Cited by 349Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Research TopicsSchizophrenia research and treatment

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On the specificity of positive emotional dysfunction in psychopathology: Evidence from the mood and anxiety disorders and schizophrenia/schizotypy

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Watson, David, Naragon-Gainey, Kristin·2010·Clinical Psychology Review

DOI 10.1016/j.cpr.2009.11.002PMC PMC2891217

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Abstract

We review recent research to establish that the associations between positive emotional experience and major forms of psychopathology show considerable specificity. Although indicators of low positive affect are consistently related to both social anxiety/social phobia and schizophrenia/schizotypy, they are more strongly linked to depression, thereby displaying relative specificity. Moreover, low positive affect actually shows greater specificity than the diagnostic criteria for depression and is most strongly related to those symptoms (anhedonia, dysphoria, lassitude, suicidality) that are specific to the disorder. With regard to social phobia, findings suggest that low positive affect is more strongly related to the generalized subtype than to the non-generalized performance subtype. Analyses of schizophrenia/schizotypy indicate that although low positive affect is consistently associated with the negative symptoms (e.g., constricted affect, social aloofness), it is only weakly related to positive symptoms (e.g., magical thinking, perceptual aberrations, suspiciousness). Other data suggest that schizophrenia is associated with an anticipatory pleasure deficit, such that individuals with the disorder engage in rewarding activities less frequently because they do not expect to derive pleasure from them. Finally, we summarize evidence indicating that elevated positive affect is both a risk factor for bipolar disorder and a concomitant of manic symptoms.

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Authors: Watson, D., & Naragon-Gainey, K.
Affiliations: University of Iowa (US)
Corresponding author: Watson, David
ORCID: Watson, David
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2010-11
Volume: 30
Issue: 7
Pages: 839-848
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2009.11.002
PMC: PMC2891217
OpenAlex: W1991351725
Cited by: 349
References: 76
Citations by year: 2026: 5 · 2025: 13 · 2024: 21 · 2023: 21 · 2022: 14 · 2021: 27 · 2020: 72 · 2019: 19 · 2018: 22 · 2017: 26 · 2016: 23 · 2015: 20 · 2014: 22 · 2013: 14 · 2012: 15
FWCI: 1.49
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH068472)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords: positive affect, depression, social anxiety, social anxiety disorder, schizophrenia, schizotypy, anhedonia, dysphoria, bipolar disorder, manic symptoms, negative symptoms, positive symptoms, diagnostic specificity
MeSH terms: Anxiety, Mental Disorders, Depression, Emotions, Humans, Models, Psychological

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On the specificity of positive emotional dysfunction in psychopathology: Evidence from the mood and anxiety disorders and schizophrenia/schizotypy

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