Preview

SibScript

Advanced search

Written Narrative in Patients with Different Mental Disorders

https://doi.org/10.21603/sibscript-2024-26-5-739-747

Abstract

Language disorders are criteria of psychopathology diagnostics listed both in the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) and the Diagnostic and Statistic Manual of Mental Disorders (DSM). However, structure and grammar remain understudied in this aspect, which makes structural analysis a relevant research topic. A structural analysis of written narrative may objectivize particular language disorders, thus facilitating psychodiagnostics of different mental disorders. The research objective was to describe the structural features of written narratives obtained from 127 patients with schizophrenic, bipolar, and personality disorders. The narratives were subjected to structural and statistical analyses. Schizophrenic narratives demonstrated a poor vocabulary, a low volume, and a high degree of formality with a passive narrator. Bipolar texts tended to be long, detailed, egocentric, and active, with multiple participles. Patients with personality disorders emotionally relived their memories, producing reflective written narratives with a lot of actors. The final list of written speech indicators to be used to distinguish between schizophrenic, bipolar, and personality disorders included such variables as text volume, verb tense, non-finite verb forms, first-person singular pronoun, number of actors, passive / active narrator, and laconic / detailed narration.

About the Authors

Elina M. Smerchinskaya
Pavlov First Saint Petersburg State Medical University
Russian Federation

St. Petersburg



Ilya A. Tregubenko
Pavlov First Saint Petersburg State Medical University
Russian Federation

Scopus Author ID: 57216736201

St. Petersburg



Elena R. Isaeva
Pavlov First Saint Petersburg State Medical University
Russian Federation

Scopus Author ID: 57188750491

St. Petersburg



References

1. Akhmetzyanova E. M., Tregubenko I. A. Psycho­linguistics analysis of schizophrenia spectrum disorders patients’ writing and oral speech (on the example of the autobiographical texts). The Scientific Notes of Pavlov University, 2021, 28(2): 38–44. (In Russ.) https://doi.org/10.24884/1607-4181-2021-28-2-38-44

2. Dorofeikova M. V., Petrova N. N. Cognitive dysfunction in schizophrenia and its treatment. Sovremennaa Terapia Psihiceskih Rasstrojstv, 2015, (1): 2–9. (In Russ.) https://elibrary.ru/trpowr

3. Enikolopov S. N., Medvedeva T. I., Vorontsova O. Y., Chudova N. V., Kuznetsova J. M., Penkina M. Y., Minin A. N., Stankevich M A., Smirnov I. V., Lubavskaya A. A. Linguistic characteristics of texts of mentally ill and healthy people. Psychological Studies, 2018, 11(61). (In Russ.) https://doi.org/10.54359/ps.v11i61.258

4. Zhuravlev I. V. Psychological-linguistical analysis of the subject organization. Psikhologicheskii Zhurnal, 2004, (4): 66–74. (In Russ.) https://elibrary.ru/oxhxfr

5. Zislin I., Reznikov E. To the question of motive, content and plot of delusion. Part 1. Nevrologicheskij Vestnik, 2017, 49(3): 85–91. (In Russ.) https://elibrary.ru/zjactj

6. Karyakina M. V., Sidorova M. Yu., Shmukler A. B. Speech disorders in schizophrenia patients. Sotsial’naya i klinicheskaya psikhiatriya, 2017, 27(4): 93–100. (In Russ.) https://elibrary.ru/zwzxop

7. Mikirtumov B. E. Lexis of psychopathology. St. Petersburg: Rech, 2004, 200. (In Russ.) https://elibrary.ru/rqdbmz

8. Pashkovsky V. E., Piotrovskaya V. R., Piotrovsky R. G. Psychiatric linguistics. 2nd ed. Moskow: LIBROKOM, 2009, 161. (In Russ.) https://elibrary.ru/zdjbor

9. Ruzhenkov V. A., Minakova Yu. S. Differential approaches to psychosocial treatment and rehabilitation of schizophrenic found legally incompetent by court. Nauchnye vedomosti Belgorodskogo gosudarstvennogo universiteta. Seriia: Meditsina. Farmatsiia, 2013, (25): 37–44. (In Russ.) https://elibrary.ru/sihehf

10. Sluchevskiy F. I. Selected works: Articles published in 1964–1993. St. Petersburg: Sodruzhestvo, 2011, 414. (In Russ.)

