Creativity & Schizotypy
Creativity & Schizotypy
Creativity & Schizotypy
The purpose of this study is to obtain a more coherent picture of the relationship between creativity and
schizotypy. A multilevel approach was used to ensure the statistical independence of multiple effect sizes
from a single study. The mean effect size was r = .07 {SD = .20) based on the analyses from 45 articles
yielding 268 effect sizes. The analyses, including five moderators (i.e., the type of schizotypy, measure
of schizotypy, measure of creativity, content of creativity test, and index of creativity measure)
within a three-level model, indicated that the type of schizotypy was the only significant predictor.
Positive-Impulsive and Unspecified schizotypy each had positive relationships with creativity (r =
.14, 95% CI = .12 and .17), whereas Negative-Disorganized schizotypy was negatively related (r =
- . 0 9 , 95% CI = - . 1 2 , -.06). None of the creativity-related moderators explained the variation. Our
findings revealed that the link between creativity and schizotypy is not uniform and that positive
symptoms represent the intersection of creativity and schizotypy.
,1
Keywords: creativity, schizotypy, meta-analysis, multilevel
The link betweeti psychopathology and creativity has been full-blown and subclinical levels (i.e., psychoticism and schizo-
discussed by researchers in differetit fields (Becker, 1978; Ey- typy) of psychosis with creativity. According to this, creativity has
senck, 1993; Karlsson, 1978; Simotiton, 2005). Some researchers no relationship or a negative relationship with full-blown psycho-
embraced the idea of an intimate association between psychopa- sis, whereas psychoticism and schizotypy can be positively related
thology and creativity (Andreasen, 1987; Lombroso, 1891; to it. Therefore, a closer investigation of the subclinical or milder
Pretitky, 1980, 1989), whereas some others discounted this possi- forms of psychosis is important to the field of creativity.
bility (Brod, 1997). A third perspective acknowledged the com- Schizotypy is a critical construct for understanding the relation-
monalities between the two (i.e., Storr, 1976) but did not suggest ship between creativity and psychopathology. Claridge, Pryor, and
the causal role of psychopathology (Rothenberg, 1979). The in- Watkins (1990) argued that the links between creativity and mental
vestigation of the type of relationship faces at least two challenges. illnesses are most obvious in schizotypy. Kinney et al. (2001)
First, the relationship between psychopathology and creativity is found that peak creativity was observed among those who exhibit
two-way (Runco, 1991), and multiple links exist between the two any two of the schizotypy characteristics and schizotypal person-
(Lauronen et al., 2004). Second, the relationship is not uniform. alities. Also, creativity was lower among those who did not indi-
The association between creativity and mental disorders is at best cate any sign of schizotypy and was lowest among schizophrenics.
fragile and not clearly observed in all types of psychopathologies Theoretical and empirical works underline the construct of schizo-
and all forms of creativity (Lauronen et al, 2004, p. 81). Thus, it typy, and thus, it is the focus of this article. Eugene Bleuler
seems more useful to focus on each psychopathology or trait (1911/1950) used the term "latent schizophrenia" to describe a less
separately. severe and nonpsychotic manifestation of schizophrenia. Rado
The putative link between psychopathology and creativity has (1953) was the first who coined the term "schizotype" which was
actually been investigated in psychosis more than other types of abbreviated from "schizophrenic genotype" to refer to a hereditary
psychopathology (Eysenck, 1993). Other works (Prentky, 1989; disposition to schizophrenia. This term was originally derived
Eysenck, 1994) tend to emphasize the differential relationship of from schizophrenia to describe certain schizophrenia-related be-
haviors. Schizotypy was defined as "a set of behavioral, affective,
and cognitive 'eccentricities'" (Brod, 1997, p. 276) which consti-
tute the foundations of psychotic illnesses. In an earlier work,
This article was published Online First March 4, 2013. Meehl (1962) identified four traits of schizotypy including cogni-
Selcuk Acar and Sedat Sen, Department of Educational Psychology, The tive slippage, interpersonal aversiveness, anhedonia, and ambiva-
University of Georgia. lence. Later, the emphasis changed from anhedonia to personality
We appreciate the valuable contributions of Dr. Rod Dishman and
features and symptoms (e.g., Raine, 1991; Venables, Wilkins,
Samuel Barry.
Mitchell, Raine, & Bailes, 1990). The typical measures of schizo-
Correspondence concerning this article should be addressed to Selcuk
Acar, University of Georgia, 350 Aderhold Hall, Athens, GA 30602. typy involve those specific personality features and symptoms
E-mail: acarse@uga.edu rather than atihedonia.
