Understanding Poor Adjustment in Schizotypy: A Prospective Study of the Role of Self During Late Adolescence and Early Adulthood

Abstract

Our aims were to (a) examine whether emerging adults on the schizophrenia spectrum (schizotypy) differed from non-spectrum peers in social, emotional, and academic adjustment to university; and (b) determine the role of the basic and narrative selves in adjustment. Schizotypy (n = 30) and non-schizotypy comparison (n = 29) participants, who were selected from a larger pool of undergraduates (n = 310) screened in a baseline assessment, completed measures of adjustment and of basic and narrative selves. The schizotypy group had lower academic and emotional adjustment scores but did not differ in social adjustment. The basic sense of self explained the differences in levels of social and emotional adjustment for cognitive–perceptual but not for disorganized and interpersonal schizotypy. That is, poor adjustment is explained via basic self in positive but not negative components of schizotypy. Narrative self did not explain any of the adjustment scores associated with schizotypy.

Keywords

basic self narrative self schizotypy schizophrenia spectrum self-disorder

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References

Abbott

G. R.

Byrne

L. K.

(2012). Schizotypy and subjective well-being in university students. Psychiatry Research, 196, 154–156. https://doi.org/10.1016/j.psychres.2011.08.013

Abbott

G. R.

Byrne

L. K.

(2012). Diminished subjective wellbeing in schizotypy is more than just negative affect. Personality and Individual Differences, 52, 914–918. https://doi.org/10.1016/j.psychres.2011.08.013

Aguirre

Sergi

M. J.

Levy

C. A.

(2008). Emotional intelligence and social functioning in persons with schizotypy. Schizophrenia Research, 104, 255–264. https://doi.org/10.1016/j.schres.2008.05.007

Allé

M. C.

Potheegadoo

Köber

Schneider

Coutelle

Habermas

Danion

J. M.

Berna

(2015). Impaired coherence of life narratives of patients with schizophrenia. Scientific Reports, 5, 1–9. https://doi.org/10.1038/srep12934

Arnett

J. J.

(2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469–480. https://doi.org/10.1037/0003-066X.55.5.469

Asai

Sugimori

Bando

Tanno

(2011). The hierarchic structure in schizotypy and the five-factor model of personality. Psychiatry Research, 185, 78–83. https://doi.org/10.1016/j.psychres.2009.07.018

Ball

K. L.

(2010). Non-psychotic traits of schizophrenia as abnormalities of cerebral asymmetry: Development of a potential early screening instrument [Doctoral dissertation. University of Otago].

Barrantes-Vidal

Lewandowski

K. E.

Kwapil

T. R.

(2010). Psychopathology, social adjustment and personality correlates of schizotypy clusters in a large nonclinical sample. Schizophrenia Research, 122, 219–225. https://doi.org/10.1016/j.schres.2010.01.006

Berna

Göritz

A. S.

Schröder

Martin

Cermolacce

Allé

M. C.

Danion

J. M.

Cuervo-Lombard

C. V.

Moritz

(2016). Self-disorders in individuals with attenuated psychotic symptoms: Contribution of a dysfunction of autobiographical memory. Psychiatry Research, 239, 333–341. https://doi.org/10.1016/j.psychres.2016.03.029

10.

Berzonsky

M. D.

Kuk

L. S.

(2000). Identity status, identity processing style, and the transition to university. Journal of Adolescent Research, 15, 81–98. https://doi.org/10.1177/0743558400151005

11.

Blanchard

J. J.

Gangestad

S. W.

Brown

S. A.

Horan

W. P.

(2000). Hedonic capacity and schizotypy revisited: A taxometric analysis of social anhedonia. Journal of Abnormal Psychology, 109, 87–95. https://doi.org/10.1037/0021-843X.109.1.87

12.

Bohn

Berntsen

(2008). Life story development in childhood: The development of life story abilities and the acquisition of cultural life scripts from late middle childhood to adolescence. Developmental Psychology, 44, 1135–1147. https://doi.org/10.1037/0012-1649.44.4.1135

13.

Brooks-Gunn

Lewis

(1984). The development of early visual self-recognition. Developmental Review, 4, 215–239. https://doi.org/10.1016/S0273-2297(84)80006-4

14.

