Protocol for the evaluation of prosody and pragmatics in people with schizophrenia

Revista de Investigación en Logopedia

Alfonso Martínez¹  Alberto Martínez-Lorca²  Manuela Martínez-Lorca³  Jose Luis Santos⁴ 

[1] Centro Crecer. Servicio de Atención Temprana (Toledo). España.;Departamento de Anatomía y Embriología Humanas. Facultad de Medicina. Universidad Complutense de Madrid.España;Departamento de Psicología. Facultad de Terapia Ocupacional, Logopedia y Enfermería. Universidad de Castilla-La Mancha. España;Psiquiatra Jefe del Área de Salud Mental. Hospital Virgen de la Luz (Cuenca). España.;

关键词: esquizofrenia;    lenguaje;    evaluación;    pragmática;    prosodia emocional;   

DOI  :  10.5209/RLOG.59892

来源: DOAJ

【 摘 要 】

Schizophrenia is characterized by a distortion of thinking, perceptions, emotions, language, self-awareness and behavior. It affects more than 21 million people worldwide and is one of the 10 most disabling diseases according to the World Health Organization, but there is little evidence of the language deficit entailed by the disease.

This is a cross-sectional and quasi-experimental study. A battery of different assessment instruments was used to evaluate pragmatics and prosody in a sample of 96 subjects, of which 48 (50%) had no mental illness (control group) and 48 (50%) had mental illness (experimental group).

According to the classification of Crow (1978), 56.7% of the subjects of the experimental group (27 subjects) showed positive symptomatology and 43.8% (21 subjects) showed negative symptoms. Different deficit patterns were observed according to the symptomatology, as well as impairment of the areas assessed in the present study (pragmatics and affective prosody). Schizophrenia entails a deficit in the analyzed areas, although there is a controversy about its origin. Concerning pragmatics, literal interpretations are to be found in both types of patients, but these are more frequent in subjects with positive symptomatology. As for prosody, the appearance of excessively high fundamental frequencies, monotony in the expression of emotions, and difficulties for the understanding of affective prosody are the most salient characteristics of all the patients in the experimental group.

【 授权许可】

Unknown