214
CREATIVITY AND SCHIZOTYPY 215
Although all psychotic individuals exhibit most of the schizo- thinking can lead to generating a greater number of ideas (thus,
typal characteristics, not all individuals exhibiting schizotypal giving greater potential for creativity), because overinclusive
characteristics are psychotic. The latest description of schizoptypal thinkers possess wider associative networks and have access to
personality in the Diagnostic Statistical Manual of Mental Disor- precociously activated memory and knowledge (Claridge &
ders (DSM-IV-TR) consists of nine symptoms: (a) ideas of refer- Beech, 1995). As a result of this, fiat associative hierarchy has
ence (excluding delusions of reference); (b) odd beliefs or magical been proposed for both creative (Mednick, 1962) and schizo-
thinking that influences behavior and is inconsistent with subcul- phrenic (Mednick, 1958) individuals. For both, high arousal has
tural norms (e.g., superstitiousness, belief in clairvoyance, telepa- been held responsible for a flat associative hierarchy (Martindale,
thy, "sixth sense," or bizarre fantasies or preoccupations; (c) 1975; Mednick, 1958). Based on those findings and theoretical
unusual perceptual experiences, including bodily illusions; (d) odd links, Hasenfus and Magaro (1976) maintained that ideational
thinking and speech (e.g., vague, circumstantial, metaphorical, or fiuency and overinclusion could be similar cognitive processes
stereotyped); (e) suspiciousness or paranoid ideation; (f) inappro- resulting in perception of irrelevant or minimally related concepts
priate or constricted affect; (g) behavior or appearance that is odd as closely associated because of a failure to preserve conceptual
eccentric or peculiar; (h) lack of close ÍTiends or confidants other boundaries (Cameron, 1938). This has been considered a deficit in
than first degree relatives; and (i) excessive social anxiety that schizophrenics whereas it is regarded as a reason for higher cre-
does not diminish with familiarity and tends to be associated with ativity because it (i.e., overinclusive thinking) leads to making
paranoid fears rather than negative judgments about self (Ameri- more and diverse number of associations.
can Psychiatric Association, 2000). The second commonality was suggested by Kris (1952) who
As Claridge (1997) puts it, schizotypy is a dimension of psy- argued that both creative and schizophrenic individuals can expe-
chosis representing "the less deviant bedfellow of 'schizophrenia'" rience regression, albeit in different ways. Creative individuals
(p. 3). The link between the two is conunon genetic loading. Some regress in the service of the ego and schizophrenics usually fail to
studies have shown that individuals with schizotypal personality manage it. 'The regression in the service of the ego can become
disorder (SPD) exhibit the same genotype as those with schizo- controllable at the schizotypal level. The third commonality is
phrenia but only partially (Clementz, Grove, Katsaniz, & Iacono, reduced latent inhibition (Brugger & Graves, 1997; Green &
1991; Kendler et al., 1991). Walker and Gale (1995) put forward Williams, 1999; Weinstein & Graves, 2001). Latent inhibition is
that negative symptoms, including withdrawal and blunting, can be defined as decreased leaming performance when an individual or
observed in schizophrenics. Although there is an obvious overlap- animal is preexposed (but not conditioned) to stimuli (Lubow,
ping, the two are not the same (identical). According to the Diag- 1973). Lubow, Ingberg-Sachs, Zalstein-Orda, and Gewitz (1992)
nostic and Statistical Manual of Mental Disorders (American Psy- and Lipp and Vaitl (1992) found a reduced latent inhibition with
chiatric Association, 20(X)), schizotypal personality disorder is listed higher schizotypy scores, especially in Schizotypy Traits Ques-
on Axis n (personality disorder), whereas schizophrenia is on Axis I. tionnaire (STA). The contribution of reduced inhibition to creative
Positive symptoms are what distinguish SPD from schizophrenia. thinking lies in the fact that seemingly irrelevant information is
Deficits in frontal structure and function were observed in both SPD preserved and used in problem solving (Burch, Hemsley, Pavelis,
and schizophrenia, but deficits in the limbic circuit were evident only & Corr, 2006; Dorfman, Martindale, Gassimova, & Vartanian,
in schizophrenics (Walker & Gale, 1995). 2008). Likewise, Carson, Peterson, and Higgins (2003) found
There is also a tendency to generalize schizotypy to psychosis- lower latent inhibition among lifetime creative achievers than with
proneness as a comprehensive construct, including psychoticism low creative achievers. Psychological correlates of creativity, in-
and anhedonia and schizoidia. They are sometimes even used cluding openness and extroversion, were also related to reduce
interchangeably in the Uterature. Because a focused meta-analytic latent inhibition (Peterson & Carson, 2000; Peterson, Smith, &
study (Acar & Runco, 2012) has already been conducted on the Carson, 2002). Kéri (2011) found that the relationship between
relationship between psychoticism and creativity, psychoticism as creative achievements and unusual experiences did not retain when
measured by the Psychoticism (P) scale of Eysenck Personality latent inhibition was considered.
Questionnaire (EPQ; Eysenck & Eysenck, 1975) and EPQ-R (Ey- The fourth and last crucial link concems the magical and un-
senck & Eysenck, 1991) has been excluded from this study. usual experiences of schizophrenics that allow for vivid imagina-
Therefore, this study is a follow-up meta-analysis of a broader tion and expanded horizons of thought. These are also known as
construct of schizotypy. "psychedelic" experiences (Siegler, Osmond, & Mann, 1971).