Cicero

D. C.

Docherty

A. R.

Becker

T. M.

Martin

E. A.

Kerns

J. G.

(2015). Aberrant salience, self-concept clarity, and interview-rated psychotic-like experiences. Journal of Personality Disorders, 29, 79–99. https://doi.org/10.1521/pedi_2014_28_150

15.

Ciulla

(2014). Exploration of the relationship between schizotypal traits and well-being [Master’s thesis. Eastern Illinois University]. http://thekeep.eiu.edu/theses/1342

16.

Claridge

G. E.

Beech

(1995). Fully and quasi-dimensional constructions of schizotypy. In Raine

Lencz

Mednick

S. A.

(Eds.), Schizotypal personality (pp. 192–216). University Press.

17.

Cohen

A. S.

Davis

T. E.

(2009). Quality of life across the schizotypy spectrum: Findings from a large nonclinical adult sample. Comprehensive Psychiatry, 50, 408–414. http://dx.doi.org/10.1016/j.comppsych.2008.11.002

18.

Concato

Feinstein

A. R.

Peduzzi

Kemper

Holford

T. R.

(1996). A simulation study of the number of events per variable in logistic regression analysis. Journal of Clinical Epidemiology, 49, 1373–1379. https://doi.org/10.1016/s0895-4356(96)00236-3

19.

Derogatis

L. R.

(1977). The SCL-90 manual I: Scoring, administration and procedures for the SCL-90. Clinical Psychometric Research.

20.

Derogatis

L. R.

(1994). Symptom checklist-90-revised: Administration, scoring and procedures manual National Computer Systems.

21.

Derogatis

L. R.

Unger

(2010). Symptom checklist-90-revised. Corsini Encyclopedia of Psychology, 1–2. https://doi.org/10.1002/9780470479216.corpsy0970

22.

Erikson

E. H.

(1968). Identity, youth and crisis. Norton.

23.

Fervaha

Zakzanis

K. K.

Jeffay

Graff-Guerrero

Foussias

Agid

Remington

(2014). Amotivation as central to negative schizotypy and their predictive value for happiness. Personality and Individual Differences, 68, 37–42. https://doi.org/10.1016/j.paid.2014.03.039

24.

Fossati

Raine

Carretta

Leonardi

Maffei

(2003). The three-factor model of schizotypal personality: Invariance across age and gender. Personality and Individual Differences, 35, 1007–1019. https://doi.org/10.1016/j.paid.2014.03.039

25.

Habermas

Bluck

(2000). Getting a life: The emergence of the life story in adolescence. Psychological Bulletin, 126, 748–769. https://doi.org/10.1037/0033-2909.126.5.748

26.

Habermas

Köber

(2014). 10 autobiographical reasoning is constitutive for narrative identity: The role of the life story for personal continuity. In McLean

K. C.

Syed

M. U.

(Eds.), The Oxford handbook of identity development (pp. 1–33). Oxford University Press.

27.

Habermas

Reese

(2015). Getting a life takes time: The development of the life story in adolescence, and its precursors and consequences. Human Development, 58, 172–201. https://doi.org/10.1159/000437245

28.

Harter

(2003). The development of self-representations during childhood and adolescence. In Leary

M. R.

Tangney

J. P.

(Eds.), Handbook of self and identity (pp. 610–642). Guilford Press.

29.

Hazan

Reese

Linscott

R. J.

(2019). Narrative self and schizophrenia risk. Memory, 27, 1214–1223. https://doi.org/10.1080/09658211.2019.1642919

30.

Hazan

Reese

Linscott

R. J.

(2021). Basic self-disturbance in schizotypy. Early Intervention in Psychiatry, 1–8. https://doi.org/10.1111/eip.13125

31.

Henry

J. D.

Bailey

P. E.

Rendell

P. G.

(2008). Empathy, social functioning and schizotypy. Psychiatry Research, 160, 15–22. https://doi.org/10.1016/j.psychres.2007.04.014

32.

James

(1890). The principles of psychology. H. Holt and Company.

33.

Kállai

Rózsa

Hupuczi

Hargitai

Birkás

Hartung

Martin

Herold

Simon

(2019). Cognitive fusion and affective isolation: Blurred self-concept and empathy deficits in schizotypy. Psychiatry Research, 271, 178–186. http://doi.org/10.1016/j.psychres.2018.11.045

34.

Krajniak

M. I.

Pievsky

Eisen

A. R.

McGrath

R. E.

(2017). The relationship between personality disorder traits, emotional intelligence, and college adjustment. Journal of Clinical Psychology, 30, 1–14. https://doi.org/10.1002/jclp.22572

35.

