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Behavioral approach and avoidance in schizophrenia: an evaluation of motivational profiles.

ABSTRACT: Schizophrenia is associated with motivational deficits that interfere with a wide range of goal directed activities. Despite their clinical importance, our current understanding of these motivational impairments is limited. Furthermore, different types of motivational problems are commonly seen among individuals within the broad diagnosis of schizophrenia. The goal of the current study was to examine whether clinically meaningful subgroups could be identified based on approach and avoidance motivational tendencies. We measured these tendencies in 151 individuals with schizophrenia. Although prior studies demonstrate elevated BIS sensitivity in schizophrenia at the overall group level, none have explored various combinations of BIS/BAS sensitivities within this disorder. Cluster analyses yielded five subgroups with different combinations of low, moderate, or high BIS and BAS. The subgroups had interpretable differences in clinically rated negative symptoms and self-reported anhedonia/socio-emotional attitudes, which were not detectable with the more commonly used linear BIS/BAS scores. Two of the subgroups had significantly elevated negative symptoms but different approach/avoidance profiles: one was characterized by markedly low BIS, low BAS and an overall lack of social approach motivation; the other had markedly high BIS but moderate BAS and elevated social avoidance motivation. The two subgroups with relatively good clinical functioning showed patterns of BAS greater than BIS. Our findings indicate that there are distinct motivational pathways that can lead to asociality in schizophrenia and highlight the value of considering profiles based on combined patterns of BIS and BAS in schizophrenia.

SUBMITTER: Felice Reddy L

PROVIDER: S-EPMC4177267 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature

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Behavioral approach and avoidance in schizophrenia: an evaluation of motivational profiles.

Felice Reddy L L Green Michael F MF Rizzo Shemra S Sugar Catherine A CA Blanchard Jack J JJ Gur Raquel E RE Kring Ann M AM Horan William P WP

Schizophrenia research 20140819 1

Schizophrenia is associated with motivational deficits that interfere with a wide range of goal directed activities. Despite their clinical importance, our current understanding of these motivational impairments is limited. Furthermore, different types of motivational problems are commonly seen among individuals within the broad diagnosis of schizophrenia. The goal of the current study was to examine whether clinically meaningful subgroups could be identified based on approach and avoidance moti ...[more]

PMID: 25153364

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Project description:Status cues and signals act as guidance systems by regulating social approach and avoidance. Applied to leadership, we hypothesized that nonverbal displays conveying the dual-status messages of receptivity and formidability and the approach/avoidance motives they activate set conditions for charismatic, leader-follower relationships. We investigated perceptions of charisma, the nonverbal signals associated with them, the motives they energize, and the relationships they support across levels of analysis. At the social-perceptual level (studies 1a-d), eligible voters rated political leaders' traits after viewing silent, 30-s videos of speeches presented online. As predicted, perceptions of politicians' receptivity (warmth and attractiveness) and formidability (competence and power) were independently associated with perceptions of their charisma; perceptions of trustworthiness and authenticity showed weaker or negligible associations. Results were similar when the stimuli were female, Jamaican educational leaders. Leaders' nonverbal behavior was linked to perceptions of their receptivity, formidability, and charisma in study 2. At the brain systems level, studies 3a and 3b tested predictions that charismatic nonverbal performances stimulate equivalent degrees of approach and avoidance motivation in observers. Brain recordings via electroencephalography (EEG) were made while undergraduates viewed leaders rated high or low in charisma. Discrepancies in alpha activity in the left and the right frontal hemispheres (associated with approach and avoidance, respectively) were relatively diminished when participants viewed highly charismatic political leaders, indicating that approach and avoidance motives are energized in response to charismatic performances. The EEG patterns for Jamaican leaders were similar but not significant. At the group level of analysis, study 4 sought evidence that charismatic leaders create uniquely influential relationships with followers. Video recordings of student leaders interacting with pairs of unfamiliar students during a group decision-making task were assessed for leader receptivity, formidability, and charisma by independent sets of undergraduate judges. Perceptions of student leaders' receptivity and formidability predicted their charisma, and charismatic leaders were most influential in bringing followers to privately accept a controversial group decision. Across studies, evidence generally supported hypotheses generated from status cues theory: charismatic leadership builds upon the nonverbal projection of dual-status messages and the approach/avoidance motives they engender, setting conditions for a uniquely powerful brand of influence.

Project description:Avoidance is a common feature of post-traumatic stress disorder (PTSD) as well as anxiety and depressive disorders. Avoidance can be expressed behaviorally as well as cognitively. Most personality assessments for avoidance involve self-report inventories which are susceptible to biased responding. The avatar task (Myers et al., 2016a) was developed as an objective measure of behavioral inhibition (BI) which is defined as a tendency for avoidance of unfamiliar people and situations. The avatar task has been demonstrated to screen avoidant behaviors related to BI, PTSD, as well as harm avoidance (HA) as measured by the Tridimensional Personality Questionnaire (TPQ). In the current work, the avatar task was tested with cognitive as well as behavioral avoidance as measured by the cognitive-behavioral avoidance scale (CBAS; Ottenbreit & Dobson, 2004). The CBAS includes four subscales which measure behavioral social (BS) avoidance, behavioral non-social (BN) avoidance, cognitive social (CS) avoidance, and cognitive non-social (CN) avoidance. It was hypothesized that avatar scores would be significantly positively related to behavioral, but not cognitive, avoidance. In addition, it was also hypothesized that performance on the avatar task would be more related to social than non-social behavioral avoidance. Participants completed the avatar task, the HA scale of the TPQ and the CBAS. Pearson's product moment correlations revealed that avatar scores were significantly related to CBAS total scores as well as BS and BN scores, but not CS and CN scores. In addition, BS has a stronger relationship with avatar scores than BN avoidance which fits with the social aspects of the scenarios in the avatar task. A median split of the avatar scores produced a significant difference in scores on the behavioral but not the cognitive subscales. Overall, the current results supported the idea that the avatar task is measuring behavioral avoidance, specifically in social situations, rather than cognitive avoidance. Future work could adapt the avatar task to include scenarios similar to the cognitive items on the CBAS to create an objective measure of cognitive avoidance which may be relevant in measuring avoidance in depression and behavioral avoidance associated with PTSD as well as anxiety disorders.

Dataset Information

Behavioral approach and avoidance in schizophrenia: an evaluation of motivational profiles.

Publications

Behavioral approach and avoidance in schizophrenia: an evaluation of motivational profiles.

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