A Ferchiou1, L Todorov2, M Lajnef3, G Baudin4, B Pignon1, J-R Richard3, M Leboyer5, A Szöke1, F Schürhoff6. 1. Pôle de psychiatrie et d'addictologie, hôpital Albert-Chenevier, DHU PePSY, hôpitaux universitaires Henri-Mondor, AP-HP, pavillon Hartman, 40, rue Mesly, 94000 Créteil, France; Inserm, U955, équipe 15, faculté de médecine, 8, rue du Général-Sarrail, 94010 Créteil, France; Fondation FondaMental, 40, rue Mesly, 94000 Créteil, France. 2. Pôle de psychiatrie et d'addictologie, hôpital Albert-Chenevier, DHU PePSY, hôpitaux universitaires Henri-Mondor, AP-HP, pavillon Hartman, 40, rue Mesly, 94000 Créteil, France. 3. Inserm, U955, équipe 15, faculté de médecine, 8, rue du Général-Sarrail, 94010 Créteil, France. 4. Pôle de psychiatrie et d'addictologie, hôpital Albert-Chenevier, DHU PePSY, hôpitaux universitaires Henri-Mondor, AP-HP, pavillon Hartman, 40, rue Mesly, 94000 Créteil, France; Inserm, U955, équipe 15, faculté de médecine, 8, rue du Général-Sarrail, 94010 Créteil, France; Fondation FondaMental, 40, rue Mesly, 94000 Créteil, France; PAV EA 2114, université François-Rabelais, 3, rue des Tanneurs, 37041 Tours cedex 1, France. 5. Pôle de psychiatrie et d'addictologie, hôpital Albert-Chenevier, DHU PePSY, hôpitaux universitaires Henri-Mondor, AP-HP, pavillon Hartman, 40, rue Mesly, 94000 Créteil, France; Inserm, U955, équipe 15, faculté de médecine, 8, rue du Général-Sarrail, 94010 Créteil, France; Fondation FondaMental, 40, rue Mesly, 94000 Créteil, France; UPEC, faculté de médecine, université Paris-Est, 61, avenue du Général-de-Gaulle, 94000 Créteil, France. 6. Pôle de psychiatrie et d'addictologie, hôpital Albert-Chenevier, DHU PePSY, hôpitaux universitaires Henri-Mondor, AP-HP, pavillon Hartman, 40, rue Mesly, 94000 Créteil, France; Inserm, U955, équipe 15, faculté de médecine, 8, rue du Général-Sarrail, 94010 Créteil, France; Fondation FondaMental, 40, rue Mesly, 94000 Créteil, France; UPEC, faculté de médecine, université Paris-Est, 61, avenue du Général-de-Gaulle, 94000 Créteil, France. Electronic address: Franck.schurhoff@inserm.fr.
Abstract
INTRODUCTION: The main objective of the study was to explore the factorial structure of the French version of the Schizotypal Personality Questionnaire-Brief (SPQ-B) in a Likert format, in a representative sample of the general population. In addition, differences in the dimensional scores of schizotypy according to gender and age were analyzed. As the study in the general population of schizotypal traits and its determinants has been recently proposed as a way toward the understanding of aetiology and pathophysiology of schizophrenia, consistent self-report tools are crucial to measure psychometric schizotypy. A shorter version of the widely used Schizotypal Personality Questionnaire (SPQ-Brief) has been extensively investigated in different countries, particularly in samples of students or clinical adolescents, and more recently, a few studies used a Likert-type scale format which allows partial endorsement of items and reduces the risk of defensive answers. METHOD: A sample of 233 subjects representative of the adult population from an urban area near Paris (Créteil) was recruited using the "itinerary method". They completed the French version of the SPQ-B with a 5-point Likert-type response format (1=completely disagree; 5=completely agree). We examined the dimensional structure of the French version of the SPQ-B with a Principal Components Analysis (PCA) followed by a promax rotation. Factor selection was based on Eigenvalues over 1.0 (Kaiser's criterion), Cattell's Scree-plot test, and interpretability of the factors. Items with loadings greater than 0.4 were retained for each dimension. The internal consistency estimate of the dimensions was calculated with Cronbach's α. In order to study the influence of age and gender, we carried out a simple linear regression with the subscales as dependent variables. RESULTS: Our sample was composed of 131 women (mean age=52.5±18.2 years) and 102 men (mean age=53±18.1 years). SPQ-B Likert total scores ranged from 22 to 84 points (mean=43.6±13). Factor analysis resulted in a 3-factor solution that explained 47.7% of the variance. Factor 1 (disorganized; 10 items) included items related to "odd behavior", "odd speech", as well as "social anxiety", one item of "constricted affect" and one item of "ideas of reference". Factor 2 (interpersonal; 7 items) included items related to "no close friends", "constricted affect", and three of the items of "suspiciousness". Factor 3 (cognitive-perceptual; 5 items) included items related to "ideas of reference", "magical thinking", "unusual perceptual experiences" and one item of "suspiciousness". Coefficient α for the three subscales and total scale were respectively 0.81, 0.81, 0.77 and 0.88. We found no differences in total schizotypy and the three dimensions scores according to age and sex. CONCLUSION: Factor analysis of the French version of the SPQ-B in a Likert format confirmed the three-factor structure of schizotypy. We found a pure cognitive perceptual dimension including the most representative positive features. As expected, "Suspiciousness" subscale is included in both positive and negative dimensions, but mainly in the negative dimension. Surprisingly, "social anxiety" subscale is included in the disorganized dimension in our analysis. The SPQ-B in a Likert format demonstrated good internal reliability for both total and subscales scores. Unlike previous published results, we did not find any influence of age or gender on schizotypal dimensions.