Kwapil

T. R.

Brown

L. H.

Silvia

P. J.

Myin-Germeys

Barrantes-Vidal

(2012). The expression of positive and negative schizotypy in daily life: An experience sampling study. Psychological Medicine, 42, 2555–2566. https://doi.org/10.1017/S0033291712000827

36.

Kwapil

T. R.

Gross

G. M.

Silvia

P. J.

Barrantes-Vidal

(2013). Prediction of psychopathology and functional impairment by positive and negative schizotypy in the Chapmans’ ten-year longitudinal study. Journal of Abnormal Psychology, 122, 807–815. https://doi.org/10.1037/a0033759

37.

Lewis

Brooks-Gunn

(1979). Social cognition and the acquisition of self. Plenum Press.

38.

Linscott

R. J.

van Os

(2010). Systematic reviews of categorical versus continuum models in psychosis: Evidence for discontinuous subpopulations underlying a psychometric continuum. Implications for DSM-V, DSM-VI, and DSM-VII. Annual Review of Clinical Psychology, 6, 391–419. https://dopi.org/10.1146/annurev.clinpsy.032408.153506

39.

Linscott

R. J.

van Os

(2013). An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: On the pathway from proneness to persistence to dimensional expression across mental disorders. Psychological Medicine, 43, 1133–1149. https://doi.org/10.1017/S0033291712001626

40.

McAdams

D. P.

(2001). Coding autobiographical episodes for themes of agency and communion [Unpublished manuscript]. Northwestern University.

41.

McAdams

D. P.

(2013). The psychological self as actor, agent, and author. Perspectives on Psychological Science, 8, 272–295. https://doi.org/10.1177/1745691612464657

42.

McCreery

Claridge

(2002). Healthy schizotypy: The case of out-of-the-body experiences. Personality and Individual Differences, 32, 141–154. https://doi.org/10.1016/S0191-8869(01)00013-7

43.

McLean

K. C.

Breen

A. V.

(2009). Processes and content of narrative identity development in adolescence: Gender and well-being. Developmental Psychology, 45(3), 702–710. https://doi.org/10.1037/a0015207

44.

Meehl

P. E.

(1962). Schizotaxia, schizotypy, schizophrenia. American Psychologist, 17, 827–838. https://doi.org/10.1037/h0041029

45.

Meehl

P. E.

(1989). Schizotaxia revisited. Archives of General Psychiatry, 46, 935–944. https://doi.org/10.1001/archpsyc.1989.01810100077015

46.

Mitchell

Reese

Salmon

Jose

(2020). Narrative coherence, psychopathology, and wellbeing: Concurrent and longitudinal findings in a mid-adolescent sample. Journal of Adolescence, 79, 16–25.

47.

Mohr

Claridge

(2015). Schizotypy—Do not worry, it is not all worrisome. Schizophrenia Bulletin, 41, S436–S443. https://doi.org/10.1093/schbul/sbu185

48.

Moore

Mealiea

Garon

Povinelli

D. J.

(2007). The development of body self-awareness. Infancy, 11, 157–174. https://doi.org/10.1111/j.1532-7078.2007.tb00220.x

49.

Muthén

L. K.

Muthén

B. O.

(2017). Mplus (version 8.0). statmodel.com

50.

Nelson

Parnas

Sass

L. A.

(2014). Disturbance of minimal self (ipseity) in schizophrenia: Clarification and current status. Schizophrenia Bulletin, 40, 479–482. https://doi.org/10.1093/schbul/sbu034

51.

Nelson

M. T.

Seal

M. L.

Pantelis

Phillips

L. J.

(2013). Evidence of a dimensional relationship between schizotypy and schizophrenia: A systematic review. Neuroscience & Biobehavioral Reviews, 37, 317–327. https://doi.org/10.1016/j.neubiorev.2013.01.004

52.

Nielsen

Suddendorf

Slaughter

(2006). Mirror self-recognition beyond the face. Child Development, 77, 176–185. https://doi.org/10.1111/j.1467-8624.2006.00863.x

53.

Nordgaard

Parnas

(2014). Self-disorders and the schizophrenia spectrum: A study of 100 first hospital admissions. Schizophrenia Bulletin, 40, 1300–1307.

54.