Some of the hypothesized links between creativity and schizo- Schizophrenics can be creative when they take advantage of such
typy come from the literature on the relationship between creativ- experiences (Bowers & Ereedman, 1966). Not surprisingly, schizo-
ity and schizophrenia. Researchers have suggested several links phrenics make more unusual and idiosyncratic associations than
between creativity and schizophrenia and, therefore, between cre- does the control group (Buss, 1966; Chapman & Chapman, 1973;
ativity and schizotypy, too. The first link is overinclusive thinking Moran, Mefferd, & Kimble, 1964). However, schizophrenics are
that is defined as a failure to preserve conceptual boundaries which not necessarily creative. Actually, in most instances, they cannot
lead to the incorporation of irrelevant ideas, generation of more be creative, because schizophrenia is involuntary, and such expe-
distant associations, and thinking in a more abstract and less lucid riences become uncontrollable. Therefore, schizotypy, rather than
way (Cameron, 1938; Eysenck, 1993, 1995; Payne, Mattusek, & schizophrenia, can lead to psychedelic experiences, which can be
George, 1959; Weinstein & Graves, 2002). Andreasen and Powers controlled at subchnical levels.
(1975) found that highly creative writers are overinclusive in their More recent works underlined the importance of other factors
thinking. Payne, Caird, and Laverty (1964) reported that overin- that helps to understand the association between creativity and
clusion is frequently observed in schizophrenics. Overinclusive schizotypy. People who had the T/T genotype, a variant of the
216 ACAR AND SEN
neuregulin 1 (NRGl) gene, (SNP8NRG243177/rs6994992), ex- & Broks, 1984); or using those focusing on certain behaviors, such
hibited higher psychosis risk (Kéd, Kiss, & Kelemen, 2009) and as the Revised Anhedonia Scale (Chapman & Chapman,1978;
superior creative achievements and creative-thinking performance Chapman, Chapman, & Raulin, 1976), Perceptual Aberration
(Kéd, 2009). Weinstein and Graves (2002) investigated the pos- (Chapman, Chapman, & Raulin, 1978), and Magical Ideation
sibility that the association of creativity and schizotypy could be Scale (Eckblad & Chapman, 1983). The scope of the measures
related to right hemisphere bias. They found that a response may have an influence on effect sizes. For example, some mea-
critedon requidng dght hemisphere processing is related to indi- sures could yield remarkably higher or lower effect sizes just
vidual differences in both creativity and schizotypy. Folley and because they focus on a particular symptom. Therefore, we in-
Park (2005) reported that highly creative schizotypes prefer to cluded this factor as another moderator.
employ the right prefrontal cortex activation. Considedng the perspectives of the creativity literature, similar
All of these links could be the basis for a relationship between issues related to definition and measurement need to be consid-
schizotypy and creativity, but studies have reported different, even ered. There are numerous ways to measure creativity, including
conflicting, results. Therefore, potential factors underlying the personality-based, self-reports, divergent thinking tests, associa-
variation in the effect size need to be considered to accurately tional tests, and specific tests, such as the Barron—Welsh Art Scale
explain the nature of the relationship. Several theoretically impor- (Barron & Welsh, 1987). Particularly, for this study, they could be
tant moderators, including the dimension or type of schizotypy, the categodzed as personality-based versus performance tests. Theo-
measure of schizotypy, the measure of creativity, the content of retically, personality-based tests can have a higher relationship
creativity test, and the index of creativity measure, will be dis- with schizotypy, which is also considered a personality trait
cussed in the following section. (Raine, Lencz, & Mednick, 1995), compared with other measures.
Schizotypy is not a unidimensional trait. Based on the reviews In a way, this relationship may stem from method vadanee, be-
of several factor analytic studies (Claridge et al., 1996; Gruzelier, cause both use the same method (i.e., self-report). Different indices
1995; Venables, 1995), Brod (1997) argued that schizotypy con- of creativity are reported within some performance tests, specifi-
sists of at least four factors. The first factor has been labeled as cally divergent thinking and word-association tests. Although there
"unusual experiences," "unreality," "perceptual eccentdcity," or are four major indices, including fluency, odginality, flexibility
"positive schizotypy." This profile is prone to magical thinking, and elaboration, only the first two were reported in the studies.
perceptual aberration, hallucinations, hypomania, paranoid ide- Therefore, it would be interesting to see if odginality and fluency
ation, and suspiciousness. The second factor involves withdrawn scores have differential relationships with schizotypy.
