Schizotypal traits and depressive symptoms in nonclinical adolescents
Eduardo Fonseca-Pedrero, Mercedes Paino, Serafín Lemos-Giráldez
⁎
, José Muñiz
Department of Psychology, University of Oviedo, Plaza Feijoo, s/n, 33003 Oviedo, Spain
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
Abstract
The main goal of this study was to examine the relationship between schizotypal personality traits and depressive symptoms in a sample
of nonclinical adolescents. The Schizotypal Personality Questionnaire-Brief (J Personal Disord 1995;9:346-355) and the Reynolds
Depression Adolescent Scale (Reynolds WM. Reynolds Adolescent Depression Scale. Professional Manual. Odessa: Psychological
Assessment Resources, Inc; 1987) were administered. The sample was made up of 1384 adolescents (48.6% boys), with a mean (SD) age of
15.7 (1.0) years. The results of the study indicate a high degree of overlap between schizotypal experiences and depressive symptoms at a
nonclinical level. Canonical correlation between the Schizotypal Personality Questionnaire-Brief scales and the Reynolds Adolescent
Depression Scale scales was 0.63, which represents 39.69% of the associated variance between the 2 sets of variables. Confirmatory factor
analysis showed that the 4-dimensional model made up of the Positive, Interpersonal, Disorganized, and Depressive dimensions was that
which best fit the data. Moreover, the dimensional structure underlying the schizotypal traits and depressive symptoms was found to be
invariant across sex and age. These findings converge with data found in previous studies of both patients with schizophrenia and nonclinical
adults and suggest that affective dysregulation is also present at a subclinical level. Future research should continue to make progress in the
early detection of participants at risk of developing schizophrenia-spectrum disorders based on the early identification of these types of
subclinical traits.
© 2011 Elsevier Inc. All rights reserved.
1. Introduction
Adolescence seems to be a critical period for the
emergence of psychotic [1,2] and depressive symptoms
[3,4]. Furthermore, the presence of subclinical symptoms at
early ages predicts the possible development of a clinical
syndrome in adulthood [5-8]. For example, children and
adolescents with high scores on schizotypal self-reports or
who report psychotic-like experiences are at heightened risk
for subsequent development of schizophrenia-spectrum
disorders [5,6,9]. Likewise, the presence of subclinical
depressive symptoms in children and adolescents has been
associated with greater risk of developing a depressive
disorder [7,8,10].
Schizotypal personality is a complex construct that has
been associated with schizophrenia at different levels (eg,
historical, conceptual, genetic, neurochemical, anatomical,
and neurocognitive) [11]. The schizotypal organization of
personality can be seen as an attenuated form of schizo-
phrenia, constituting a premorbid or prodromal phase of that
disorder [11], or as an organization of personality represent-
ing genetic vulnerability to psychosis [12]. Likewise, it is
considered to involve a set of traits that is distributed within
the general population along a dynamic continuum, with the
clinical entity (psychosis) at the most extreme pole [13].
Variations regarding the position that a person occupies
along this continuum would also be indicative of greater or
less psychosis proneness. Moreover, this vulnerability would
manifest itself in the form of diverse subtle alterations,
qualitatively similar though quantitatively less severe than
those found in patients with schizophrenia, at a cognitive,
behavioural, affective, emotional, psychophysiological, and/
or neurobiochemical level [11,14-19]. Exploratory factor
analyses and confirmatory factor analyses (CFAs) suggest
that the schizotypal personality is a multidimensional
construct, basically involving 3 (Cognitive-Perceptual,
Interpersonal, and Disorganized) [20-23] or 4 (Cognitive-
Perceptual, Interpersonal, Disorganized, and Paranoid)
dimensions [24,25].
There is no doubt that affective alteration is a phenom-
enon characteristic of patients with nonaffective psychosis
Available online at www.sciencedirect.com
Comprehensive Psychiatry 52 (2011) 293 – 300
www.elsevier.com/locate/comppsych
⁎
Corresponding author.
E-mail address: slemos@uniovi.es (S. Lemos-Giráldez).
0010-440X/$ – see front matter © 2011 Elsevier Inc. All rights reserved.
doi:10.1016/j.comppsych.2010.07.001