Levine J, Schild K, Kimhi R, Schreiber G
Abrabanel Mental Health Center, Tel Aviv University, Israel.
Psychopathology. 1996;29(1):7-13. doi: 10.1159/000284966.
The production of association word to stimulus words, which was found to be correlated with conceptual disorganization, as clinically measured by the Brief Psychiatric Rating Scale, was developed as a quantifiable measure of formal thought disorder. Associative word production in patients with affective psychoses (acute episodes of mania or schizoaffective disorder) was found to be higher in a statistically significant manner than in patients with acute episode of paranoid schizophrenia. The production of associative words in the two groups of acutely psychotic patients was significantly higher than in normal subjects, unipolar depressed, or residual schizophrenic patients. These quantitative differences reflected qualitative differences in the pattern of the production of word associations. Indeed, while patients with paranoid schizophrenia showed a sinusoidal-like type of oscillation in associative word production, patients with affective psychoses were characterized by exponential-like phases in associative word production. Associative word production may thus serve as a simple quantitative test for differentiating formal thought disorder in acute psychoses between patients with mania and patients with schizophrenia.
对刺激词产生联想词,被发现与概念紊乱相关,如通过简明精神病评定量表临床测量的那样,它被开发为形式思维障碍的一种可量化测量方法。情感性精神病患者(躁狂急性发作或分裂情感性障碍)的联想词产生在统计学上显著高于偏执型精神分裂症急性发作患者。两组急性精神病患者的联想词产生显著高于正常受试者、单相抑郁症患者或残留型精神分裂症患者。这些数量差异反映了词联想产生模式的质量差异。确实,虽然偏执型精神分裂症患者在联想词产生上表现出类似正弦波的振荡类型,但情感性精神病患者的特征是在联想词产生上有类似指数的阶段。因此,联想词产生可作为一种简单的定量测试,用于区分躁狂患者和精神分裂症患者急性精神病中的形式思维障碍。