Inpatients with schizophrenia report impaired situational motivation but intact global and social motivation
Abstract
It is well established that individuals with schizophrenia are less active and engaged than healthy control subjects, and motivation deficits are considered a core symptom of the disease. However, it remains unclear if schizophrenia individuals perceive themselves as less motivated than others, and there is a scarcity in research examining the relationship between perceived motivation, psychopathology and personality traits. Eighty-six inpatients with schizophrenia and 45 non-patient control participants completed the Motivation and Energy Inventory, which consists of Global Motivation, Social Motivation and Situational Motivation (the motivation individuals experience when they are engaging in an activity). Participants also completed personality questionnaires and an affective evocative task. Compared to controls, schizophrenia participants reported lower situational motivation, and comparable global and social motivation. Situational motivation was negatively predicted by negative temperament, affective ambivalence and depression level. Our results are consistent with the idea that schizophrenia individuals are not impaired in their motivational disposition but lack energy during the implementation of their goals. This may reflect impairment in the prediction, maintenance and/or modulation of required effort and energy during goal-directed actions, and is predicted by some affective processes. Improving situational motivation may be an effective therapeutic approach in people with schizophrenia.
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In schizophrenia, an 18-item inpatient version of the MEI distinguished between patients and controls, and correlated with depressive symptoms (Spearman's r = −0.49) and overall psychopathology (r = −0.37), but not positive symptoms (r = −0.14), indicating good divergent validity.
“In schizophrenia, an 18-item inpatient version of the MEI distinguished between patients and controls, and correlated with symptoms including depressive symptoms (Spearman’s r = − 0.49) and overall psychopathology (r = − 0.37), but not positive symptoms (r = − 0.14), indicating good divergent validity [82].”
From Patient-reported outcome measures for life engagement in mental health: a systematic review (2022) · cites this paper as [82]
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- Authors
- Trémeau, F., Goldman, J., Antonius, D., & Javitt, D. C.
- Affiliations
- Nathan Kline Institute for Psychiatric Research (US)
- New York University (US)
- NYU Langone Health (US)
- ORCID
- Javitt, Daniel C.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 210
- Issue
- 1
- Pages
- 43-49
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2090066595
- Cited by
- 28
- References
- 60
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- schizophrenia, situational motivation, social motivation, perceived motivation, affective ambivalence, depression, hospitalized patients, goal-directed behavior, energy
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Inpatients, Male, Middle Aged, Motivation, Personality Disorders, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Social Behavior, Mood Disorders, Young Adult, Self Report
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