Ödéhn

Goulding

(2017). Schizotypy and mental health in women and men from the general population. Nordic Psychology, 2276, 1–11. https://doi.org/10.1080/19012276.2017.1410072

55.

Parnas

Handest

(2003). Phenomenology of anomalous self-experience in early schizophrenia. Comprehensive Psychiatry, 44, 121–134. https://doi.org/10.1053/comp.2003.50017

56.

Pasupathi

McLean

K. C.

Weeks

T. L.

Hynes

(2019). Tailoring narration for distinct audiences in emerging adulthood. Emerging Adulthood. https://doi.org/10.1177/2167696819856753

57.

Raballo

(2012). Self-disorders and the experiential core of schizophrenia spectrum vulnerability. Psychiatria Danubina, 24, 303–310.

58.

Raballo

Sæbye

Parnas

(2011). Looking at the schizophrenia spectrum through the prism of self-disorders: An empirical study. Schizophrenia Bulletin, 37, 344–351.

59.

Rado

(1953). Dynamics and classification of disordered behavior. American Journal of Psychiatry, 110, 406–416.

60.

Raine

(1991). The SPQ: A scale for the assessment of schizotypal personality based on DSM-III-R criteria. Schizophrenia Bulletin, 17, 555–564.

61.

Rawlings

Williams

Haslam

Claridge

(2008). Is schizotypy taxonic? Response to response to beauchaine, lenzenweger, and waller. Personality and Individual Differences, 44, 1663–1672. https://doi.org/10.1016/j.paid.2008.01.021

62.

Reese

Myftari

McAnally

H. M.

Chen

Neha

Wang

Robertson

S. J.

(2017). Living to tell the tale: Adolescent narrative identity, traits, and well-being across cultures. Child Development, 88, 612–628. https://doi.org/10.1111/cdev.12618

63.

Sass

L. A.

(2014). Self-disturbance and schizophrenia: Structure, specificity, pathogenesis. Schizophrenia Research, 152, 5–11. https://doi.org/10.1016/j.schres.2013.05.01

64.

Sass

L. A.

Parnas

. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29, 427–444. https://doi.org/10.1093/oxfordjournals.schbul.a007017

65.

Scanlon

Rowling

Weber

(2007). ‘You don’t have like an identity…You are just lost in a crowd’: Forming a student identity in the first-year transition to university. Journal of Youth Studies, 10, 223–241. https://doi.org/10.1080/13676260600983684

66.

Schultze-Lutter

Addington

Ruhrmann

Klosterkötter

(2007). Schizophrenia proneness instrument, adult version (SPI-A). Giovanni Fioriti Editore srl.

67.

Singer

J. A.

(2004). Narrative identity and meaning making across the adult lifespan: An introduction. Journal of Personality, 72, 437–460. https://doi.org/0.1111/j.0022-3506.2004.00268.x

68.

Skodol

A. E.

Gunderson

J. G.

Shea

M. T.

McGlashan

T. H.

Morey

L. C.

Sanislow

C. A.

Bender

D. S.

Grilo

C. M.

Zanarini

M. C.

Yen

Pagano

M. E.

(2005). Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder over two years. Psychological Medicine, 35, 443–451. https://doi.org/10.1017/S003329170400354X

69.

Weissman

M. M.

Bothwell

(1976). Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33, 1111–1115.

70.

Wuthrich

Bates

T. C.

(2005). Reliability and validity of two Likert versions of the Schizotypal Personality Questionnaire (SPQ). Personality and Individual Differences, 38, 1543–1548. https://doi.org/10.1016/j.paid.2004.09.017

71.

Wuthrich

V. M.

Bates

T. C.

(2006). Confirmatory factor analysis of the three-factor structure of the schizotypal personality questionnaire and Chapman schizotypy scales. Journal of Personality Assessment, 87, 292–304. https://doi.org/10.1207/s15327752jpa8703_10

72.

Yon

Loas

Monestès

J. L.

(2009). Relationships between schizotypy and subjective experiences in a sample of 399 university students. Comprehensive Psychiatry, 50, 142–150. https://doi.org/10.1016/j.comppsych.2008.07.001

73.

Yorke

Longden

(2004). Retention and student success in higher education. Open University Press.

74.

Zandersen

Parnas

(2018). Identity disturbance, feelings of emptiness, and the boundaries of the schizophrenia spectrum. Schizophrenia Bulletin, 45, 1–8. https://doi.org/10.1093/schbul/sbx183

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