Communication disturbances in schizophrenia: a two-process formulation.

Abstract:

:We hypothesized that communication disturbances in the form of unclear linguistic references in schizophrenia are associated with excess-related pathophysiologic processes in some individuals and deficit-related processes in others. We divided a sample of 28 acutely ill schizophrenic inpatients into two groups: those with negative symptoms and those without. We analyzed audiotaped speech samples from each subject, and found that the two groups did not differ significantly on overall level of communication disturbance. In patients without negative symptoms, level of communication disturbance was associated with severity of positive symptoms (r = .62, P < .02) and with neuroleptic responsiveness (r = .52, P < .06 [trend]). In those with negative symptoms, level of communication disturbance did not correlate with severity of positive symptoms (r = .09, NS), and correlated negatively with medication responsiveness (r = -.66, P < .01). These findings support a two-process hypothesis of schizophrenic communication disturbance.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Docherty NM

doi

10.1016/0010-440x(95)90079-b

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

182-6

issue

3

eissn

0010-440X

issn

1532-8384

pii

0010-440X(95)90079-B

journal_volume

36

pub_type

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