Moe Aubrey M, Breitborde Nicholas J K, Bourassa Kyle J, Gallagher Colin J, Shakeel Mohammed K, Docherty Nancy M
Department of Psychiatry and Behavioral Health, The Ohio State University.
Department of Psychiatry and Behavioral Healthy, The Ohio State University.
Psychiatr Rehabil J. 2018 Jun;41(2):83-91. doi: 10.1037/prj0000286. Epub 2018 Jan 22.
Schizophrenia researchers have focused on phenomenological aspects of the disorder to better understand its underlying nature. In particular, development of personal narratives-that is, the complexity with which people form, organize, and articulate their "life stories"-has recently been investigated in individuals with schizophrenia. However, less is known about how aspects of narrative relate to indicators of neurocognitive and social functioning. The objective of the present study was to investigate the association of linguistic complexity of life-story narratives to measures of cognitive and social problem-solving abilities among people with schizophrenia.
Thirty-two individuals with a diagnosis of schizophrenia completed a research battery consisting of clinical interviews, a life-story narrative, neurocognitive testing, and a measure assessing multiple aspects of social problem solving. Narrative interviews were assessed for linguistic complexity using computerized technology.
The results indicate differential relationships of linguistic complexity and neurocognition to domains of social problem-solving skills. More specifically, although neurocognition predicted how well one could both describe and enact a solution to a social problem, linguistic complexity alone was associated with accurately recognizing that a social problem had occurred. In addition, linguistic complexity appears to be a cognitive factor that is discernible from other broader measures of neurocognition.
Linguistic complexity may be more relevant in understanding earlier steps of the social problem-solving process than more traditional, broad measures of cognition, and thus is relevant in conceptualizing treatment targets. These findings also support the relevance of developing narrative-focused psychotherapies. (PsycINFO Database Record
精神分裂症研究者一直专注于该疾病的现象学方面，以更好地理解其潜在本质。特别是，个人叙事的发展——即人们形成、组织和阐述其“人生故事”的复杂性——最近在精神分裂症患者中得到了研究。然而，关于叙事的各个方面如何与神经认知和社会功能指标相关联，我们所知甚少。本研究的目的是调查精神分裂症患者人生故事叙事的语言复杂性与认知和社会问题解决能力测量指标之间的关联。
32名被诊断为精神分裂症的个体完成了一组研究测试，包括临床访谈、人生故事叙事、神经认知测试以及一项评估社会问题解决多个方面的测量。使用计算机技术评估叙事访谈的语言复杂性。
结果表明语言复杂性和神经认知与社会问题解决技能领域之间存在不同的关系。更具体地说，虽然神经认知预测了一个人描述和实施社会问题解决方案的能力，但仅语言复杂性与准确识别社会问题的发生有关。此外，语言复杂性似乎是一种可与其他更广泛的神经认知测量指标区分开来的认知因素。
在理解社会问题解决过程的早期步骤方面，语言复杂性可能比更传统、更广泛的认知测量指标更相关，因此在确定治疗目标时具有相关性。这些发现也支持了开展以叙事为重点的心理治疗的相关性。（PsycINFO数据库记录）
