Lexical Characteristics of Emotional Narratives in Schizophrenia: Relationships With Symptoms, Functioning, and Social Cognition

Abstract Previous research has suggested that complexity of speech, speech rate, use of emotion words, and use of pronouns are all potential indicators of important clinical components of schizophrenia, but little research has examined the relationships of these disturbances to cognitive variables impaired in schizophrenia, including social cognition. The current study examined these lexical differences to better characterize the cognitive substrates of speech disturbances in schizophrenia. Brief narratives of individuals with schizophrenia (n = 42) and non-clinical controls (n = 48) were compared according to their lexical characteristics, and these were examined for relationships to social cognition and real-world functioning. Significant differences between the groups were found in words per sentence (related to functioning, but not negative symptoms) as well as pronoun use (related to attributional style and theory of mind). Additionally, lexical characteristics effectively distinguished individuals with schizophrenia from non-clinical controls. Language disturbances in schizophrenia seem related to social cognition impairments and real-world functioning, and are a robust indicator of clinical status.

[1]  Michael F. Green,et al.  Social cognition in schizophrenia , 2015, Nature Reviews Neuroscience.

[2]  R. Firmin,et al.  Lexical analysis in schizophrenia: how emotion and social word use informs our understanding of clinical presentation. , 2015, Journal of psychiatric research.

[3]  P. Lysaker,et al.  Differential lexical correlates of social cognition and metacognition in schizophrenia; a study of spontaneously-generated life narratives. , 2015, Comprehensive psychiatry.

[4]  Dennis R. Combs,et al.  A randomized, controlled trial of Social Cognition and Interaction Training (SCIT) for outpatients with schizophrenia spectrum disorders. , 2014, The British journal of clinical psychology.

[5]  D. Penn,et al.  The use of narrative sampling in the assessment of social cognition: The Narrative of Emotions Task (NET) , 2014, Psychiatry Research.

[6]  Peter W. Foltz,et al.  Latent semantic variables are associated with formal thought disorder and adaptive behavior in older inpatients with schizophrenia , 2014, Cortex.

[7]  D. Penn,et al.  Deficits in domains of social cognition in schizophrenia: a meta-analysis of the empirical evidence. , 2013, Schizophrenia bulletin.

[8]  Kai Hong,et al.  Lexical Differences in Autobiographical Narratives from Schizophrenic Patients and Healthy Controls , 2012, EMNLP.

[9]  A. Cohen,et al.  A laboratory study of affectivity in schizotypy: Subjective and lexical analysis , 2011, Psychiatry Research.

[10]  Katherine Holshausen,et al.  Disconnected and underproductive speech in schizophrenia: Unique relationships across multiple indicators of social functioning , 2011, Schizophrenia Research.

[11]  Michael F. Green,et al.  Social cognition in psychosis: Multidimensional structure, clinical correlates, and relationship with functional outcome , 2011, Schizophrenia Research.

[12]  J. Os,et al.  The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis , 2011, Neuroscience & Biobehavioral Reviews.

[13]  J. Pennebaker,et al.  The Psychological Meaning of Words: LIWC and Computerized Text Analysis Methods , 2010 .

[14]  A. Cohen,et al.  Understanding anhedonia in schizophrenia through lexical analysis of natural speech , 2009 .

[15]  Michael F. Green,et al.  Social cognition in schizophrenia: an NIMH workshop on definitions, assessment, and research opportunities. , 2008, Schizophrenia bulletin.

[16]  Peter C Gordon,et al.  How do hostile and emotionally overinvolved relatives view relationships? What relatives' pronoun use tells us. , 2008, Family process.

[17]  Philip D. Harvey,et al.  Communication abnormalities predict functional outcomes in chronic schizophrenia: Differential associations with social and adaptive functions , 2008, Schizophrenia Research.

[18]  Murray Alpert,et al.  Computerized measurement of negative symptoms in schizophrenia. , 2008, Journal of psychiatric research.

[19]  J. Gruber,et al.  Narrating emotional events in schizophrenia. , 2008, Journal of abnormal psychology.

[20]  A. Cohen,et al.  Emotion word use in the conversational speech of schizophrenia patients , 2008, Cognitive neuropsychiatry.

[21]  W. Alexander.  American psychiatric association. , 2008, P & T : a peer-reviewed journal for formulary management.

[22]  Dennis R. Combs,et al.  The Ambiguous Intentions Hostility Questionnaire (AIHQ): A new measure for evaluating hostile social-cognitive biases in paranoia , 2007, Cognitive neuropsychiatry.

[23]  David L. Roberts,et al.  The functional significance of social cognition in schizophrenia: a review. , 2006, Schizophrenia bulletin.