schizoid traits, which include social or physical anhedonia and The test content is also important. Creativity tests can be clas-
introversion. The third factor, known as cognitive disorganization, sified as verbal and figurai in terms of content, and they can trigger
consists of the symptoms of social impairment and anxiety, atten- different cognitive processes. Verbal content can have different
tion difficulties, and neuroticism. The fourth factor is impulsive effects on performance, because a major descriptor of schizotypal
nonconformity, which includes the symptoms of psychoticism, personality is "vague, circumstantial, metaphodcal, overelaborate,
extraversion, and impulsiveness and mood-related disinhibition. or stereotyped" language (American Psychiatdc Association,
Of course, those dimensions have some overlapping traits. For 2000, p. 701). Even though this may be seen as a positive thing for
instance, borderline personality is a common trait of both the third unusual thinking, it implies a cognitive impairment and difficulty
and fourth factors, and magical thinking is found in both the first to perceive and use the test matedal as expected.
and third factors. More importantly, positive schizotypy or unusual Finally, the index of creativity that is used can influence the
expedences and impulsive nonconformity are loaded on the same relationship. This actually did explain much of the vadanee in the
factor with extroversion, whereas negative schizotypy or intro- previous meta-analysis on psychoticism (Acar & Runco, 2012). Odg-
vertive anhedonia and cognitive disorganization are loaded on inality and, more specifically, uniqueness scores had significantly
introversion (Claridge et al., 1996). This perspective tallies with higher relationships with the P scale of EPQ. As mentioned above,
that of Prentky (1980), who offered a model suggesting different schizotypy can allow individuals to make unusual associations and to
creative processing in the introverted and extroverted types of give odginal responses. So, a higher correlation with odginality scores
schizotypy. Brod (1997) argued that "the urge for [creative] ex- compared with other indices can be expected for schizotypy, too.
pression must be the outcome of interacting effects, with the more Clearly, there are many potential factors that influence the
extravertive traits of positive schizotypy and impulsive noncon- relationship between creativity and schizotypy. There is no agree-
formity (p. 289)." Another paidng is possible when the anxiety ment about the nature of the relationship between schizotypy and
factor is considered. According to this, cognitive disorganization creativity in the previous empirical reports. Quite a few studies
and positive schizotypy (unusual expedences) represent a high (i.e., O'Reilly, Dunbar, & Bentall, 2001; Poreh, Whitman, & Ross,
anxiety-drive, and negative schizotypy (introverted anhedonia) and 1993; Preti & Vellante, 2007; Rawlings & Georgiou, 2004; Raw-
impulsive nonconformity imply a low-anxiety ddve. The multidi- lings & Toogood, 1997; Schuldberg, French, Stone, & Hebede,
mensional structure of schizotypy is important for this study, 1988) reported positive relationships between schizotypy and cre-
because different factors may have differential links to creativity. ativity. On the other hand, Schuldberg (1990) and Batey and
There are different instruments used to measure schizotypy. One Fumham (2008), for example, reported negative correlations be-
way to classify instruments is whether they target the whole tween the measures of creativity and schizotypy. Given the diver-
construct of schizotypy through instmments, such as the Oxford- sity in the creativity—schizotypy research, a meta-analytical re-
Liverpool Inventory of Feelings and Expedences (O-LIFE; Mason view would be ideal to synthesize the findings and resolve
& Claridge, 2006), Schizotypal Personality Questionnaire (SPQ; inconsistencies. This review can also take different study effects
Raine, 1991), and Schizotypy Traits Questionnaire (STA; Claddge into consideration and identify important factors behind the vari-
CREATIVITY AND SCHIZOTYPY 217
ation between the individual studies. Thus, it would be possible to 2. Articles that did not use any statistical methods or those
make a data-based and a more generalizable conclusion about the that did not report statistics that allow the calculation of
mad-genius hypothesis rather than the evidence to be taken from an effect size were also excluded.
anecdotal (e.g., Rothenberg, 1990) or biographical accounts and
studies investigating specific populations (e.g., Claridge, Pryor, & 3. Articles on the relationship between creativity and psy-
Watkins, 1990; Post, 1994). To our knowledge, the aforemen- choticism were excluded, because a focused meta-
tioned relationship has never been summarized meta-analytically. analysis is already available (Acar & Runco, 2012).
Additionally, a meta-analysis of the relationship between cre-
ativity and schizotypy as a broader construct than the previous 4. Articles without a control group were excluded.
investigation on psychoticism (Acar & Runco, 2012) would be
5. Indirectly related articles were excluded.
interesting. The analyses of 119 effect sizes from 32 studies
indicated that the relationship can be quite high (r = .50) when The following criteria were used to define the set of articles to
psychoticism is measured by the Eysenck Personality Question- be included in the meta-analysis:
naire and uniqueness is the index of creativity. Otherwise, the
effect size was small (r = .16). Psychoticism is a unidimensional 1. A measure of the relationship between creativity and
construct (Eysenck & Eysenck, 1994; Chico & Ferrando, 1995), schizotypy was required.
whereas schizotypy is clearly multidimensional (Bentall, Claridge,
& Slade, 1989). Because of this, a more complex relationship with 2. Sufficient data for an effect size calculation (correlation
creativity should be expected. Following these purposes, this meta- values, mean and standard deviations, test statistics andp
analysis aims to answer the following questions. values) were required.
