Skip to main content
×
Home
    • Aa
    • Aa

Evaluation sensitivity as a moderator of communication disorder in schizophrenia

  • P. M. Grant (a1) and A. T. Beck (a1)
Abstract
Background

Communication disturbance (thought disorder) is a central feature of schizophrenia that predicts poor functioning. We investigated the hypothesis that memory and attention deficits interact with beliefs about the gravity of being rejected (i.e. evaluation sensitivity) to produce the symptoms of communication disorder.

Method

Seventy-four individuals diagnosed with schizophrenia or schizo-affective disorder completed a battery of tests assessing neurocognition (attention, working and verbal memory, abstraction), symptomatology (positive, negative and affective), functioning, and dysfunctional beliefs.

Results

Patients with communication deviance (n=33) performed more poorly on the neurocognitive tests and reported a greater degree of sensitivity to rejection than patients with no thought disorder (n=41). In a logistic regression analysis, evaluation sensitivity moderated the relationship between cognitive impairment and the presence of communication disorder. This finding was independent of hallucinations, delusions, negative symptoms, depression and anxiety.

Conclusions

We propose that negative appraisals about acceptance instigate communication anomalies in individuals with a pre-existing diathesis for imperfect speech production.

Copyright
Corresponding author
*Address for correspondence: P. M. Grant, Ph.D., Room 2032, 3535 Market Street, Philadelphia, PA 19104-3309, USA. (Email: pgrant@mail.med.upenn.edu)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

NC Andreasen , S Arndt , R Alliger , D Miller , M Flaum (1995). Symptoms of schizophrenia. Methods, meanings and mechanisms. Archives of General Psychiatry 52, 341351.

AT Beck , RA Steer , GK Brown , A Weissman (1991). Factor analysis of the Dysfunctional Attitude Scale in a clinical population. Psychological Assessment 3, 478483.

NM Docherty (2005). Cognitive impairments and disordered speech in schizophrenia: thought disorder, disorganization, and communication failure perspectives. Journal of Abnormal Psychology 114, 269278.

NM Docherty , IM Evans , WH Sledge , JP Seibyl , JH Krystal (1994). Affective reactivity of language in schizophrenia. Journal of Nervous and Mental Disease 182, 98102.

NM Docherty , SW Gordinier , MJ Hall , LP Cutting (1999). Communication disturbances in relatives beyond the age of risk for schizophrenia and their associations with symptoms in patients. Schizophrenia Bulletin 25, 851862.

NM Docherty , MJ Hall , SW Gordinier (1998). Affective reactivity of speech in schizophrenia patients and their nonschizophrenic relatives. Journal of Abnormal Psychology 107, 461467.

DC Glahn , TD Cannon , RE Gur , JD Ragland , RC Gur (2000). Working memory constrains abstraction in schizophrenia. Biological Psychiatry 47, 3442.

RE Gur , VL Nimgaonkar , L Almsay , ME Calkins , JD Ragland , MF Pogue-Geile , S Kanes , J Blangero , RC Gur (2007). Neurocognitive endophenotypes in a multiplex multigenerational family study of schizophrenia. American Journal of Psychiatry 164, 813819.

M Harrow , J Marengo , C McDonald (1986). The early course of schizophrenic thought disorder. Schizophrenia Bulletin 12, 208224.

J Jaccard (2001). Interaction Effects in Logistic Regression. Sage Publications: London.

J Kerns , H Berenbaum (2003). The relationship between formal thought disorder and executive functioning component processes. Journal of Abnormal Psychology 112, 339352.

JG Kerns (2007 b). Verbal communication impairments and cognitive control components in people with schizophrenia. Journal of Abnormal Psychology 116, 279289.

JG Kerns , H Berenbaum (2002). Cognitive impairments associated with formal thought disorder in people with schizophrenia. Journal of Abnormal Psychology 111, 211224.

PF Liddle (1987). The symptoms of chronic schizophrenia: a re-examination of the positive–negative dichotomy. British Journal of Psychiatry 151, 145151.

JIJ Nurnberger , MC Blehar , CA Kaufmann , C York-Cooler , SG Simpson , J Harkavy-Friedman , JB Severe , D Malaspina , T Reich (1994). Diagnostic interview for genetic studies: rationale, unique features, and training: NIMH Genetics Initiative. Archives of General Psychiatry 51, 849859; discussion 863–864.

WA Phillips , SM Silverstein (2003). Convergence of biological and psychological perspectives on cognitive coordination in schizophrenia. Behavioral and Brain Sciences 26, 6582; discussion 82–137.

NA Rector (2004). Dysfunctional attitudes and symptom expression in schizophrenia: differential associations with paranoid delusions and negative symptoms. Journal of Cognitive Psychotherapy: An International Quarterly 18, 163173.

A Shimkunas (1972). Demand for intimate self-disclosure and pathological verbalizations in schizophrenia. Journal of Abnormal Psychology 80, 197205.

JS Strauss , WT Carpenter (1974). The prediction of outcome in schizophrenia II: Relationships between prediction and outcome variables. Archives of General Psychiatry 31, 3742.

D Titone , DL Levy (2004). Lexical competition and spoken word identification in schizophrenia. Schizophrenia Research 68, 7585.

D Titone , M Libben , M Niman , L Ranbom , DL Levy (2007). Conceptual combination in schizophrenia: contrasting property and relational interpretations. Journal of Neurolinguistics 20, 92110.

PJ Uhlhaas , SM Silverstein , WA Phillips , PG Lovell (2004). Evidence for impaired visual context processing in schizotypy with thought disorder. Schizophrenia Research 68, 249260.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 1
Total number of PDF views: 9 *
Loading metrics...

Abstract views

Total abstract views: 61 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 23rd March 2017. This data will be updated every 24 hours.