Language in schizophrenia and aphasia: the relationship with non-verbal cognition and thought disorder.
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| Title: | Language in schizophrenia and aphasia: the relationship with non-verbal cognition and thought disorder. |
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| Authors: | Little, Bethany (AUTHOR), Gallagher, Peter (AUTHOR), Zimmerer, Vitor (AUTHOR), Varley, Rosemary (AUTHOR), Douglas, Maggie (AUTHOR), Spencer, Helen (AUTHOR), Çokal, Derya (AUTHOR), Deamer, Felicity (AUTHOR), Turkington, Douglas (AUTHOR), Ferrier, I. Nicol (AUTHOR), Hinzen, Wolfram (AUTHOR), Watson, Stuart (AUTHOR) |
| Source: | Cognitive Neuropsychiatry. Nov2019, Vol. 24 Issue 6, p389-405. 17p. 3 Charts, 2 Graphs. |
| Subjects: | Cognition disorders, Aphasia, Language disorders, Schizophrenia, Standardized tests, Native language |
| Abstract: | Objective: To determine the relationship between language abnormalities and broader cognitive impairment and thought disorder by examining language and cognition in schizophrenia and aphasia (a primary language disorder). Methods: Cognitive and linguistic profiles were measured with a battery of standardised tests, and compared in a clinical population of n = 50 (n = 30 with schizophrenia and n = 20 with aphasia) and n = 61 non-clinical comparisons (n = 45 healthy controls and n = 16 non-affected first-degree relatives of patients with schizophrenia). Results: Both clinical groups showed linguistic deficits. Verbal impairment was more severe in participants with aphasia, whereas non-verbal performance was more affected in participants with schizophrenia. In schizophrenia, but not in aphasia, verbal and non-verbal performance were associated. Formal thought disorder was associated with impairment in executive function and in grammatical, but not naming, tasks. Conclusion: While patients with schizophrenia and aphasia showed language impairments, the nature and cognitive basis of these impairments may be different; language performance disassociates from broader cognitive functioning in aphasia but may be an intrinsic expression of a broader cognitive impairment in schizophrenia. Thought disorder may represent a core malfunction of grammatical processing. Results suggests that communicative ability may be a valid target in cognitive remediation strategies in schizophrenia. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: To determine the relationship between language abnormalities and broader cognitive impairment and thought disorder by examining language and cognition in schizophrenia and aphasia (a primary language disorder). Methods: Cognitive and linguistic profiles were measured with a battery of standardised tests, and compared in a clinical population of n = 50 (n = 30 with schizophrenia and n = 20 with aphasia) and n = 61 non-clinical comparisons (n = 45 healthy controls and n = 16 non-affected first-degree relatives of patients with schizophrenia). Results: Both clinical groups showed linguistic deficits. Verbal impairment was more severe in participants with aphasia, whereas non-verbal performance was more affected in participants with schizophrenia. In schizophrenia, but not in aphasia, verbal and non-verbal performance were associated. Formal thought disorder was associated with impairment in executive function and in grammatical, but not naming, tasks. Conclusion: While patients with schizophrenia and aphasia showed language impairments, the nature and cognitive basis of these impairments may be different; language performance disassociates from broader cognitive functioning in aphasia but may be an intrinsic expression of a broader cognitive impairment in schizophrenia. Thought disorder may represent a core malfunction of grammatical processing. Results suggests that communicative ability may be a valid target in cognitive remediation strategies in schizophrenia. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 13546805 |
| DOI: | 10.1080/13546805.2019.1668758 |
