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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Anecdotal evidence suggests physical appearance changes may precede psychotic episodes in schizophrenia.
  • Systematic investigation is needed to validate these observations.

Purpose of the Study:

  • To systematically explore the association between self-reported changes in physical appearance and psychotic vulnerability.
  • To determine if appearance changes correlate with specific psychological symptom measures.

Main Methods:

  • 171 undergraduates completed the Changes in Appearance Scale (CAS).
  • Participants also completed the Schizotypy Scale (STA), Maudsley Obsessive Compulsive Inventory (MOCI), Fear Questionnaire (FQ), and Beck Depression Inventory (BDI).

Main Results:

  • A modest but significant positive correlation was observed between CAS and STA scores.
  • No significant associations were found between CAS scores and MOCI, FQ, or BDI scores.

Conclusions:

  • Self-reported changes in physical appearance are significantly associated with mild, subclinical (pre)psychotic symptoms.
  • Appearance changes may serve as a potential, albeit mild, indicator of heightened psychotic vulnerability.