NDLI: Do People with Schizophrenia Have Difficulty Anticipating Pleasure, Engaging in Effortful Behavior, or Both?

Content Provider	PubMed Central
Author	Gard, David E. Sanchez, Amy H. Cooper, Kathryn Fisher, Melissa Garrett, Coleman Vinogradov, Sophia
Abstract	Motivation deficits are common in schizophrenia, but little is known about underlying mechanisms, or the specific goals that people with schizophrenia set in daily life. Using neurobiological heuristics of pleasure anticipation and effort assessment, we examined the quality of activities and goals of 47 people with and 41 people without schizophrenia, utilizing Ecological Momentary Assessment. Participants were provided cell phones and called four times a day for seven days, and were asked about their current activities and anticipation of upcoming goals. Activities and goals were later coded by independent raters on pleasure and effort. In line with recent laboratory findings on effort computation deficits in schizophrenia, relative to healthy participants, people with schizophrenia reported engaging in less effortful activities and setting less effortful goals, which were related to patient functioning. In addition, patients showed some inaccuracy in estimating how difficult an effortful goal would be, which in turn was associated with lower neurocognition. In contrast to previous research, people with schizophrenia engaged in activities and set goals that were more pleasure-based, and anticipated goals as being more pleasurable than controls. Thus, this study provided evidence for difficulty with effortful behavior and not anticipation of pleasure. These findings may have psychosocial treatment implications, focusing on effort assessment/effort expenditure. For example, in order to help people with schizophrenia engage in more meaningful goal pursuits, treatment providers may leverage low-effort pleasurable goals by helping patients to break down larger, more complex goals into smaller, lower-effort steps that are associated with specific pleasurable rewards.
Related Links	http://dx.doi.org/10.1037/abn0000005
Ending Page	782
Page Count	12
Starting Page	771
File Format	PDF
ISSN	19391846
e-ISSN	19391846
Journal	Journal of abnormal psychology
Issue Number	4
Volume Number	123
Language	English
Publisher Date	2014-01-01
Access Restriction	Open
Subject Keyword	Social Sciences(all) Psychology(all) Mathematics(all) Clinical Psychology Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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