11. Kholmogorova A. B., Garanyan N. G., Dolnikova A. A., Shmukler A. B. Cognitive and social skills training program (CSST) for patients with schizophrenia. Sotsial’naya i klinicheskaya psikhiatriya, 2007, 17(4): 67–77. (In Russ.) https://elibrary.ru/nyyvyp

12. Alptekin K., Yalincetin B., Bora E., Berna A. Formal thought disorder in schizophrenia and bipolar disorder: A systematic review and meta-analysis. European Psychiatry, 2017, 41(S1): S185–S185. https://doi.org/10.1016/j.eurpsy.2017.01.2102

13. Bennouna-Greene M., Berna F., Conway M. A., Rathbone C. J., Vidailhet P., Danion J.-M. Self-images and related autobiographical memories in schizophrenia. Consciousness and Cognition, 2012, 21(1): 247–257. https://doi.org/10.1016/j.concog.2011.10.006

14. Berna F., Potheegadoo J., Allé M. C., Coutelle R., Danion J.-M. Les troubles de la mémoire autobiographique et du self dans la schizophrénie. l’Encéphale, 2017, 43(1): 47–54. https://doi.org/10.1016/j.encep.2016.04.003

15. Berna F., Potheegadoo J., Aouadi I., Ricarte J. J., Allé M. C., Coutelle R., Boyer L., Cuervo-Lombard C. V., Danion J.-M. Meta-analysis of autobiographical memory studies in schizophrenia spectrum disorder. Schizophrenia Bulletin, 2016, 42(1): 56–66. https://doi.org/10.1093/schbul/sbv099

16. Chaika E. O. Understanding psychotic speech: Beyond Freud and Chomsky. Springfield, IL: Charles C. Thomas, 1990, 339.

17. Condray R., Steinhauer S. R., van Kammen D. P., Kasparek A. The language system in schizophrenia: Effects of capacity and linguistic structure. Schizophrenia Bulletin, 2002, 28(3): 475–490. https://doi.org/10.1093/oxfordjournals.schbul.a006955

18. Crow T. J. Nuclear schizophrenic symptoms as a window on the relationship between thought and speech. The British Journal of Psychiatry, 1998, 173(4): 303–309. https://doi.org/10.1192/bjp.173.4.303

19. de Boer J. N., Brederoo S. G., Voppel A. E., Sommer I. E. C. Anomalies in language as a biomarker for schizophrenia. Current opinion in psychiatry, 2020a, 33(3): 212–218. https://doi.org/10.1097/yco.0000000000000595

20. de Boer J. N., van Hoogdalem M., Mandl R. C. W., Brummelman J., Voppel A. E., Begemann M. J. H., van Dellen E., Wijnen F. N. K., Sommer I. E. C. Language in schizophrenia: Relation with diagnosis, symptomatology and white matter tracts. NPJ Schizophrenia, 2020b, 6. https://doi.org/10.1038/s41537-020-0099-3

21. de Boer J., Voppel A. E., Brederoo S. G., Schnack H. G., Truong K. P., Wijnen F. N. K., Sommer I. E. C. Acoustic speech markers for schizophrenia-spectrum disorders: A diagnostic and symptom-recognition tool. Psychological Medicine, 2023, 53(4): 1302–1312. https://doi.org/10.1017/S0033291721002804

22. Dimaggio G., Salvatore G., Popolo R., Lysaker P. H. Autobiographical memory and mentalizing impairment in personality disorders and schizophrenia: Clinical and research implications. Frontiers in Psychology, 2012, 3. https://doi.org/10.3389/fpsyg.2012.00529

23. Dusi L., Lucarini V., Cangemi F., Lucchese J., Giustozzi F., Magnani F., Marchesi C., Vogeley K., Grice M., Tonna M. Language and turn-taking in schizophrenia spectrum disorders. European Psychiatry, 2022, 65(S1): S763–S764. https://doi.org/10.1192/j.eurpsy.2022.1971

24. Hartopo D., Kalalo R. T. Language disorder as a marker for schizophrenia. Asia-Pacific Psychiatry, 2022, 14(3). https://doi.org/10.1111/appy.12485

25. Hinzen W. The linguistics of schizophrenia: Thought disturbance as language pathology across positive symptoms. Frontiers in Psychology, 2015, 6. https://doi.org/10.3389/fpsyg.2015.00971

