The cognitive antecedents of psychosis-like (anomalous) experiences: variance within a stratified quota sample of the general population

A two-phase thesis examined psychosis-like experiences in the general population through the lens of schizotypy. Phase 1 surveyed 130 adults stratified by gender and age, finding that eleven measures of anomalous experiences were significantly intercorrelated. Principal components analysis revealed three factors accounting for 64.91% of variance: 'Anomalous Cognitions' (42.97%), 'Lifeview System' (12.60%), and 'Social Adaptation Skills' (9.34%). No significant gender differences emerged, but four of nine measures showed significant ageband differences. Phase 2 tested 78 participants grouped by low, mid, or high anomalous cognitions on six cognitive domains. Four domains showed significant group differences; best predictors of group membership were false memory recognition, object recognition performance and confidence, comorbid psychopathology, and vividness of visual imagery. Results suggest cognitive underconfidence may be an enduring trait in those with elevated anomalous cognitions.

Study at a glance

Abstract

In the general population, psychosis-like experiences have been extensively studied under the psychometric rubric of schizotypy (psychosis-proneness). As such, Phase 1 of this thesis aimed to assess the distribution of schizotypal traits and associated personality correlates displayed within a quota sample of the general population stratified by Gender and Ageband, the emphasis being upon anomalous experiences (positive schizotypy). Respondents (N = 130) completed a battery of established self-report measures assessing thirteen areas of personal experience. Correlational analysis revealed that eleven of the measures of ostensibly anomalous experiences possessed significant intercorrelations. Subsequent principal components analysis identified three factors accounting for 64.91% of the total variance; the factor accounting for the greatest proportion of variance (42.97%) was interpreted as representing a psychological disposition towards reporting ‘Anomalous Cognitions’. The other two factors are named ‘Lifeview System’ (12.60% of total variance) and ‘Social Adaptation Skills’ (9.34% of total variance). From the principal factor inclusion criteria for Phase 2 of the research are explicated. No significant mean Gender differences were revealed for the six self-report measures that provided unique contributions toward anomalous cognitions, the two self-report measures that uniquely contributed toward a lifeview system, or for the single self-report measure that uniquely contributed toward social adaptation skills. Additionally, four of the nine self-report measures which provided unique factorial contributions generated significant mean differences between Agebands, with a further three providing trends toward significant mean differences. Implications for the role of anomalous cognitions, a framework for a lifeview system, and social adaptation skills with regard to psychosis-proneness are discussed. From the primary factor (anomalous cognitions), three experimental groups were identified for cognitive testing: respondents scoring 1) ≤ 20th percentile; 2) 10% ± the mean; and 3) ≥ 80th percentile. This procedure provided a total of 78 participants (three x 26) for Phase 2 testing. Phase 2 of this thesis sought to identify some of the cognitive mechanisms underpinning subclinical anomalous cognitions with a view to deciphering which measures best predicted experimental group membership. A comprehensive literature review highlighted six domains of cognition, five accompanying self-report measures, and two measures of intelligence functioning (verbal and fluid/visuoconstructive), which, following previous research, were utilised as covariate measures. Based on prescribed delineation points, participants were allocated, according to scores on the primary factor from Phase 1, to one of three experimental groups (low-, mid, and high-anomalous cognitions). Of the six cognitive domains—1) sustained visual attention; 2) false (illusory) memory; 3) probability reasoning (decision making); 4) object recognition; 5) reality monitoring; and 6) self-monitoring—four succeeded in eliciting significant mean differences between experimental groups with the noted exceptions of sustained visual attention and self-monitoring. Subsequent canonical discriminant analyses identified that the best predictors of XPG membership were the number of critical lures recognised on the false memory test, the number of correct responses and confidence when uncertain on the object recognition test, plus two self-report measures pertaining to comorbid psychopathology and the vividness of visual imagery. In light of previous research, the inclusion of fasle (illusory) memory biases, the comorbidity of mental pathology (especially, depressive and anxiety-related symptoms), and the vividness of visual imagery are unsurprising; however, the two object recognition variables (the ‘number of correct responses’ and ‘confidence when uncertain’) offer exciting avenues for future research into the continuum of psychosis. Moreover, the ‘confidence when uncertain’ data from the object recognition test (perceptual) and the probability reasoning (decision making) data from the Beads test suggest that cognitive underconfidence may well be an enduring personality disposition in those reporting elevated levels of anomalous cognitions, including positive and disorganised schizotypal personality traits. The results of Phase 2 add confirmatory evidence to previous research suggestive of memory and perceptual biases plus comorbid psychopathology and the vividness of visual imagery as being integral to the psychogenesis of psychosis-like (anomalous) symptomatology.