A word is worth a thousand pictures: A 20-year comparative analysis of aberrant abstraction in schizophrenia, affective psychosis, and non-psychotic depression.
A word is worth a thousand pictures: A 20-year comparative analysis of aberrant abstraction in schizophrenia, affective psychosis, and non-psychotic depression.
复制标题
一句话胜过一千张图片：精神分裂症、情感性精神病和非精神病性抑郁症中异常抽象的20年比较分析。
DOI：
10.1016/j.schres.2021.09.005
复制
发表时间：
2021-12
影响因子：
4.5
通讯作者：
Harrow H
中科院分区：
文献类型：
--
作者：
Rosen C;Harrow M;Tong L;Jobe TH;Harrow H
抽象思维是一种认知过程，涉及从分散的感官输入中减少的概念的同化，组织，并以超越明显的方式解释。有多个方面的抽象是衡量，包括语义，视觉空间和社会理解。本研究在352名被诊断为精神分裂症谱系、情感性精神病和单相非精神病性抑郁症的参与者中，检查了20年来对语义谚语和异常抽象（语义、视觉空间和社会理解的综合评分）的抽象和具体反应的患病率和过程。我们利用线性模型、双向方差分析和对比来比较各组和随时间的变化。使用广义估计方程（GEE）的线性模型来确定关联。我们的研究结果表明，无论诊断，语义谚语的解释改善随着时间的推移。与情感性精神病和无精神病的单极抑郁症相比，精神分裂症患者对谚语的反应更具体。我们还表明，具体化的基本结构包括增加的概念过度包容指数住院和特质协会在后续行动，而抽象思维加班包括增加视觉空间抽象指数和丰富的协会增加社会理解分数在后续行动。无论诊断、病前功能、描述性特征和智商，都与异常抽象无关。幻觉与异常抽象分数高度正相关，而幻觉与该分数轻度正相关。最后，我们的数据点的重要性，检查“既定”结构的基础互连结构相对于混合方法，以提供一个丰富的内部世界的描述，可能并不总是映射到当前的定量措施。
Abstract thinking is a cognitive process that involves the assimilation of concepts reduced from diffuse sensory input, organized, and interpreted in a manner beyond the obvious. There are multiple facets by which abstraction is measured that include semantic, visual-spatial and social comprehension. This study examined the prevalence and course of abstract and concrete responses to semantic proverbs and aberrant abstraction (composite score of semantic, visual-spatial, and social comprehension) over 20 years in 352 participants diagnosed with schizophrenia spectrum, affective psychosis, and unipolar non-psychotic depression. We utilized linear models, two-way ANOVA and contrasts to compare groups and change over time. Linear models with Generalized Estimation Equation (GEE) to determine association. Our findings show that regardless of diagnosis, semantic proverb interpretation improves over time. Participants with schizophrenia give more concrete responses to proverbs when compared to affective psychosis and unipolar depressed without psychosis. We also show that the underlying structure of concretism encompasses increased conceptual overinclusion at index hospitalization and idiosyncratic associations at follow-up; whereas, abstract thinking overtime encompasses increased visual-spatial abstraction at index and rich associations with increased social comprehension scores at follow-up. Regardless of diagnosis, premorbid functioning, descriptive characteristics, and IQ, were not associated with aberrant abstraction. Delusions are highly and positively related to aberrant abstraction scores, while hallucinations are mildly and positively related to this score. Lastly, our data point to the importance of examining the underlying interconnected structures of ‘established’ constructs vis-a-vis mixed methods to provide a description of the rich interior world that may not always map onto current quantitative measures.
登录
查看更多内容
DOI：
10.1192/bjp.85.358.1012
发表时间：
1939-09-01
期刊：
JOURNAL OF MENTAL SCIENCE
影响因子：
--
作者：
Cameron, Norman
通讯作者：
Cameron, Norman
影响因子：
17.7
作者：
Goldstein, K
通讯作者：
Goldstein, K
DOI：
10.1016/b978-0-12-385527-5.00008-5
发表时间：
2011-01-01
期刊：
PSYCHOLOGY OF LEARNING AND MOTIVATION: ADVANCES IN RESEARCH AND THEORY, VOL 54
影响因子：
--
作者：
Estes, Zachary;Golonka, Sabrina;Jones, Lara L.
通讯作者：
Jones, Lara L.
DOI：
10.1037/h0042949
发表时间：
1956-01-01
期刊：
JOURNAL OF CONSULTING PSYCHOLOGY
影响因子：
--
作者：
GORHAM, DR
通讯作者：
GORHAM, DR
影响因子：
2.3
作者：
GORHAM, DR
通讯作者：
GORHAM, DR