1. What is the strength of the relationship between schizo- 3. The search was limited to joumal articles published from
typy and creativity? January 1980 to April 2012.
2. How different is the nature of their relationship from that As a result, 45 articles fulfilled our inclusion criteria. Figure 1
between psychoticism and creativity? provides a flowchart showing which articles were included and
which were excluded along with the specified reasons for their
3. Which moderators explain the variability in the effect exclusion.
sizes?
Data Sources and Search Strategies
4. What conditions are contingent on positive, negative, or
zero correlation? In our search, we focused on published or in-press articles, disser-
tations, book chapters, and unpublished manuscripts. Thus, the term
Method "articles" will be used rather than "studies." Articles reported in the
last three formats were not included in our analyses but were used to
Study Variables find more articles as a step of the secondary search. The studies used
in this meta-analysis were located through a comprehensive literature
Because our main research question is the relationship between
search from January of 1980 through April of 2012 using variants of
creativity and schizotypy, the main outcome measures were the in-
the following search terms: creativity, schizotypy, schizophrenia, di-
struments assessing these two constructs. Thus, we used several
vergent thinking, originality, and fluency.
keywords to identify the articles, which include the outcome variables
needed to answer the target questions. Operational definitions of Several retrieval tools were used to locate target articles. First,
creativity and schizotypy were not explicitly provided in the articles electronic searches were conducted on several sources, including
included in this meta-analysis. However, instruments used in those PsycINFO (EBSCO), ERIC (WebSPIRS), Medline (PubMed), Ac-
studies can give researchers a general idea. In Table 1, the definitions ademic Search Premier (EBSCO), and Social Sciences Citation
and the scope of moderators, including the operational definitions and Index due to the partial overlap among multiple databases (Littell,
measures of creativity and schizotypy, were provided. Creativity was Corcoran, & Pillai, 2008). Second, the reference lists of each
measured with either self-report or personality-based measures relevant study were inspected. Third, hand searches were per-
(26.87%) or performance measures, including DT, associational, or formed in relevant journals, including the Creativity Research
Barron-Welsh tests (65.40%). Schizotypy was measured with gen- Joumal, Joumal of Creative Behavior, Psychology of Aesthetics,
eral (64.18%; i.e., 0-LIFE, SPQ, or STA) or specific measures Creativity, and the Arts, Schizophrenia Bulletin, Schizophrenia
(19.03%), including Anhedonia and Per-Mag scales. Those also Research, Personality and Individual Differences, and Thinking
served as moderators in the analyses. Skills and Creativity.
Table 1
Definitions and Scope of Moderators
views and Meta-analyses (PRISMA; Moher, Liberati, Tetzlaff, & Rater Reliability
Altman, 2009). Also, the publication year, type of schizotypy, type of
participant, type of creativity test, domain of creativity, and measures Search and coding procedures were independently conducted by
of creativity and schizotypy were all thoroughly coded. Each variable both authors to ensure the reliability of the results. Twenty percent
in the coding form had different levels. Gender was coded as male, of two forms were randomly selected to estimate reliability. A
female, or mixed. Type of participant was coded as being eminent two-way (effects and raters) intraclass correlation coefficient
versus noneminent. Almost 70% of the participants were university (ICC) for absolute agreement was .94.
students, and the rest consisted of artists, musicians, and writers.
The Calculation of Effect Sizes
There were four types of schizotypy, including negative, positive,
impulsive, and disorganized schizotypy as well as unspecified types. Because our research question is to examine the relationship
Instruments of schizotypy were categorized as general and specific. between creativity and schizotypy and most studies have provided
The domain was coded as general versus artistic. The details of the correlations between the continuous measures of these two con-
categories and definitions are provided in Table 1. structs, correlation was selected as the effect size measure. If
CREATIVITY AND SCHIZOTYPY 219
57 Studies identified
excluded
6 studies indirectly related
excluded
4 studies provided inadequate statistics
excluded
2 studies without a control group
correlation was not available, then effect sizes were estimated errors. In the fixed-effects approach, it is assumed that effect sizes
using procedures described by Lipsey and Wilson (2001). As the come fi-om the same distribution and that the population of effect
Pearson's product-moment correlation (r) is not normally distrib- sizes is homogeneous. Thus, sampling error is the only source of
uted, these effect sizes were converted to Fisher's zs in order to difference between the studies. However, in the random-effects
combine the effect sizes properly (Hedges & Olkin, 1985; approach, it is implicitly assumed that each effect size differs from
Rosenthal, 1994). A z-transformed correlation can be back- the population mean by subject-level sampling error and unob-
transformed to a Pearson correlation using an inverse Fisher trans- served random sources, resulting in heterogeneity (Lipsey & Wil-
formation to make the interpretation easier (Lipsey & Wilson, son, 2001). For this reason, the findings of a random-effects model
2001). might be applicable to broader settings, whereas fixed-effects'
results can only be applicable to a specific sample.
