.2011.129. DOI: 10.1001/archgenpsychiatry.2011.129
Haslbeck, J., Ryan, O., Robinaugh, D., Waldorp, L., & Borsboom, D. (2019). Modeling Psychopathology: From Data Models to Formal Theories. PsyArXiv. https://doi.org/10.31234/osf.io/jgm7f.
Jones, P. J., Heeren, A., & McNally, R. J. (2017). Commentary: A network theory of mental disorders. Frontiers in Psychology, 8. 10.3389/fpsyg.2017.01305.
Jongeneel, A., Aalbers, G., Bell, I., Fried, E. I., Delespaul, P., Riper, H., van der Gaag, M., & van den Berg, D. (2020). A time-series network approach to auditory verbal hallucinations: Examining dynamic interactions using experience sampling methodology. Schizophrenia Research, 215, 148–156. 10.1016/j.schres.2019.10.055. DOI: 10.1016/j.schres.2019.10.055
Kasser, T. (2002). Sketches for a self-determination theory of values. In E. L. Deci & R. M. Ryan (Eds.), Handbook of self-determination research (pp. 123–140). Rochester: University of Rochester Press.
Kimhy, D., Myin-Germeys, I., Palmier-Claus, J., & Swendsen, J. (2012). Mobile assessment guide for research in schizophrenia and severe mental disorders. Schizophrenia Bulletin, 38(3), 386–395. 10.1093/schbul/sbr186. DOI: 10.1093/schbul/sbr186
Kirkpatrick, B., Strauss, G. P., Nguyen, L., Fischer, B. A., Daniel, D. G., Cienfuegos, A., & Marder, S. R. (2011). The brief negative symptom scale: Psychometric properties. Schizophrenia Bulletin, 37(2), 300–305. 10.1093/schbul/sbq059. DOI: 10.1093/schbul/sbq059
Kring, A. M., & Barch, D. M. (2014). The motivation and pleasure dimension of negative symptoms: Neural substrates and behavioral outputs. European Neuropsychopharmacology, 24(5), 725–736. 10.1016/j.euroneuro.2013.06.007. DOI: 10.1016/j.euroneuro.2013.06.007
Levine, S. Z., & Leucht, S. (2016). Identifying a system of predominant negative symptoms: Network analysis of three randomized clinical trials. Schizophrenia Research, 178(1–3), 17–22. 10.1016/j.schres.2016.09.002. DOI: 10.1016/j.schres.2016.09.002
Llorca, P.-M., Lançon, C., Lancrenon, S., Bayle, F.-J., Caci, H., Rouillon, F., & Gorwood, P. (2009). The “functional remission of general schizophrenia” (FROGS) scale: Development and validation of a new questionnaire. Schizophrenia Research, 113(2–3), 218–225. 10.1016/j.schres.2009.04.029. DOI: 10.1016/j.schres.2009.04.029
Lutgens, D., Gariepy, G., & Malla, A. (2017). Psychological and psychosocial interventions for negative symptoms in psychosis: Systematic review and meta-analysis. British Journal of Psychiatry, 210(5), 324–332. 10.1192/bjp.bp.116.197103. DOI: 10.1192/bjp.bp.116.197103
Medalia, A., & Brekke, J. (2010). In search of a theoretical structure for understanding motivation in schizophrenia. Schizophrenia Bulletin, 36(5), 912–918. 10.1093/schbul/sbq073. DOI: 10.1093/schbul/sbq073
Mucci, A., Vignapiano, A., Bitter, I., Austin, S. F., Delouche, C., Dollfus, S., Erfurth, A., Fleischhacker, W. W., Giordano, G. M., Gladyshev, I., Glenthøj, B., Gütter, K., Hofer, A., Hubeňák, J., Kaiser, S., Libiger, J., Melle, I., Nielsen, M. Ø., Papsuev, O., Rybakowski, J. K., Sachs, G., Üçok, A., Wojciak, P., & Galderisi, S. (2019). A large European, multicenter, multinational validation study of the brief negative symptom scale. European Neuropsychopharmacology, 29(8), 947–959. 10.1016/j.euroneuro.2019.05.006. DOI: 10.1016/j.euroneuro.2019.05.006
Myin-Germeys, I., Kasanova, Z., Vaessen, T., Vachon, H., Kirtley, O., Viechtbauer, W., & Reininghaus, U. (2018). Experience sampling methodology in mental health research: New insights and technical developments. World Psychiatry, 17(2), 123–132. 10.1002/wps.20513. DOI: 10.1002/wps.20513
