Semantics, pragmatics, and formal thought disorders in people with schizophrenia

Carlos Salavera, Miguel Puyuelo, José L Antoñanzas, Pilar TeruelUniversidad de Zaragoza, Zaragoza, SpainBackground: The aim of this study was to analyze how formal thought disorders (FTD) affect semantics and pragmatics in patients with schizophrenia.Methods: The sample...

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Autores principales: Salavera C, Puyuelo M, Antoñanzas JL, Teruel P
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Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:fcb0728b4ad2469eb75f648ce70d9aaa2021-12-02T06:32:55ZSemantics, pragmatics, and formal thought disorders in people with schizophrenia1176-63281178-2021https://doaj.org/article/fcb0728b4ad2469eb75f648ce70d9aaa2013-02-01T00:00:00Zhttp://www.dovepress.com/semantics-pragmatics-and-formal-thought-disorders-in-people-with-schiz-a12156https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Carlos Salavera, Miguel Puyuelo, José L Antoñanzas, Pilar TeruelUniversidad de Zaragoza, Zaragoza, SpainBackground: The aim of this study was to analyze how formal thought disorders (FTD) affect semantics and pragmatics in patients with schizophrenia.Methods: The sample comprised subjects with schizophrenia (n = 102) who met the criteria for the disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Text Revision. In the research process, the following scales were used: Positive and Negative Syndrome Scale (PANSS) for psychopathology measurements; the Scale for the Assessment of Thought, Language, and Communication (TLC) for FTD, Word Accentuation Test (WAT), System for the Behavioral Evaluation of Social Skills (SECHS), the pragmatics section of the Objective Criteria Language Battery (BLOC-SR) and the verbal sections of the Wechsler Adults Intelligence Scale (WAIS) III, for assessment of semantics and pragmatics.Results: The results in the semantics and pragmatics sections were inferior to the average values obtained in the general population. Our data demonstrated that the more serious the FTD, the worse the performances in the Verbal-WAIS tests (particularly in its vocabulary, similarities, and comprehension sections), SECHS, and BLOC-SR, indicating that FTD affects semantics and pragmatics, although the results of the WAT indicated good premorbid language skills.Conclusion: The principal conclusion we can draw from this study is the evidence that in schizophrenia the superior level of language structure seems to be compromised, and that this level is related to semantics and pragmatics; when there is an alteration in this level, symptoms of FTD appear, with a wide-ranging relationship between both language and FTD. The second conclusion is that the subject’s language is affected by the disorder and rules out the possibility of a previous verbal impairment.Keywords: schizophrenia, formal thought disorder, semantics, pragmaticsSalavera CPuyuelo MAntoñanzas JLTeruel PDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 177-183 (2013)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Salavera C
Puyuelo M
Antoñanzas JL
Teruel P
Semantics, pragmatics, and formal thought disorders in people with schizophrenia
description Carlos Salavera, Miguel Puyuelo, José L Antoñanzas, Pilar TeruelUniversidad de Zaragoza, Zaragoza, SpainBackground: The aim of this study was to analyze how formal thought disorders (FTD) affect semantics and pragmatics in patients with schizophrenia.Methods: The sample comprised subjects with schizophrenia (n = 102) who met the criteria for the disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Text Revision. In the research process, the following scales were used: Positive and Negative Syndrome Scale (PANSS) for psychopathology measurements; the Scale for the Assessment of Thought, Language, and Communication (TLC) for FTD, Word Accentuation Test (WAT), System for the Behavioral Evaluation of Social Skills (SECHS), the pragmatics section of the Objective Criteria Language Battery (BLOC-SR) and the verbal sections of the Wechsler Adults Intelligence Scale (WAIS) III, for assessment of semantics and pragmatics.Results: The results in the semantics and pragmatics sections were inferior to the average values obtained in the general population. Our data demonstrated that the more serious the FTD, the worse the performances in the Verbal-WAIS tests (particularly in its vocabulary, similarities, and comprehension sections), SECHS, and BLOC-SR, indicating that FTD affects semantics and pragmatics, although the results of the WAT indicated good premorbid language skills.Conclusion: The principal conclusion we can draw from this study is the evidence that in schizophrenia the superior level of language structure seems to be compromised, and that this level is related to semantics and pragmatics; when there is an alteration in this level, symptoms of FTD appear, with a wide-ranging relationship between both language and FTD. The second conclusion is that the subject’s language is affected by the disorder and rules out the possibility of a previous verbal impairment.Keywords: schizophrenia, formal thought disorder, semantics, pragmatics
format article
author Salavera C
Puyuelo M
Antoñanzas JL
Teruel P
author_facet Salavera C
Puyuelo M
Antoñanzas JL
Teruel P
author_sort Salavera C
title Semantics, pragmatics, and formal thought disorders in people with schizophrenia
title_short Semantics, pragmatics, and formal thought disorders in people with schizophrenia
title_full Semantics, pragmatics, and formal thought disorders in people with schizophrenia
title_fullStr Semantics, pragmatics, and formal thought disorders in people with schizophrenia
title_full_unstemmed Semantics, pragmatics, and formal thought disorders in people with schizophrenia
title_sort semantics, pragmatics, and formal thought disorders in people with schizophrenia
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/fcb0728b4ad2469eb75f648ce70d9aaa
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AT teruelp semanticspragmaticsandformalthoughtdisordersinpeoplewithschizophrenia
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