Negative symptoms and speech pauses in youths at clinical high risk for psychosis
Aberrant pauses are characteristic of schizophrenia and are robustly associated with its negative symptoms. Here, we found that pause behavior was associated with negative symptoms in individuals at clinical high risk (CHR) for psychosis, and with measures of syntactic complexity—phrase length and u...
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| Veröffentlicht in: | NPJ schizophrenia Jg. 7; H. 1; S. 3 |
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| Abstract | Aberrant pauses are characteristic of schizophrenia and are robustly associated with its negative symptoms. Here, we found that pause behavior was associated with negative symptoms in individuals at clinical high risk (CHR) for psychosis, and with measures of syntactic complexity—phrase length and usage of determiners that introduce clauses—that we previously showed in this same CHR cohort to help comprise a classifier that predicted psychosis. These findings suggest a common impairment in discourse planning and verbal self-monitoring that affects both speech and language, and which is detected in clinical ratings of negative symptoms. |
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| AbstractList | Aberrant pauses are characteristic of schizophrenia and are robustly associated with its negative symptoms. Here, we found that pause behavior was associated with negative symptoms in individuals at clinical high risk (CHR) for psychosis, and with measures of syntactic complexity-phrase length and usage of determiners that introduce clauses-that we previously showed in this same CHR cohort to help comprise a classifier that predicted psychosis. These findings suggest a common impairment in discourse planning and verbal self-monitoring that affects both speech and language, and which is detected in clinical ratings of negative symptoms. Abstract Aberrant pauses are characteristic of schizophrenia and are robustly associated with its negative symptoms. Here, we found that pause behavior was associated with negative symptoms in individuals at clinical high risk (CHR) for psychosis, and with measures of syntactic complexity—phrase length and usage of determiners that introduce clauses—that we previously showed in this same CHR cohort to help comprise a classifier that predicted psychosis. These findings suggest a common impairment in discourse planning and verbal self-monitoring that affects both speech and language, and which is detected in clinical ratings of negative symptoms. Aberrant pauses are characteristic of schizophrenia and are robustly associated with its negative symptoms. Here, we found that pause behavior was associated with negative symptoms in individuals at clinical high risk (CHR) for psychosis, and with measures of syntactic complexity-phrase length and usage of determiners that introduce clauses-that we previously showed in this same CHR cohort to help comprise a classifier that predicted psychosis. These findings suggest a common impairment in discourse planning and verbal self-monitoring that affects both speech and language, and which is detected in clinical ratings of negative symptoms.Aberrant pauses are characteristic of schizophrenia and are robustly associated with its negative symptoms. Here, we found that pause behavior was associated with negative symptoms in individuals at clinical high risk (CHR) for psychosis, and with measures of syntactic complexity-phrase length and usage of determiners that introduce clauses-that we previously showed in this same CHR cohort to help comprise a classifier that predicted psychosis. These findings suggest a common impairment in discourse planning and verbal self-monitoring that affects both speech and language, and which is detected in clinical ratings of negative symptoms. |
| ArticleNumber | 3 |
| Author | Stanislawski, Emma R. Heisig, Stephen Bilgrami, Zarina R. Sarac, Cansu Garg, Sahil Corcoran, Cheryl M. Cecchi, Guillermo A. Agurto, Carla |
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| Cites_doi | 10.1016/s0165-1781(97)00045-0 10.1163/156916294X00133 10.3389/fpsyt.2013.00127 10.1037/abn0000136 10.1371/journal.pone.0217404 10.1176/appi.ps.201300527 10.1016/j.schres.2018.08.009 10.1017/CBO9781107415324.004 10.1121/1.4802900 10.1038/npjschiz.2015.30 |
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| References | BediGAutomated analysis of free speech predicts psychosis onset in high-risk youthsNPJ Schizophr.2015111503010.1038/npjschiz.2015.30 Ben-DavidSThe subjective experience of youths at clinically high risk of psychosis: a qualitative studyPsychiatr. Serv.2014651499150110.1176/appi.ps.201300527 Sichlinger, L., Cibelli, E., Goldrick, M. & Mittal, V. A. Clinical correlates of aberrant conversational turn-taking in youth at clinical high-risk for psychosis. Schizophr. Res.https://doi.org/10.1016/j.schres.2018.08.009 (2019). Davidson, L. Phenomenological research in schizophrenia: from philosophical anthropology to empirical science. J. Phenomenol. Psychol. https://doi.org/10.1163/156916294X00133 (1994). Cohen, A. S., Mitchell, K. R., Docherty, N. M. & Horan, W. P. Vocal