Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Personal Narratives Examined in Schizophrenia

Schizophr Res; ePub 2017 Nov 16; Willits, et al

Recent findings suggest a particular pattern in persons with schizophrenia of difficulty with cohesively connecting thoughts about oneself and the world, which results in a perceived lack of coherence. These results are consistent with Bleuler's model of schizophrenia and offer a novel way to understand and measure alterations in thought and speech over time. In order to explore this question, researchers compared the personal narratives of adults with schizophrenia (n=200) to those produced by an HIV+ sample (n=55). They found:

  • Consistent with predictions, the narratives in schizophrenia exhibited less cohesion even after controlling for age and education.
  • Specifically, the schizophrenia group spoke fewer words, demonstrated less connection between ideas and clauses, provided fewer causal/intentional markers, and displayed lower levels of deep cohesion.
  • A classification model using only Coh-Metrix indices found language markers correctly classified participants in nearly three-fourths of cases.

Citation:

Willits JA, Rubin T, Jones MN, Minor KS, Lysaker PH. Evidence of disturbances of deep levels of semantic cohesion within personal narratives in schizophrenia. [Published online ahead of print November 16, 2017]. Schizophr Res. doi:10.1016/j.schres.2017.11.014.

This Week's Must Reads

Early Intervention Backed for Early-phase Psychosis, JAMA Psychiatry; ePub 2018 May 2; Correll, et al

Cultural Disparities Among Social Support Seekers, Psychiatry Res; ePub 2018 May 6; Herbert, et al

Caffeine May Promote Early Use of Other Substances, Addiction; ePub 2018 Apr 30; Krisjansson, et al

Relationship Between Schizotypal Traits, Hoarding , J Affect Disord; ePub 2018 May 4; Weintraub, et al

Defining Sexual Wellness in Mid- and Later Life, J Sex Res; ePub 2018 Apr 18; Syme, Cohn, et al

Must Reads in Schizophrenia & Other Psychotic Disorders

Early Intervention Backed for Early-phase Psychosis, JAMA Psychiatry; ePub 2018 May 2; Correll, et al

Relationship Between Schizotypal Traits, Hoarding , J Affect Disord; ePub 2018 May 4; Weintraub, et al

Schizotypes and Social Cognition Task Performance , Psychiatry Res; ePub 2018 Apr 4; Pflum, Gooding

Paranoid Beliefs in Response to Past Victimization, Schizophr Res; ePub 2018 Mar 8; Jun, Nam, et al

Serious Mental Illness Linked with Violent Behavior, J Interpers Violence; ePub 2018 Mar 13; Roche, et al