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Background: Patients with schizophrenia (SZP) have been reported to exhibit impairments in reward based decision making, but results are heterogeneous with multiple potential confounds such as age, intelligence level, clinical symptoms or medication, making it difficult to evaluate the robustness of these impairments.Methods: We conducted a meta analysis of studies comparing the performance of SZP and healthy controls (HC) in the Iowa Gambling Task (IGT) as well as comprehensive analyses based on subject level data (n=303 SZP, n=188 HC) to investigate reward based decision making in SZP. To quantify differences in the influence of individual deck features (immediate gain, gain frequency, net loss) between SZP and HC, we additionally employed a least squares model.Results: SZP showed statistically significant suboptimal decisions as indicated by disadvantageous deck choices (d from 0.51 to 0.62) and lower net scores (d from 0.35 to 1.03) in a meta analysis of k=29 samples (n=1127 SZP, n=1149 HC) and these results were confirmed in a complementary subject level analysis. Moreover, decision making in SZP was characterized by a relative overweighting of immediate gain and net losses and an underweighting of gain frequency.
Cheap Jerseys from china Objective: When considering psychosis, the concept of narrative insight has been offered as an alternative to clinical insight in determining individuals' responses to their difficulties, as it allows for a more holistic and person centred framework to be embraced within professional practice. This study aims to explore the validity of the narrative insight construct within a group of people who have experienced psychosis.Design: Inductive qualitative methods were used to explore how eight participants utilized spiritual or religious explanatory frameworks for their experiences of psychosis and to consider these in relation to the construct of narrative insight.Methods: Semi structured interviews were undertaken with individuals who identified themselves as interested in spiritual or religious ideas and whose self reported experiences which were identified as akin to psychosis by experienced academic clinicians. Transcriptions from these interviews were subject to interpretative phenomenological analysis within a broader research question; a selection of themes and data from the resultant phenomenological structure are explored here for their relevance to narrative insight.Results: Participants discussed spiritual and biological explanations for their experiences and were able to hold alternative potential explanations alongside each other. Cheap Jerseys from china
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