Evaluating Social Interactions in Schizotypy Using Ecological Momentary Assessment

Abstract

Compared to individuals low in schizotypal traits, those with elevated schizotypal traits present with social deficits and are at greater risk for developing schizophrenia-spectrum disorders and other forms of psychopathology. Ecological Momentary Assessment (EMA) is a powerful tool for understanding the real-world behaviors of schizophrenia-spectrum populations. Although studies have effectively utilized EMA to examine important aspects of social interactions (i.e., how often people interact [likelihood], the complexity of the content in these interactions [depth], and how much pleasure they derive from these interactions [enjoyment]) in people with schizophrenia, few have explored differences in social interactions using EMA across schizotypal traits (i.e., positive, negative, and disorganized). In this study, we used EMA to collect data from three universities. Our primary aim was to evaluate if positive, negative, and disorganized schizotypal traits in college students were significantly linked to individuals’ likelihood, depth, and enjoyment of social interactions in their everyday lives. Our secondary aim was to investigate whether affect and stress play a role in individuals’ likelihood, depth, and enjoyment of social interactions. Results revealed that negative schizotypal traits more strongly predicted social interaction depth and enjoyment compared to positive and disorganized traits. Contrary to hypotheses, positive affect was a better predictor of social interaction outcomes than negative affect and stress. Several notable interactions between schizotypal traits and affect also emerged. Overall, this study increases understanding of how schizotypal traits and affect impact daily social interactions. These findings may inform future research aimed at improving and individualizing interventions for social functioning deficits in individuals with elevated positive, negative, and/or disorganized schizotypal traits.