Izlaganje sa skupa
naklada - Zagreb, Croatia USE OF THE COMMUNICATION CHECKLIST - SELF REPORT (CC-SR) IN SCHIZOPHRENIA: LANGUAGE IMPAIRMENTS CORRELATE WITH POOR PREMORBID SOCIAL ADJUSTMENT
Daria Smirnova
orcid.org/0000-0002-9591-4918
; Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, Australia; Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia
Svetlana Zhukova
; Department of Psychiatry, Narcology and Psychology, Ivanovo State Medical Academy, Ivanovo, Russia
Olga Izmailova
; Samara District Clinical Psychiatric Hospital, Samara, Russia
Ilya Fedotov
; Department of Psychiatry, Ryazan State Medical University n.a. academician I.P. Pavlov, Ryazan, Russia
Yurii Osadshiy
; Department of Psychiatry, Narcology and Medical Psychology, Rostov State Medical University, Rostov-on-Don, Russia
Alexander Shustov
; National Medical Research Centre of Psychiatry and Narcology n.a. V.P. Serbsky, Moscow, Russia
Anna Spikina
; Psychoneurological dispensary No2, Saint Petersburg, Russia
Dmitriy Ubeikon
; Department of Psychiatry, Narcology and Psychotherapy with the course of General and Medical psychology, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University, Simferopol, Republic of Crimea, Russia
Anna Yashikhina
; Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia
Natalia Petrova
; Department of Psychiatry and Narcology, Saint Petersburg State University, Saint Petersburg, Russia
Johanna Badcock
; Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, Australia
Vera Morgan
; Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, Australia
Assen Jablensky
; Centre for Clinical Research in Neuropsychiatry, University of Western Australia, Perth, Australia
Sažetak
Background: The present study reports preliminary results from the multicentre project on the approbation of the Russian
language version of the “The Communication Checklist-Self Report” (RL-CC-SR) and its first use in schizophrenia (SZ), aiming to
evaluate the contribution of language disturbances in the pathogenesis of this heterogeneous disorder.
Subjects and methods: The study evaluated patients’ clinical state with the Diagnostic Interview for Psychoses (DIP), and assessed
language and communication disturbances (LCD) with the RL-CC-SR in all participants (213 healthy controls (HC), 83 SZ patients, 31
SZ first-degree relatives). Data from the current sample of SZ (n=50), and HC (n=213) was analysed to calculate the relationships
between LCD, social and clinical variables using descriptive statistics methods, T-test and Pearson’s correlations (SPSS-26, 2019).
Results: The quotient scores (<6) and raw scores on all three CC-SR subscales demonstrated prominent LCD in SZ: (i) language
structure (LS) (SZ:11.92±8.01, HC:7.54±5.91; <0.001), (ii) pragmatic skills (PS) (SZ:11.30±10.07, HC:8.71±7.39; =0.040), (iii)
social engagement (SE) (SZ:31.94±11.76, HC:19.42±10.35; <0.001). In SZ, Pearson correlations of LS scores were significant for
the DIP-items Odd Speech (p=0.033), and Social Engagement - Blunted Affect (p=0.042). PS was related to early disease onset
(=0.027), poor premorbid work adjustment (p=0.003), along with LS (p=0.005), and was also linked to poor premorbid social
adjustment (p=0.005).
Conclusions: SZ patients are aware of their LCD at all levels of language structure, pragmatics, and nonverbal communication,
but are unable to compensate. Disturbances of LS and PS in SZ patients relate to their poor social adjustment and functioning, and may prove to be associated with the primary negative symptoms domain of the disorder and its generally poor outcome.
Ključne riječi
communication; language disorder; self report; social functioning; schizophrenia
Hrčak ID:
262497
URI
Datum izdavanja:
24.3.2020.
Posjeta: 324 *