The Assessment of Potential Publication Bias A common issue in typical meta-analysis studies is obtaining
multiple effect sizes within a single study. Using multiple effect
Publication bias is a serious problem with meta-analytic studies
sizes in the traditional meta-analysis models may violate the as-
(Rosenthal, 1979). Although it is almost impossible to identify and
sumption of the statistical independence of the data. There are
include every study related to a research question, it should be
three strategies used to overcome this problem in a typical meta-
ensured that the meta-analyst conducted a comprehensive review.
analysis study (Hedges, 2007). The first strategy is to apply the
Fortunately, there are some methods that can be used to examine
same techniques used in the independent effect size situation.
publication bias, such as funnel plot (Light & Pillemer, 1984) and
Ignoring the dependency of the data may not be a problem when
Rosenthal's (1979) fail-safe N. A funnel plot is a graphical method
based on the assumption that the distribution of the effect sizes will multiple effect sizes are small within a study. The second strategy
be normal around the mean effect in the absence of heterogeneity is using dependent effect sizes to obtain a within-study summary
(Littell et al., 2008). The sample size is related to standard errors. and, then, summarizing the independent summaries across studies.
Larger sample sizes yield less error than smaller sample sizes. The third and most elegant strategy is to use multivariate meta-
Funnel plots can be created using effect sizes on the x-axes and analysis techtiiques. However, this strategy is less common than
standard errors or sample sizes on the y-axes. This will give us a the others due to its complexity.
triangle-shaped plot, which is narrower at the top and wider at the We adopted the multilevel modeling approach outlined in Kon-
bottom. In the absence of heterogeneity, effect sizes will be sym- stantopoulos (2011) and Hox (2002) to calculate overall effect size
metrically distributed around the mean effect sizes. estimates and to explain study variances. Multilevel models are
As noted, the second method used in this study is the fail-safe N, particularly useful when the data are nested. Our data are nested
which is the earliest and most commonly used estimate of publi- because we identified multiple effect sizes from a single article in
cation bias (Field & Gillet, 2010). A fail safe N number indicates the majority of the articles included. The use of traditional regres-
the number of new studies that would be needed to increase the p sion models is problematic due to the violation of statistical
value for the meta-analysis to above a desired level (p = .05; independence in this type of data structure. Multilevel models
Rosenthal, 1979). When a meta-analyst calculates a larger fail-safe (MLM) have been designed to deal with this problem. The popu-
N number, s/he can feel confident with the results of the study. larity of the multilevel analysis has increased remarkably in the
psychology literature (de la Torre, Camilli, Vargas, & Vernon,
2007; Dickerson & Kemeny, 2004; Severiens & Dam, 1998; Van
Statistical Analyses
den Bussche, Van den Norrtgate, & Reynvoet, 2009) produced
There are two types of analyses in the traditional meta-analysis: over the last two decades. This is primarily due to its capability of
fixed- and random-effects models (Hedges, 1992; Hedges & Ve- taking variations into account at different levels (Raudenbush &
vea, 1998; Hunter & Schmidt, 2000). The main difference between Bryk, 2002). Multilevel meta-analytic methods provide more flex-
these fixed- and random-effect approaches is the source of error. ibility than traditional methods (Hox, 2002; Hox & Leeuw, 2001).
The former assumes only one error, whereas the latter assumes two Because meta-analysis data can have a multilevel structure (as was
220 ACAR AND SEN
the case with our dataset), multilevel regression can be applied to enabled us to include study characteristics as explanatory variables
meta-analysis with subjects within studies at the first level and on level-1. Five moderators, including the type of schizotypy,
studies at the second level (Bryk & Raudenbush, 1992; Hox, measure of schizotypy, measure of creativity, content of creativity
2002). Unlike in standard multilevel analysis, raw data for all test, and index of creativity measure were included for specific
respondents is not available in multilevel meta-analysis. However, theoretical reasons as discussed in the beginning of this article. These
Bryk and Raudenbush (1992) pointed out that it is possible to covariates were included in the level-1 analyses to explain the article-
apply multilevel analysis to the summary statistics of meta- to-article variation of the reported correlation coefficients. Because all
analysis. They called this specific approach the Level 1 Variance the variables are categorical, the dummy coding was used for each
Known model. variable.
