open access

Vol 13, No 4 (2016)
Review paper
Get Citation

Assessing thought disorder in patients with schizophrenia

Berna Yalınçetin, Özge Akgül, Köksal Alptekin
Psychiatria 2016;13(4):194-197.

open access

Vol 13, No 4 (2016)
Prace poglądowe - nadesłane

Abstract

Thought disorder (TD) is one of the main symptom clusters of schizophrenia. Most of the researchers approached psychotic speech as the reflection of impairment in thought processes and asserted that disorganized thought emerged as disorganized speech. This approach seeks to measure language elements that are believed to reflect TD elements. On the other hand, linguistic perspective suggests that disorganized speech is the result of cognitive impairments related to the ability of organization of language and seeks to investigate features of language structure relevant to those impairments. As it is difficult to describe TD in a subjective way and in order to increase the reliability of assessing TD, objective language impairments emerging during speech and communication are agreed to be concentrated on. In this review, we aimed to provide a summary of scales used widely for the assessment of TD in patients with schizophrenia.

Abstract

Thought disorder (TD) is one of the main symptom clusters of schizophrenia. Most of the researchers approached psychotic speech as the reflection of impairment in thought processes and asserted that disorganized thought emerged as disorganized speech. This approach seeks to measure language elements that are believed to reflect TD elements. On the other hand, linguistic perspective suggests that disorganized speech is the result of cognitive impairments related to the ability of organization of language and seeks to investigate features of language structure relevant to those impairments. As it is difficult to describe TD in a subjective way and in order to increase the reliability of assessing TD, objective language impairments emerging during speech and communication are agreed to be concentrated on. In this review, we aimed to provide a summary of scales used widely for the assessment of TD in patients with schizophrenia.

Full Text:

View HTML
Get Citation

Keywords

thought disorder, scale, schizophrenia

About this article
Title

Assessing thought disorder in patients with schizophrenia

Journal

Psychiatria (Psychiatry)

Issue

Vol 13, No 4 (2016)

Article type

Review paper

Pages

194-197

Bibliographic record

Psychiatria 2016;13(4):194-197.

Keywords

thought disorder
scale
schizophrenia

Authors

Berna Yalınçetin
Özge Akgül
Köksal Alptekin

References (22)
  1. Covington MA, He C, Brown C, et al. Schizophrenia and the structure of language: the linguist's view. Schizophr Res. 2005; 77(1): 85–98.
  2. Thomas P, Fraser W. Linguistics, human communication and psychiatry. Br J Psychiatry. 1994; 165(5): 585–592.
  3. Andreasen N. Thought, Language, and Communication Disorders. Archives of General Psychiatry. 1979; 36(12): 1315–1321.
  4. Harrow M, O'Connell EM, Herbener ES, et al. Disordered verbalizations in schizophrenia: a speech disturbance or thought disorder? Compr Psychiatry. 2003; 44(5): 353–359.
  5. Holshausen K, Harvey PD, Elvevåg B, et al. Latent semantic variables are associated with formal thought disorder and adaptive behavior in older inpatients with schizophrenia. Cortex. 2014; 55: 88–96.
  6. Docherty NM, McCleery A, Divilbiss M, et al. Effects of social cognitive impairment on speech disorder in schizophrenia. Schizophr Bull. 2013; 39(3): 608–616.
  7. Radanovic M, Sousa RT, Valiengo L, et al. Formal Thought Disorder and language impairment in schizophrenia. Arq Neuropsiquiatr. 2013; 71(1): 55–60.
  8. Thomas P. Thought disorder or communication disorder. Linguistic science provides a new approach. Br J Psychiatry. 1995; 166(3): 287–290.
  9. Andreasen NC, Andreasen NC, Grove WM. Thought, language, and communication in schizophrenia: diagnosis and prognosis. Schizophr Bull. 1986; 12(3): 348–359.
  10. Yalınçetin B, Ulaş H, Var L, et al. Relation of formal thought disorder to symptomatic remission and social functioning in schizophrenia. Compr Psychiatry. 2016; 70: 98–104.
  11. Andreasen NC. Thought, language, and communication disorders. II. Diagnostic significance. Arch Gen Psychiatry. 1979; 36(12): 1325–1330.
  12. Andreasen NC, Grove WM. Thought, language, and communication in schizophrenia: diagnosis and prognosis. Schizophr Bull. 1986; 12(3): 348–359.
  13. Liddle PF, Ngan ETC, Caissie SL, et al. Thought and Language Index: an instrument for assessing thought and language in schizophrenia. Br J Psychiatry. 2002; 181: 326–330.
  14. Solovay MR, Shenton ME, Gasperetti C, et al. Scoring manual for the Thought Disorder Index. Schizophr Bull. 1986; 12(3): 483–496.
  15. Metsänen M, Wahlberg KE, Hakko H, et al. Thought Disorder Index: a longitudinal study of severity levels and schizophrenia factors. J Psychiatr Res. 2006; 40(3): 258–266.
  16. Marengo JT, Harrow M, Lanin-Kettering I, et al. Evaluating bizarre-idiosyncratic thinking: a comprehensive index of positive thought disorder. Schizophr Bull. 1986; 12(3): 497–511.
  17. Barrera A, McKenna PJ, Berrios GE. Two new scales of formal thought disorder in schizophrenia. Psychiatry Res. 2008; 157(1-3): 225–234.
  18. Chen EYH, Lam LCW, Kan C, et al. Language disorganization in schizophrenia: Validation and assessment with a new clinical rating instrument. Hong Kong. J. Psychiatry. 1996; 6(3): 4–13.
  19. Xu JQ, Hui CLM, Longenecker J, et al. Executive function as predictors of persistent thought disorder in first-episode schizophrenia: a one-year follow-up study. Schizophr Res. 2014; 159(2-3): 465–470.
  20. Ulaş H, Alptekin K, Özbay D, et al. Düşünce ve dil ölçeğinin Türkçe formunun geçerlilik ve güvenilirlik çalışması. Klinik Psikiyatri. 2017; 10: 77–85.
  21. Kircher T, Krug A, Stratmann M, et al. A rating scale for the assessment of objective and subjective formal Thought and Language Disorder (TALD). Schizophrenia Research. 2014; 160(1-3): 216–221.
  22. Ayer A, Yalınçetin B, Aydınlı E, et al. Formal thought disorder in first-episode psychosis. Compr Psychiatry. 2016; 70: 209–215.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest Via Medica sp. z o.o. sp. komandytowa, ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl