Language and turn-taking in schizophrenia spectrum disorders

Introduction Language and conversation are deeply interrelated: language is acquired, structured, practiced in social interactions and linguistic resources (specifically syntactic, prosodic and pragmatic aspects) contribute to finely tuning turn-taking. Nevertheless, most studies focused on verbal...

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Main Authors: L. Dusi, V. Lucarini, F. Cangemi, J. Lucchese, F. Giustozzi, F. Magnani, C. Marchesi, K. Vogeley, M. Grice, M. Tonna
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382201971X/type/journal_article
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author L. Dusi
V. Lucarini
F. Cangemi
J. Lucchese
F. Giustozzi
F. Magnani
C. Marchesi
K. Vogeley
M. Grice
M. Tonna
author_facet L. Dusi
V. Lucarini
F. Cangemi
J. Lucchese
F. Giustozzi
F. Magnani
C. Marchesi
K. Vogeley
M. Grice
M. Tonna
author_sort L. Dusi
collection DOAJ
description Introduction Language and conversation are deeply interrelated: language is acquired, structured, practiced in social interactions and linguistic resources (specifically syntactic, prosodic and pragmatic aspects) contribute to finely tuning turn-taking. Nevertheless, most studies focused on verbal aspects of speech in schizophrenia, with scant attention to their relation to conversation, where language is experienced at most. Objectives The present study was aimed at investigating a possible association between language impairment and conversational characteristics in a sample of clinically stable patients diagnosed with schizophrenia (N = 35, ages 18-65). Methods A spontaneous speech sample was recorded. For the assessment of language skills, the Scale for the Assessment of Thought, Language and Communication (TLC) and the Clinical Language Disorder Rating Scale (CLANG) were used, while conversational variables were extracted with an innovative method of semi-automatic analysis. The possible associations were investigated through the Pearson Correlation. Results Figure 1 represents graphically the correlational matrix between conversational variables and linguistic scale scores. In the heatmap, blue means negative and red positive correlations, the stronger the colour, the larger the correlation magnitude. Moreover, the significant associations are indicated with stars. Conclusions The results suggest that in schizophrenia spectrum disorders the disturbances of language, at a syntactic, prosodic and pragmatic level, have significant impact on communicative interaction. Thus, conversation analysis might be a promising method to quantify objectively communicative impairment with the benefit of representing an ecological assessment, examining the performance of patients in the real situation of language use, which is social interaction. Disclosure No significant relationships.
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spelling doaj.art-4f4b20aa0d374a3f8dc553d283bb57d72023-11-17T05:08:33ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S763S76410.1192/j.eurpsy.2022.1971Language and turn-taking in schizophrenia spectrum disordersL. Dusi0V. Lucarini1F. Cangemi2J. Lucchese3F. Giustozzi4F. Magnani5C. Marchesi6K. Vogeley7M. Grice8M. Tonna9University of Parma, Psychiatry Unit, Department Of Medicine And Surgery, Medical Faculty, Parma, ItalyUniversité de Paris, Équipe Physiopathologie Des Maladies Psychiatriques, Umr 1266 Ipnp Inserm, Paris, FranceUniversity of Cologne, Ifl‑phonetics, Cologne, GermanyUniversity of Parma, Psychiatry Unit, Department Of Medicine And Surgery, Medical Faculty, Parma, ItalyUniversity of Parma, Psychiatry Unit, Department Of Medicine And Surgery, Medical Faculty, Parma, ItalyUniversity of Parma, Psychiatry Unit, Department Of Medicine And Surgery, Medical Faculty, Parma, ItalyUniversity of Parma, Psychiatry Unit, Department Of Medicine And Surgery, Medical Faculty, Parma, Italy Azienda Unità Sanitaria Locale di Parma, Department Of Mental Health, Parma, ItalyUniversity of Cologne, Department Of Psychiatry And Psychotherapy, Medical Faculty, Cologne, Germany Research Center Jülich, Cognitive Neuroscience (inm‑3), Institute Of Neuroscience And Medicine, Jülich, GermanyUniversity of Cologne, Ifl‑phonetics, Cologne, GermanyUniversity of Parma, Psychiatry Unit, Department Of Medicine And Surgery, Medical Faculty, Parma, Italy Azienda Unità Sanitaria Locale di Parma, Department Of Mental Health, Parma, Italy Introduction Language and conversation are deeply interrelated: language is acquired, structured, practiced in social interactions and linguistic resources (specifically syntactic, prosodic and pragmatic aspects) contribute to finely tuning turn-taking. Nevertheless, most studies focused on verbal aspects of speech in schizophrenia, with scant attention to their relation to conversation, where language is experienced at most. Objectives The present study was aimed at investigating a possible association between language impairment and conversational characteristics in a sample of clinically stable patients diagnosed with schizophrenia (N = 35, ages 18-65). Methods A spontaneous speech sample was recorded. For the assessment of language skills, the Scale for the Assessment of Thought, Language and Communication (TLC) and the Clinical Language Disorder Rating Scale (CLANG) were used, while conversational variables were extracted with an innovative method of semi-automatic analysis. The possible associations were investigated through the Pearson Correlation. Results Figure 1 represents graphically the correlational matrix between conversational variables and linguistic scale scores. In the heatmap, blue means negative and red positive correlations, the stronger the colour, the larger the correlation magnitude. Moreover, the significant associations are indicated with stars. Conclusions The results suggest that in schizophrenia spectrum disorders the disturbances of language, at a syntactic, prosodic and pragmatic level, have significant impact on communicative interaction. Thus, conversation analysis might be a promising method to quantify objectively communicative impairment with the benefit of representing an ecological assessment, examining the performance of patients in the real situation of language use, which is social interaction. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382201971X/type/journal_articleschizophrénialanguageConversationturn-taking
spellingShingle L. Dusi
V. Lucarini
F. Cangemi
J. Lucchese
F. Giustozzi
F. Magnani
C. Marchesi
K. Vogeley
M. Grice
M. Tonna
Language and turn-taking in schizophrenia spectrum disorders
European Psychiatry
schizophrénia
language
Conversation
turn-taking
title Language and turn-taking in schizophrenia spectrum disorders
title_full Language and turn-taking in schizophrenia spectrum disorders
title_fullStr Language and turn-taking in schizophrenia spectrum disorders
title_full_unstemmed Language and turn-taking in schizophrenia spectrum disorders
title_short Language and turn-taking in schizophrenia spectrum disorders
title_sort language and turn taking in schizophrenia spectrum disorders
topic schizophrénia
language
Conversation
turn-taking
url https://www.cambridge.org/core/product/identifier/S092493382201971X/type/journal_article
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AT fgiustozzi languageandturntakinginschizophreniaspectrumdisorders
AT fmagnani languageandturntakinginschizophreniaspectrumdisorders
AT cmarchesi languageandturntakinginschizophreniaspectrumdisorders
AT kvogeley languageandturntakinginschizophreniaspectrumdisorders
AT mgrice languageandturntakinginschizophreniaspectrumdisorders
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