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精神分裂症中反讽的理解与半球加工

Comprehension and Hemispheric Processing of Irony in Schizophrenia.

作者信息

Saban-Bezalel Ronit, Mashal Nira

机构信息

The School of Education, Bar Ilan UniversityRamat Gan, Israel.

Gonda Multidisciplinary Brain Research Center, Bar Ilan UniversityRamat Gan, Israel.

出版信息

Front Psychol. 2017 Jun 13;8:943. doi: 10.3389/fpsyg.2017.00943. eCollection 2017.

DOI:10.3389/fpsyg.2017.00943
PMID:28659841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5468428/
Abstract

Studies focusing on the comprehension of figurative language among schizophrenia patients (SZ) reveal their difficulties comprehending such language and their tendency to interpret it literally. The present study investigated hemispheric processing and comprehension of irony in 16 SZ patients and 18 typically developing (TD) adults. Two experimental tasks were used: an online divided visual field experiment and an offline irony questionnaire. The results show an atypical reversal of hemispheric processing of irony in SZ patients as compared to TD adults. While the TD group demonstrated a right hemisphere advantage in processing irony, SZ patients demonstrated a left hemisphere advantage. Greater comprehension of irony was associated with decreased negative symptoms. In addition, under conditions that not involving a time restriction, the SZ patients' performance improved. Our findings reinforce those of previous studies suggesting that brain lateralization is atypical in SZ patients.

摘要

针对精神分裂症患者(SZ)对比喻性语言理解的研究表明,他们在理解此类语言时存在困难,且倾向于从字面意义进行解读。本研究调查了16名精神分裂症患者和18名发育正常(TD)成年人对反讽的半球加工和理解情况。使用了两项实验任务:一项在线视野分割实验和一份离线反讽问卷。结果显示,与发育正常的成年人相比,精神分裂症患者对反讽的半球加工出现了非典型的反转。虽然发育正常组在加工反讽时表现出右半球优势,但精神分裂症患者表现出左半球优势。对反讽的更好理解与阴性症状的减轻相关。此外,在不涉及时间限制的条件下,精神分裂症患者的表现有所改善。我们的研究结果强化了先前研究的发现,表明精神分裂症患者的大脑半球功能偏侧化是不典型的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e380/5468428/0f17c1979101/fpsyg-08-00943-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e380/5468428/bc3a5680558f/fpsyg-08-00943-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e380/5468428/0f17c1979101/fpsyg-08-00943-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e380/5468428/bc3a5680558f/fpsyg-08-00943-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e380/5468428/0f17c1979101/fpsyg-08-00943-g002.jpg

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本文引用的文献

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Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study.精神分裂症的认知语用康复计划:一项单病例功能磁共振成像研究。
Neural Plast. 2017;2017:1612078. doi: 10.1155/2017/1612078. Epub 2017 Jan 23.
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The communicative impairment as a core feature of schizophrenia: Frequency of pragmatic deficit, cognitive substrates, and relation with quality of life.作为精神分裂症核心特征的交流障碍:语用缺陷的频率、认知基础及其与生活质量的关系。
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Communicative-Pragmatic Treatment in Schizophrenia: A Pilot Study.
A New Test for Irony Detection: The Influence of Schizotypal, Borderline, and Autistic Personality Traits.
一种用于反讽检测的新测试:分裂型、边缘型和自闭症人格特质的影响。
Front Psychiatry. 2019 Feb 14;10:28. doi: 10.3389/fpsyt.2019.00028. eCollection 2019.
4
Altered Neural Activity during Irony Comprehension in Unaffected First-Degree Relatives of Schizophrenia Patients-An fMRI Study.精神分裂症患者未受影响的一级亲属在反讽理解过程中的神经活动改变——一项功能磁共振成像研究
Front Psychol. 2018 Jan 9;8:2309. doi: 10.3389/fpsyg.2017.02309. eCollection 2017.
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Pragmatic Ability Deficit in Schizophrenia and Associated Theory of Mind and Executive Function.精神分裂症中的语用能力缺陷及相关的心理理论与执行功能
Front Psychol. 2017 Dec 11;8:2164. doi: 10.3389/fpsyg.2017.02164. eCollection 2017.
精神分裂症的交际-语用治疗:一项初步研究。
Front Psychol. 2016 Feb 23;7:166. doi: 10.3389/fpsyg.2016.00166. eCollection 2016.
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The effects of intervention on the comprehension of irony and on hemispheric processing of irony in adults with ASD.干预对患有自闭症谱系障碍(ASD)的成年人理解反讽以及反讽的半球加工的影响。
Neuropsychologia. 2015 Oct;77:233-41. doi: 10.1016/j.neuropsychologia.2015.09.004. Epub 2015 Sep 7.
5
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