26. Hirano S., Spencer K. M., Onitsuka T., Hirano Y. Language-related neurophysiological deficits in schizophrenia. Clinical EEG and Neuroscience, 2020, 51(4): 222–233. https://doi.org/10.1177/1550059419886686

27. Hong K., Nenkova A., March M. E., Parker A. P., Verma R., Kohler C. G. Lexical use in emotional autobiographical narratives of persons with schizophrenia and healthy controls. Psychiatry Research, 2015, 225(1-2): 40–49. https://doi.org/10.1016/j.psychres.2014.10.002

28. Jones B., Heard H., Startup M., Swales M., Williams J. M. G., Jones R. S. P. Autobiographical memory and dissociation in borderline personality disorder. Psychological Medicine, 1999, 29(6): 1397–1404. https://doi.org/10.1017/s0033291799001208

29. Ketteler D., Theodoridou A., Ketteler S., Jäger M. High order linguistic features such as ambiguity processing as relevant diagnostic markers for schizophrenia. Schizophrenia Research and Treatment, 2012, 2012. https://doi.org/10.1155/2012/825050

30. Liddle P. F., Ngan E. T., Caissie S. L., Anderson C. M., Bates A. T., Quested D. J., White R., Weg R. Thought and Language Index: An instrument for assessing thought and language in schizophrenia. The British Journal of Psychiatry, 2002, 181: 326–330. https://doi.org/10.1192/bjp.181.4.326

31. Lysaker J. T., Lysaker P. H. Being interrupted: The self and schizophrenia. The Journal of Speculative Philosophy, 2005, 19(1): 1–21. https://doi.org/10.1353/jsp.2005.0001

32. Marggraf M. P., Lysaker P. H., Salyers M. P., Minor K. S. The link between formal thought disorder and social functioning in schizophrenia: A meta-analysis. European Psychiatry, 2020, 63(1). https://doi.org/10.1192/j.eurpsy.2020.30

33. Marini A., Spoletini I., Rubino I. A., Ciuffa M., Bria P., Martinotti G., Banfi G., Boccascino R., Strom P., Siracusano A., Caltagirone C., Spalletta G. The language of schizophrenia: An analysis of micro and macrolinguistic abilities and their neuropsychological correlates. Schizophrenia Research, 2008, 105(1-3): 144–155. https://doi.org/10.1016/j.schres.2008.07.011

34. Moro A., Bambini V., Bosia M., Anselmetti S., Riccaboni R., Cappa S. F., Smeraldi E., Cavallaro R. Detecting syntactic and semantic anomalies in schizophrenia. Neuropsychologia, 2015, 79(Pt A): 147–157. https://doi.org/10.1016/j.neuropsychologia.2015.10.030

35. Nordgaard J., Nilsson L. S., Sæbye D., Parnas J. Self-disorders in schizophrenia-spectrum disorders: A 5-year follow-up study. European Archives of Psychiatry and Clinical Neuroscience, 2018, 268(7): 713–718. https://doi.org/10.1007/s00406-017-0837-3

36. Semenova N. D., Sizova N. The relationship between linguistic features of speech and psychological characteristics in schizophrenia spectrum disorders. European Psychiatry, 2023, 66(S1): S631–S631. https://doi.org/10.1192/j.eurpsy.2023.1313

37. Voppel A. E., de Boer J. N., Brederoo S. G., Schnack H. G., Sommer I. E. C. Quantified language connectedness in schizophrenia-spectrum disorders. Psychiatry Research, 2021, 304. https://doi.org/10.1016/j.psychres.2021.114130

38. Yalincetin B., Alptekin K., Var L., Binbay T., Akdede B. The relation of thought-language disorders in schizophrenia with remission of symptoms and psychosocial improvement. European Psychiatry, 2015, 30(S1). https://doi.org/10.1016/S0924-9338(15)31316-X

39. Zhang Y., Kuhn S. K., Jobson L., Haque S. A review of autobiographical memory studies on patients with schizophrenia spectrum disorders. BMC Psychiatry, 2019, 19. https://doi.org/10.1186/s12888-019-2346-6


Review

For citations:


Smerchinskaya E.M., Tregubenko I.A., Isaeva E.R. Written Narrative in Patients with Different Mental Disorders. SibScript. 2024;26(5):739-747. (In Russ.) https://doi.org/10.21603/sibscript-2024-26-5-739-747

Views: 323


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2949-2122 (Print)
ISSN 2949-2092 (Online)