[24]  M. Losh,et al.  Understanding of emotional experience in autism: insights from the personal accounts of high-functioning children with autism. , 2006, Developmental psychology.

[25]  M. Covington,et al.  Schizophrenia and the structure of language: The linguist's view , 2005, Schizophrenia Research.

[26]  G. Dimaggio,et al.  Metacognition amidst narratives of self and illness in schizophrenia: associations with neurocognition, symptoms, insight and quality of life , 2005, Acta psychiatrica Scandinavica.

[27]  Hanna Zijlstra,et al.  Validiteit van de Nederlandse versie van de Linguistic Inquiry and Word Count (liwc) , 2005 .

[28]  D. Sloan,et al.  It’s All About Me: Self-Focused Attention and Depressed Mood , 2005, Cognitive Therapy and Research.

[29]  H. Mcpheeters,et al.  Statewide mental health outcome evaluation: A perspective of two southern states , 2004, Community Mental Health Journal.

[30]  A. Cohen,et al.  Stability of formal thought disorder and referential communication disturbances in schizophrenia. , 2003, Journal of abnormal psychology.

[31]  Skye McDonald,et al.  TASIT: A New Clinical Tool for Assessing Social Perception After Traumatic Brain Injury , 2003, The Journal of head trauma rehabilitation.

[32]  Kristopher J Preacher,et al.  On the practice of dichotomization of quantitative variables. , 2002, Psychological methods.

[33]  T. Patterson,et al.  Social skills performance assessment among older patients with schizophrenia , 2001, Schizophrenia Research.

[34]  R. Mccarthy,et al.  Language in schizophrenia and its relationship to formal thought disorder , 2001, Psychological Medicine.

[35]  A. Kring,et al.  Do schizophrenic patients show a disjunctive relationship among expressive, experiential, and psychophysiological components of emotion? , 1996, Journal of abnormal psychology.

[36]  C. Frith,et al.  Schizophrenia, symptomatology and social inference: Investigating “theory of mind” in people with schizophrenia , 1995, Schizophrenia Research.

[37]  D. A. Smith,et al.  Flat affect in schizophrenia does not reflect diminished subjective experience of emotion. , 1993, Journal of abnormal psychology.

[38]  J. Neale,et al.  Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance? , 1993, Journal of abnormal psychology.

[39]  Susan V. McClintic,et al.  Self-evaluation in young children. , 1992, Monographs of the Society for Research in Child Development.

[40]  G. Goodman,et al.  Testifying in criminal court: emotional effects on child sexual assault victims. , 1992, Monographs of the Society for Research in Child Development.

[41]  M. Birchwood,et al.  programmes with schizophrenic patients. new scale of social adjustment for use in family intervention The Social Functioning Scale. The development and validation of a , 2022 .

[42]  B. Bain,et al.  Thought into Speech: The psychology of a language , 1987 .

[43]  S. Kay,et al.  The positive and negative syndrome scale (PANSS) for schizophrenia. , 1987, Schizophrenia bulletin.

[44]  D. Mcnicol,et al.  Language changes in schizophrenia: a limited replication. , 1986, Schizophrenia bulletin.

[45]  Don McNicol,et al.  The Comprehension and Production of Complex Syntax in Schizophrenia , 1985, Cortex.

[46]  R. Hoffman,et al.  Message disruptions during syntactic processing in schizophrenia. , 1985, Journal of communication disorders.

[47]  T. Craig Christy,et al.  Thought into speech : the psychology of a language , 1985 .

[48]  B. Rosenbaum,et al.  Crazy talk — A study of the discourse of schizophrenic speakers☆ , 1983 .

[49]  J C Ingram,et al.  Language Analysis in Schizophrenia: Diagnostic Implications , 1982, The Australian and New Zealand journal of psychiatry.

[50]  Edward J. Clemmer,et al.  Psycholinguistic aspects of pauses and temporal patterns in schizophrenic speech , 1980, Journal of psycholinguistic research.

[51]  S. Rochester,et al.  Crazy Talk: A Study of the Discourse of Schizophrenic Speakers , 1979 .

[52]  J Deese.  Thought into speech. , 1978, American scientist.

[53]  A. Lecours,et al.  Schizophasia and jargonaphasia A comparative description with comments on Chaika's and Fromkin's respective looks at “schizophrenic” language , 1976, Brain and Language.

[54]  E. Chaika,et al.  A linguist looks at “schizophrenic” language , 1974 .

[55]  Speaking voice of the schizophrenic patient. , 1966, Archives of general psychiatry.

[56]  H. Rashkis,et al.  The psychology of schizophrenia. , 1959, A.M.A. archives of general psychiatry.

[57]  V. Pishkin,et al.  The abbreviated Wechsler adult intelligence scale in a psychiatric population. , 1958, Journal of clinical psychology.