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精神分裂症中的言语流畅性、语义、语境及症状复合体

Verbal fluency, semantics, context and symptom complexes in schizophrenia.

作者信息

Vogel Adam P, Chenery Helen J, Dart Catriona M, Doan Binh, Tan Mildred, Copland David A

机构信息

Centre for Neuroscience, University of Melbourne, 7/21 Victoria Street, Melbourne, VIC, 3000, Australia.

出版信息

J Psycholinguist Res. 2009 Oct;38(5):459-73. doi: 10.1007/s10936-009-9100-z. Epub 2009 Mar 4.

DOI:10.1007/s10936-009-9100-z
PMID:19259818
Abstract

Lexical-semantic access and retrieval was examined in 15 adults diagnosed with schizophrenia and matched controls. This study extends the literature through the inclusion of multiple examinations of lexical-semantic production within the same patient group and through correlating performance on these tasks with various positive and negative clinical symptoms. On tasks of verbal fluency, meaning generation, sentence production using contextual information and confrontation naming, participants with schizophrenia made significantly more semantic errors on naming tasks; produced fewer meanings for homophones; produced fewer items on semantic, phonological, cued and switching fluency tasks; and produced more errors on sentence production tasks when compared to healthy controls. Significant correlations were also observed between ratings of psychomotor poverty and measures of semantic production and mental inflexibility. This study has provided additional evidence for deficits in lexical-semantic retrieval which are not due to underlying semantic store degradation, do not involve phonological based retrieval, and at the level of sentence generation appear to vary as a function of the contextual constraints provided.

摘要

对15名被诊断为精神分裂症的成年人及匹配的对照组进行了词汇语义通达与提取的研究。本研究通过在同一患者组内进行多次词汇语义生成检查,并将这些任务的表现与各种阳性和阴性临床症状相关联,从而扩展了相关文献。在言语流畅性、意义生成、利用上下文信息进行句子生成和对质命名任务中,与健康对照组相比,精神分裂症患者在命名任务中出现的语义错误显著更多;对同音词生成的意义更少;在语义、语音、线索和转换流畅性任务中生成的项目更少;在句子生成任务中出现的错误更多。还观察到精神运动迟缓评分与语义生成测量和思维灵活性之间存在显著相关性。本研究为词汇语义提取缺陷提供了更多证据,这些缺陷并非由于潜在语义存储退化所致,不涉及基于语音的提取,并且在句子生成层面似乎会根据所提供的上下文限制而有所不同。

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本文引用的文献

1
Cognitive correlates of schizophrenia signs and symptoms: I. Verbal communication disturbances.精神分裂症体征和症状的认知关联:I. 言语交流障碍
Psychiatry Res. 2008 May 30;159(1-2):147-56. doi: 10.1016/j.psychres.2007.08.016. Epub 2008 Apr 18.
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Effect of retrieval effort and switching demand on fMRI activation during semantic word generation in schizophrenia.精神分裂症患者语义词生成过程中检索努力和转换需求对功能磁共振成像激活的影响。
Schizophr Res. 2008 Feb;99(1-3):312-23. doi: 10.1016/j.schres.2007.11.017. Epub 2007 Dec 26.
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Increased positive thought disorder with illness duration in patients with schizophrenia.
在单词、句子和故事层面模拟听觉言语幻觉对语言产生的影响。
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Evaluating lexical characteristics of verbal fluency output in schizophrenia.评估精神分裂症患者言语流畅性输出的词汇特征。
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精神分裂症患者的积极思维障碍随病程延长而增加。
Psychiatry Clin Neurosci. 2007 Dec;61(6):687-90. doi: 10.1111/j.1440-1819.2007.01730.x.
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How does the homophone meaning generation test associate with the phonemic and semantic fluency tests? A quantitative and qualitative analysis.同音词意义生成测试与音素流畅性测试和语义流畅性测试是如何关联的?一项定量与定性分析。
J Int Neuropsychol Soc. 2007 May;13(3):424-32. doi: 10.1017/S1355617707070622.
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Semantic associations, lateralized frontal function, and context maintenance in schizotypy.精神分裂症样人格中的语义联想、额叶功能偏侧化与情境维持
Neuropsychologia. 2007 Mar 2;45(4):663-72. doi: 10.1016/j.neuropsychologia.2006.07.017. Epub 2006 Oct 2.
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Formal thought disorder is characterised by impaired lexical access.形式思维障碍的特征是词汇通达受损。
Schizophr Res. 2006 Dec;88(1-3):161-8. doi: 10.1016/j.schres.2006.07.005. Epub 2006 Aug 22.
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Executive function and the frontal lobes: a meta-analytic review.执行功能与额叶:一项元分析综述
Neuropsychol Rev. 2006 Mar;16(1):17-42. doi: 10.1007/s11065-006-9002-x.
8
A meta-analytic review of verbal fluency deficits in schizophrenia relative to other neurocognitive deficits.一项关于精神分裂症言语流畅性缺陷相对于其他神经认知缺陷的荟萃分析综述。
Cogn Neuropsychiatry. 2005 Jan;10(1):1-33. doi: 10.1080/13546800344000309.
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Name relearning in elderly patients with schizophrenia: episodic and temporary, not semantic and permanent.老年精神分裂症患者的名字再认:是情景性和暂时性的,而非语义性和永久性的。
Cogn Neuropsychiatry. 2006 Jan;11(1):1-12. doi: 10.1080/13546800444000137.
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Thought disorder in schizophrenia is associated with both executive dysfunction and circumscribed impairments in semantic function.精神分裂症中的思维障碍与执行功能障碍和语义功能的局限性损伤均有关联。
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