Imagine wanting to invite a friend for coffee. You might be thinking about what coffee shop to go to or what outfit to wear. But what if instead of planning the details of the coffee date you immediately thought that your friend would say no because he probably thinks you are boring company. In this scenario, thinking that your friend would reject your invitation because you are a dull companion would likely mean that you never invite them in the first place. This style of thinking, also called defeatist performance beliefs, were first identified by Aaron Beck and colleagues as part of their cognitive model of depression. In their model, defeatist performance beliefs were thought to contribute to the decrease in motivation commonly reported by people with depression. More recently, Beck and colleagues proposed another model linking defeatist performance beliefs and motivational impairment, but this time for people with schizophrenia.

Decreased motivation is part of what are called the negative symptoms of schizophrenia. While medications and therapy have been shown to help reduce the positive symptoms, such as hallucinations and delusional thinking, attempts to treat the negative symptoms of schizophrenia have not been as successful. As such, negative symptoms tend to be persistent, and over the course of the illness are an important contributor to difficulties in everyday functioning commonly found among people with schizophrenia. Therefore, a critical and currently unmet need is targets for treating the negative symptoms of schizophrenia.

In our paper and in line with the cognitive model of schizophrenia, we examined whether defeatist performance beliefs might be a viable target for treating negative symptoms and improving functioning in people with schizophrenia. To do this, we performed a meta-analysis, a method that allowed us to look at the all of the studies that had examined the association between defeatist performance beliefs and either negative symptoms or functioning among people with schizophrenia. In total, our analysis included 10 studies and 858 people with schizophrenia.

Are defeatist performance beliefs a potential treatment target for improving negative symptoms and functioning in schizophrenia? We found that across all of the studies included in our meta-analysis, greater defeatist performance beliefs were associated with more severe negative symptoms and poorer functioning among people with schizophrenia. Our findings suggest that treatments that target  defeatist performance beliefs may help improve both motivation and everyday functioning in people with schizophrenia.  The good news is that treatments that effectively reduce defeatist performance beliefs already exist.  Our analyses showing that defeatist performance beliefs, a treatable mechanism, are associated with a persistent, intractable, and debilitating symptom of schizophrenia provides promise and hope to both providers and people with schizophrenia.

Timothy R. Campellone and Amy H. Sanchez
Department of Psychology, University of California, Berkeley, USA

Publication

Defeatist Performance Beliefs, Negative Symptoms, and Functional Outcome in Schizophrenia: A Meta-analytic Review.
Campellone TR ¹, Sanchez AH ¹, Kring AM
Schizophr Bull. 2016 Mar 15
¹First authorship is shared between these 2 authors

Read offline:     

Related Articles:

	Discovery of new genes in schizophrenia: the… Schizophrenia is a major psychiatric illness affecting one percent of the population worldwide. Patients suffering from schizophrenia present delusions, hallucinations, abnormal behavior, impairment in daily life and cognitive deficits. Current…
	Can reports of a homicide committed by a person with… Schizophrenia is a neurological disorder in which a combination of hallucinations and delusions lead the person to interpret reality abnormally. On May 29th 2009, a patient diagnosed with schizophrenia killed…
	Functional gene analysis to understand complex… Schizophrenia (SCZ) is a chronic debilitating psychiatric disorder affecting approximately 7 in 1000 people in their lifetime and ranked as one of the top 15 leading causes of disability worldwide.…
	College drinking culture in Spain, Argentina, and… Across many countries and cultures, college students drink heavily. Students who drink heavily are at risk for a wide range of problems ranging from hangover to unsafe and unplanned sex…
	Mind-wandering plus mindfulness: say ‘no’ to… Mind wandering and its equivalent concepts such as self-generated thought, stimulus independent thought, task-unrelated thought, and spontaneous thought refer to a mental phenomenon that occupies considerable time in everyday life.…
	People’s tweets predict their decisions People spend a lot of time on the internet: they write on social media, shop for products, listen to music, and click on ads. In my research with Dr. Phillip…