Quality of life across the schizotypy spectrum: findings from a large nonclinical adult sample.

Abstract:

OBJECTIVE:It is well documented that patients with schizophrenia have impoverished quality of life (QOL). Efforts to determine the underpinnings of this impoverishment have implicated negative symptoms more than positive or disorganized symptoms. However, only a minority of individuals with the liability to schizophrenia will ever show manifest illness, and it is presently unclear the degree to which QOL is affected in individuals with subclinical symptoms of the disorder (ie, schizotypy). The present study examined the relative contributions of negative, positive, and disorganized schizotypy symptoms to QOL. METHODS:Measures of schizotypal symptoms and subjective and objective QOL were obtained from a sample of 1395 adults. RESULTS:Measures of schizotypal symptoms significantly corresponded to all measures of QOL, although the magnitude of correlations were significantly larger for subjective than objective measures. The negative symptom dimension explained a substantial portion of unique variance in the social domains of QOL above and beyond that accounted for by the other schizotypy dimensions. CONCLUSIONS:These findings highlight the deleterious impact of schizotypal symptoms, particularly negative symptoms. Further research clarifying the mechanism underlying this relationship is called for.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Cohen AS,Davis TE 3rd

doi

10.1016/j.comppsych.2008.11.002

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

408-14

issue

5

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(08)00168-5

journal_volume

50

pub_type

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