expression in schizophrenia: Less than meets the ear. J. Abnorm. Psychol. https://doi.org/10.1037/abn0000136 (2016). Lundholm Fors, K. Production and Perception of Pauses in Speech (University of Gothenburg, 2015). Barch, D. M. & Berenbaum, H. The effect of language production manipulations on negative thought disorder and discourse coherence disturbances in schizophrenia. Psychiatry Res. https://doi.org/10.1016/s0165-1781(97)00045-0 (1997). Miller, T. J. et al. Symptom assessment in schizophrenic prodromal states. Psychiatr. Q. 70, (1999). Boomer, D. S. Psycholinguistics; Experiments in Spontaneous Speech (Frieda Goldman Eisler Academic Press, London & New York, 1968). Matsumoto, K. et al. Frequency and neural correlates of pauses in patients with formal thought disorder. Front. Psychiatry.https://doi.org/10.3389/fpsyt.2013.00127 (2013). Santorini, B. Part-of-Speech Tagging Guidelines for the Penn Treebank Project (3rd Revision). Univ. Pennsylvania 3rd Revis. 2nd Print. https://doi.org/10.1017/CBO9781107415324.004 (1990). Alpert, M., Pouget, E. R. & Silva, R. Cues to the assessment of affects and moods: speech fluency and pausing. Psychopharmacol. Bulletin31, 412–141 (1995). Roberts, F. & Francis, A. L. Identifying a temporal threshold of tolerance for silent gaps after requests. J. Acoust. Soc. Am. https://doi.org/10.1121/1.4802900 (2013). Çokal, D. et al. Disturbing the rhythm of thought: speech pausing patterns in schizophrenia, with and without formal thought disorder. PLoS ONE.https://doi.org/10.1371/journal.pone.0217404 (2019). S Ben-David (132_CR12) 2014; 65 132_CR13 132_CR14 G Bedi (132_CR5) 2015; 1 132_CR3 132_CR2 132_CR4 132_CR1 132_CR10 132_CR11 132_CR7 132_CR6 132_CR9 132_CR8 |
| References_xml | – reference: Cohen, A. S., Mitchell, K. R., Docherty, N. M. & Horan, W. P. Vocal expression in schizophrenia: Less than meets the ear. J. Abnorm. Psychol. https://doi.org/10.1037/abn0000136 (2016). – reference: Lundholm Fors, K. Production and Perception of Pauses in Speech (University of Gothenburg, 2015). – reference: Barch, D. M. & Berenbaum, H. The effect of language production manipulations on negative thought disorder and discourse coherence disturbances in schizophrenia. Psychiatry Res. https://doi.org/10.1016/s0165-1781(97)00045-0 (1997). – reference: BediGAutomated analysis of free speech predicts psychosis onset in high-risk youthsNPJ Schizophr.2015111503010.1038/npjschiz.2015.30 – reference: Santorini, B. Part-of-Speech Tagging Guidelines for the Penn Treebank Project (3rd Revision). Univ. Pennsylvania 3rd Revis. 2nd Print. https://doi.org/10.1017/CBO9781107415324.004 (1990). – reference: Alpert, M., Pouget, E. R. & Silva, R. Cues to the assessment of affects and moods: speech fluency and pausing. Psychopharmacol. Bulletin31, 412–141 (1995). – reference: Çokal, D. et al. Disturbing the rhythm of thought: speech pausing patterns in schizophrenia, with and without formal thought disorder. PLoS ONE.https://doi.org/10.1371/journal.pone.0217404 (2019). – reference: Roberts, F. & Francis, A. L. Identifying a temporal threshold of tolerance for silent gaps after requests. J. Acoust. Soc. Am. https://doi.org/10.1121/1.4802900 (2013). – reference: Miller, T. J. et al. Symptom assessment in schizophrenic prodromal states. Psychiatr. Q. 70, (1999). – reference: Boomer, D. S. Psycholinguistics; Experiments in Spontaneous Speech (Frieda Goldman Eisler Academic Press, London & New York, 1968). – reference: Sichlinger, L., Cibelli, E., Goldrick, M. & Mittal, V. A. Clinical correlates of aberrant conversational turn-taking in youth at clinical high-risk for psychosis. Schizophr. Res.https://doi.org/10.1016/j.schres.2018.08.009 (2019). – reference: Matsumoto, K. et al. Frequency and neural correlates of pauses in patients with formal thought disorder. Front. Psychiatry.https://doi.org/10.3389/fpsyt.2013.00127 (2013). – reference: Davidson, L. Phenomenological research in schizophrenia: from philosophical anthropology to empirical science. J. Phenomenol. Psychol. https://doi.org/10.1163/156916294X00133 (1994). – reference: Ben-DavidSThe subjective experience of youths at clinically high risk of psychosis: a qualitative studyPsychiatr. Serv.2014651499150110.1176/appi.ps.201300527 – ident: 132_CR8 doi: 10.1016/s0165-1781(97)00045-0 – ident: 132_CR13 doi: 10.1163/156916294X00133 – ident: 132_CR10 – ident: 132_CR9 doi: 10.3389/fpsyt.2013.00127 – ident: 132_CR3 doi: 10.1037/abn0000136 – ident: 132_CR1 – ident: 132_CR7 doi: 10.1371/journal.pone.0217404 – ident: 132_CR14 – volume: 65 start-page: 1499 year: 2014 ident: 132_CR12 publication-title: Psychiatr. Serv. doi: 10.1176/appi.ps.201300527 – ident: 132_CR4 doi: 10.1016/j.schres.2018.08.009 – ident: 132_CR11 – ident: 132_CR6 doi: 10.1017/CBO9781107415324.004 – ident: 132_CR2 doi: 10.1121/1.4802900 – volume: 1 start-page: 115030 year: 2015 ident: 132_CR5 publication-title: NPJ Schizophr. doi: 10.1038/npjschiz.2015.30 |
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| Title | Negative symptoms and speech pauses in youths at clinical high risk for psychosis |
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