In order to take into account the dependency in the data, two- Restricted maximum likelihood estimation was used to estimate
level models for multivariate meta-analysis have been applied in the parameters. All analyses were conducted using SAS PROC
some studies (Berkey, Anderson, & Hoaglin, 1996; Gleser & MIXED in SAS, Version 9.2. (Konstantopoulos, 2011; Little,
Olkin, 2009). However, it is obvious that a two-level model does Milliken, Stroup, Wolfinger, & Schabenberger, 2007; Singer,
not account for higher levels of nesting in meta-analytic data 1998; van Houwelingen, Arenas, & Stijnen, 2002). In the multi-
(Konstantopoulos, 2011). It should be noted that the between- level meta-analysis, we first estimated the unconditional model
article within-level-3 unit variation and the between-level-3 unit without any covariate. Then, we reestimated the model adding five
variation constitute random variation in the three-level model. This covariates.
displays where the majority of the random variation exists. If the
majority of the variation comes from the third-level variance, then
it should be retained instead of estimating a second-level model
The Homogeneity Test
(Konstantopoulos, 2011). Three-level data structures are also very As a test of homogeneity analyses of effect sizes, Cochran's
common in the literature, such as students nested within classes heterogeneity statistic (Q), which is distributed as a chi-square
and classes nested within schools. Similarly, meta-analytic data in with k — I degrees of freedom, where k = the number of studies,
our study have a three-level structure, with effect sizes nested was calculated. A significant g-test indicates the variability among
within articles, and articles nested within authors. Three-level effect sizes not only due to sampling error but also between study
models are more complicated than two-level models and produce errors (Lipsey & Wilson, 2001). In addition, we also calculated the
an overall mean estimate and two variance component estimates at f statistic (Higgins, Thompson, Deeks, & Altman, 2003) which
Levels 2 and 3. Following the notations of Bryk and Raudenbush indicates the degree of heterogeneity in percentages. Based on the
(1992) and Konstantopoulos (2011), a three-level model can be formula given in Higgins Thompson, Deeks, and Altman (2003),
characterized as the following: an P percentage can be easily calculated using Cochran's hetero-
The first level (i.e., effect size level) can be represented with geneity statistic and the degrees of freedom values. The P ranges
equation 1 in which K,^ is independently and normally distributed from 0% (no heterogeneity) to 100% (high-level heterogeneity;
with a mean of TT,^ and variance of Uj, which is assumed to be Higgins et al., 2003).
known.
In the second level (the between-articles within-level-3-unit As already noted, a total of 268 effect sizes from 45 published
model), the unknown effect-size parameter ir varies around a studies were available for the analyses. The effect size estimates
level-3 unit g mean, namely (rs) ranged from —.42 to .83 with a mean of .07 and a standard
deviation of .20. A stem-and-leaf plot of 268 effect sizes to two
- ßo« + (2) decimal places can be seen in Figure 2. The total number of
Fisher's Z
ator, we categorized schizotypy into three major groups: (a) odd speech and behavior, and limited affect (Raine, Lencz, &
positive and impulsive, (b) negative and anhedonia, and (c) Mednick, 1995). The former set of symptoms can help in
unspecified. As we expected, positive and impulsive types had "thinking outside the box" and generating original ideas, which
a higher positive correlation with creativity (r = .14, 95% CI = is consistent with earlier studies (Burch, Pavelis, Hemsley, &
.12 and .17) than the unspecified schizotypy (r = .11, 95% Corr, 2006; O'Reilly, Dunbar, & Bentall, 2001) that have
CI = .06 and .16). The relationship was negative in negative and reported a link between creativity and positive schizotypy
introvcrtive anhedonia types (r = -.09,95% CI = -.12, -.06). It is symptoms. A positive correlation with impulsive nonconfor-
possible to argue a linear trend within those three levels. Although
positive, impulsive, and unspecified schizotypy displayed a positive
correlation with creativity, the relationship turned to negative regard-
Table 4
ing negative and introvertive anhedonia. All three effect sizes are
Main Model
small according to Cohen (1988).
