Cognitive impairments and disordered speech in schizophrenia: Thought disorder, disorganization, and communication failure perspectives
Cognitive impairments and disordered speech in schizophrenia: Thought disorder, disorganization, and communication failure perspectives
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DOI：
10.1037/0021-843x.114.2.269
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发表时间：
2005-05-01
影响因子：
4.6
通讯作者：
Docherty, NA
中科院分区：
文献类型：
--
作者：
Docherty, NA
这篇文章假定，精神分裂症的基本认知障碍与言语障碍（以沟通失败衡量）的关系比与言语障碍（以思维障碍或混乱衡量）的关系更密切。作者测试了47名精神分裂症患者和36名对照参与者的持续注意力，排序和概念排序能力。他们的语言也被评为沟通失败，思维障碍和概念混乱。注意力和排序障碍，分层检查，解释了大量的38%的方差在言语障碍的沟通措施，但很少的方差在正式的思维障碍或概念混乱。作者的结论是：（a）注意力和排序能力的损害在很大程度上有助于精神分裂症的沟通失败，（B）重要的是要考虑到较低水平的认知“第三变量”时，检查较高水平的认知联想的言语障碍。
This article posits that basic cognitive impairments in schizophrenia are more highly related to speech disorder measured as communication failures than speech disorder measured as thought disorder or disorganization. The author tested 47 schizophrenia patients and 36 control participants for sustained attention, sequencing, and conceptual sequencing ability. Their speech was also rated for communication failures, thought disorder, and conceptual disorganization. Attention and sequencing impairments, examined hierarchically, explained a substantial 38% of the variance in the communication measure of speech disorder but little of the variance in formal thought disorder or conceptual disorganization. The author concludes that (a) impairments in attention and sequencing abilities contribute substantially to schizophrenic communication failures, and (b) it is important to consider lower level cognitive "3rd variables" when examining higher level cognitive associates of speech disorder.