Pratt, S. I., Mueser, K. T., Smith, T. E., & Lu, W. (2005). Self-efficacy and psychosocial functioning in schizophrenia: A mediational analysis. Schizophrenia Research, 78(2–3), 187–197. 10.1016/j.schres.2005.02.014. DOI: 10.1016/j.schres.2005.02.014
Raffard, S., D’Argembeau, A., Lardi, C., Bayard, S., Boulenger, J.-P., & Van der Linden, M. (2010). Narrative identity in schizophrenia. Consciousness and Cognition, 19(1), 328–340. 10.1016/j.concog.2009.10.005. DOI: 10.1016/j.concog.2009.10.005
Rector, N. A., Beck, A. T., & Stolar, N. (2005). The negative symptoms of schizophrenia: A cognitive perspective. The Canadian Journal of Psychiatry, 50(5), 247–257. 10.1177/070674370505000503. DOI: 10.1177/070674370505000503
Rinaldi, R., & Lefebvre, L. (2016). Goal-directed behaviors in patients with schizophrenia: Concept relevance and updated model. Psychiatry and Clinical Neurosciences, 70(9), 394–404. 10.1111/pcn.12401. DOI: 10.1111/pcn.12401
Robertson, I., Cheung, A., & Fan, X. (2019). Insomnia in patients with schizophrenia: Current understanding and treatment options. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 92, 235–242. 10.1016/j.pnpbp.2019.01.016. DOI: 10.1016/j.pnpbp.2019.01.016
Robinaugh, D. J., Hoekstra, R. H. A., Toner, E. R., & Borsboom, D. (2020). The network approach to psychopathology: A review of the literature 2008–2018 and an agenda for future research. Psychological Medicine, 50(3), 353–366. 10.1017/S0033291719003404. DOI: 10.1017/S0033291719003404
Robinaugh, D. J., Millner, A. J., & McNally, R. J. (2016). Identifying highly influential nodes in the complicated grief network. Journal of Abnormal Psychology, 125(6), 747–757. 10.1037/abn0000181. DOI: 10.1037/abn0000181
Savill, M., Orfanos, S., Reininghaus, U., Wykes, T., Bentall, R., & Priebe, S. (2016). The relationship between experiential deficits of negative symptoms and subjective quality of life in schizophrenia. Schizophrenia Research, 176(2–3), 387–391. 10.1016/j.schres.2016.06.017. DOI: 10.1016/j.schres.2016.06.017
Sockeel, P., Dujardin, K., Devos, D., Denève, C., Destée, A., & Defebvre, L. (2006). The Lille apathy rating scale (LARS), a new instrument for detecting and quantifying apathy: Validation in Parkinson’s disease. Journal of Neurology, Neurosurgery, and Psychiatry, 77(5), 579–584. 10.1136/jnnp.2005.075929. DOI: 10.1136/jnnp.2005.075929
Strauss, G. P., Esfahlani, F. Z., Galderisi, S., Mucci, A., Rossi, A., Bucci, P., Rocca, P., Maj, M., Kirkpatrick, B., Ruiz, I., & Sayama, H. (2019). Network analysis reveals the latent structure of negative symptoms in schizophrenia. Schizophrenia Bulletin, 45(5), 1033–1041. 10.1093/schbul/sby133. DOI: 10.1093/schbul/sby133
Veerman, S. R. T., Schulte, P. F. J., & de Haan, L. (2017). Treatment for negative symptoms in schizophrenia: A comprehensive review. Drugs, 77(13), 1423–1459. 10.1007/s40265-017-0789-y. DOI: 10.1007/s40265-017-0789-y
Verhagen, S. J. W., Hasmi, L., Drukker, M., van Os, J., & Delespaul, P. A. E. G. (2016). Use of the experience sampling method in the context of clinical trials: Table 1. Evidence Based Mental Health, 19(3), 86–89. 10.1136/ebmental-2016-102418. DOI: 10.1136/ebmental-2016-102418
Yazbek, H., Norton, J., Capdevielle, D., Larue, A., Boulenger, J. P., Gély-Nargeot, M. C., & Raffard, S. (2014). The Lille apathy rating scale (LARS): Exploring its psychometric properties in schizophrenia. Schizophrenia Research, 157(1–3), 278–284. 10.1016/j.schres.2014.04.034. DOI: 10.1016/j.schres.2014.04.034
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