INTRODUCTION: The main objective of the study was to explore the factorial structure of the French version of the Schizotypal Personality Questionnaire-Brief (SPQ-B) in a Likert format, in a representative sample of the general population. In addition, differences in the dimensional scores of schizotypy according to gender and age were analyzed. As the study in the general population of schizotypal traits and its determinants has been recently proposed as a way toward the understanding of aetiology and pathophysiology of schizophrenia, consistent self-report tools are crucial to measure psychometric schizotypy. A shorter version of the widely used Schizotypal Personality Questionnaire (SPQ-Brief) has been extensively investigated in different countries, particularly in samples of students or clinical adolescents, and more recently, a few studies used a Likert-type scale format which allows partial endorsement of items and reduces the risk of defensive answers. METHOD: A sample of 233 subjects representative of the adult population from an urban area near Paris (Créteil) was recruited using the "itinerary method". They completed the French version of the SPQ-B with a 5-point Likert-type response format (1=completely disagree; 5=completely agree). We examined the dimensional structure of the French version of the SPQ-B with a Principal Components Analysis (PCA) followed by a promax rotation. Factor selection was based on Eigenvalues over 1.0 (Kaiser's criterion), Cattell's Scree-plot test, and interpretability of the factors. Items with loadings greater than 0.4 were retained for each dimension. The internal consistency estimate of the dimensions was calculated with Cronbach's α. In order to study the influence of age and gender, we carried out a simple linear regression with the subscales as dependent variables. RESULTS: Our sample was composed of 131 women (mean age=52.5±18.2 years) and 102 men (mean age=53±18.1 years). SPQ-B Likert total scores ranged from 22 to 84 points (mean=43.6±13). Factor analysis resulted in a 3-factor solution that explained 47.7% of the variance. Factor 1 (disorganized; 10 items) included items related to "odd behavior", "odd speech", as well as "social anxiety", one item of "constricted affect" and one item of "ideas of reference". Factor 2 (interpersonal; 7 items) included items related to "no close friends", "constricted affect", and three of the items of "suspiciousness". Factor 3 (cognitive-perceptual; 5 items) included items related to "ideas of reference", "magical thinking", "unusual perceptual experiences" and one item of "suspiciousness". Coefficient α for the three subscales and total scale were respectively 0.81, 0.81, 0.77 and 0.88. We found no differences in total schizotypy and the three dimensions scores according to age and sex. CONCLUSION: Factor analysis of the French version of the SPQ-B in a Likert format confirmed the three-factor structure of schizotypy. We found a pure cognitive perceptual dimension including the most representative positive features. As expected, "Suspiciousness" subscale is included in both positive and negative dimensions, but mainly in the negative dimension. Surprisingly, "social anxiety" subscale is included in the disorganized dimension in our analysis. The SPQ-B in a Likert format demonstrated good internal reliability for both total and subscales scores. Unlike previous published results, we did not find any influence of age or gender on schizotypal dimensions.
Authors: Francisco R de la Peña; Lino R Villavicencio; Juan D Palacio; Fernando J Félix; Marcela Larraguibel; Laura Viola; Silvia Ortiz; Marcos Rosetti; Andrea Abadi; Cecilia Montiel; Pablo A Mayer; Sofía Fernández; Aurora Jaimes; Miriam Feria; Liz Sosa; Andrés Rodríguez; Patricia Zavaleta; Daniela Uribe; Frinne Galicia; Diana Botero; Santiago Estrada; Arturo F Berber; Macarena Pi-Davanzo; Consuelo Aldunate; Gabriela Gómez; Ivannah Campodónico; Paula Tripicchio; Ignacio Gath; Manuel Hernández; Lino Palacios; Rosa E Ulloa Journal: BMC Psychiatry Date: 2018-06-14 Impact factor: 3.630