Using self-determination theory to understand motivation deficits in schizophrenia: the 'why' of motivated behavior
| Autor: | Sophia Vinogradov, Amy H. Sanchez, Abby Rowlands, Melissa Fisher, Jessica Starr, David E. Gard, Shanna Cooper |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Experience sampling method media_common.quotation_subject Models Psychological Article Developmental psychology Punishment Reward medicine Humans Competence (human resources) Biological Psychiatry Self-determination theory Avolition media_common Motivation Amotivation Boredom Psychiatry and Mental health Psychotic Disorders Personal Autonomy Schizophrenia Female Schizophrenic Psychology medicine.symptom Psychology Social psychology Psychosocial Goals Autonomy Cell Phone |
| Zdroj: | Schizophrenia research. 156(2-3) |
| ISSN: | 1573-2509 |
| Popis: | Self-determination theory (SDT) provides a model for understanding motivation deficits in schizophrenia, and recent research has focused on problems with intrinsic motivation. However, SDT emphasizes that motivated behavior results from three different factors: intrinsic motivators (facilitated by needs for autonomy, competency, and relatedness), extrinsic motivators (towards reward or away from punishment), or when intrinsic and extrinsic motivators are absent or thwarted a disconnect-disengagement occurs resulting in behavior driven by boredom or 'passing time'. Using a novel approach to Ecological Momentary Assessment, we assessed the degree to which people with schizophrenia were motivated by these factors relative to healthy control participants. Forty-seven people with and 41 people without schizophrenia were provided with cell phones and were called four times a day for one week. On each call participants were asked about their goals, and about the most important reason motivating each goal. All responses were coded by independent raters (blind to group and hypotheses) on all SDT motivating factors, and ratings were correlated to patient functioning and symptoms. We found that, relative to healthy participants, people with schizophrenia reported goals that were: (1) less motivated by filling autonomy and competency needs, but equivalently motivated by relatedness; (2) less extrinsically rewarding, but equivalently motivated by punishment; (3) more disconnected-disengaged. Higher disconnected-disengaged goals were significantly associated with higher negative symptoms and lower functioning. These findings indicate several important leverage points for behavioral treatments and suggest the need for vigorous psychosocial intervention focusing on autonomy, competence, and reward early in the course of illness. |
| Databáze: | OpenAIRE |
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