The current meta-analysis indicates that the relationship be- Estimates SE 95% CI
tween creativity and schizotypy is not uniform and that only
some aspects or forms of schizotypy may facilitate creativity, Fixed effects
Intercept 0.230* 0.078 (0.072,0.388)
and other aspects may be counterproductive. Claridge, Pryor, Measure of creativity -0.002 0.040 (-0.097, 0.092)
and Watkins (1990) argued that the personalities of creative Content of creativity test 1 -0.112 0.063 (-0.245,0.022)
individuals overlap with schizotypal traits. Our findings partly Content of creativity test 2 -0.066 0.063 (-0.202, 0.070)
support this hypothesis with the specification that only partic- Index of creativity 1 -0.002 0.033 (-0.072, 0.067)
ular forms of schizotypy can possibly help creativity to emerge. Index of creativity 2 0.047 0.037 (-0.029,0.124)
Type of schizotypy 1 0.108* 0.047 (0.006, 0.209)
The direction and magnitude of the relationship between Type of schizotypy 2 -0.119* 0.049 (-0.223, -0.015)
schizotypy types and creativity underscored that unspecified Schizotypy instrument 1 -0.023 0.043 (-0.129,0.083)
and positive-impulsive schizotypy are symmetrically opposite Schizotypy instrument 2 -0.058 0.041 (-0.160,0.043)
to negative-disorganized schizotypy. The symptoms of both Variance components
Second level 0.012* 0.002 (0.008, 0.016)
types of schizotypy can help to clarify their diverse relation- Third level 0.032* 0.011 (0.010, 0.053)
ships with creativity. Positive-impulsive schizotypy symptoms
include magical ideation, odd beliefs, ideas of reference, and Note. Measure of creativity = a dummy variable coded 1 to indicate
Personality or Self-reports measures and 0 for performance measures (i.e.,
unusual perceptual experiences, whereas negative- DT, B-W, Associational). Content of creativity test 1 = a dummy variable
disorganization symptoms include social isolation and anxiety. coded 1 to Verbal and 0 for both Figurai and Other; Content of creativity
test 2 = a dummy variable coded 1 to Figurai and 0 for both Verbal and
Other. Index of creativity 1 = a dummy variable coded 1 to indicate
Table 3 Fluency and 0 for both Originality and Other; Index of creativity 2 = a
dummy variable coded 1 to indicate Originality and 0 for both Fluency and
Unconditional Model other. Type of schizotypy 1 = a dummy variable coded I to indicate
Positive-Impulsive and 0 for both Negative-Disorganized and Unspecified;
Estimates SE 95% CI Type of schizotypy 2 = a dummy variable coded 1 to indicate Negative-
Disorganized and 0 for both Positive-Impulsive and Unspecified. Schizo-
Fixed effects
typy instrument 1 = a dummy variable coded 1 to indicate Specific
Intercept 0.141* 0.030 (0.080, 0.202)
(Anhedonia, Perceptual Aberration, Magical Ideation) and 0 for both
Variance components
General (O-LIFE, SPQ, STA) and Other; Schizotypy instrument 2 = a
Second level 0.020* 0.003 (0.014, 0.026)
dummy variable coded 1 to indicate General and 0 for both Specific and
Third level 0.033* 0.011 (0.011,0.054) Other.
'p < .05. 'p < .05.
CREATTVITY AND SCHIZOTYPY 223
Table 5
Number of Studies and Categories, and Univariate Analyses of Moderators
mity was also linked to the absence of self-censorship and the thology. Our findings indicated that this is true even within the
inclination to express inappropriate ideas rather than creativity construct of schizotypy.
(Brod, 1997). These results are also interesting in terms of the earlier
Our findings can be interpreted under the light of the factor findings on the P scale (Acar & Runco, 2012). The mean effect
analytic studies on schizotypy. Chapman, Chapman, Kwapil, size between creativity and the P scale was .16, which is close
Eckblad, and Zinser (1994) reported that measures that fall to the mean effect size with a positive-impulsive schizotypy
under the category of "positive trait schizotypy" predict psy- {r = .14). P and positive-impulsive schizotypy seem to have the
chosis rather than schizophrenia whereas Physical Anhedonia same strength of relationship with creativity and are distinc-
Scale did not predict psychosis or psychosis proneness. This tively different from negative-introverted anhedonia types. This
difference can explain the discrepancy in the mean effect sizes. situation could be explained with the possibility that P and
Positive-negative schizotypy dimensions were found in both positive schizotypy are closely related constructs. It should be
Lewandowski et al. (2006) and Kwapil, Barrantes-Vidal, and noted that none of the categories of moderators had as high
Silvia (2008) studies. The latter also reported that negative mean effect size of r = .50 as obtained between creativity and
schizotypy scores were positively correlated with introversion. P, when P was measured with EPQ-R and uniqueness was the
As mentioned in the beginning of this article, Claridge et al. index of creativity.
(1996) suggested that four factors of schizotypy could be re- Further studies could follow up this one by focusing on schizo-
duced into two dimensions: extroversion and introversion. Spe- phrenia. Claridge and Beech (1995) argued that creativity and
cifically, positive and impulsive schizotypy loaded on extro- schizophrenia are linked through schizotypy. In this way, we could
version, and negative and introvertive anhedonia loaded on compare the findings of this study and the previous one with
introversion. Our analyses indicated that the parts of schizotypy subclinical levels. This would be a meta-analytic test of the find-
that loaded on extroversion are conducive to creativity, whereas ings by the Kinney et al. (2001) study, who found the least
the parts that loaded on introversion are potentially detrimental. creativity in schizophrenics and the highest from those who exhibit
These results are striking, because it is not possible to gener- only a few symptoms.
alize schizotypy in its relationship with creativity. This finding
Two of the moderators (i.e., eminence and domain) were not
also justified this and other focused meta-analyses that inves-
included in the multilevel regression analyses because of the small
tigated specific links between creativity and particular forms or
sample sizes in some categories. Inclusion of those could allow the
levels of psychopathologies. Lauronen et al. (2004) suggested
testing of a few more hypotheses and could influence the regres-
that there are multiple links between creativity and psychopa-
sion model. The current results from a few studies revealed a
224 ACAR AND SEN
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.02.019 Accepted December 31, 2012 •
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