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Poverty of Speech in Schizophrenia and Depression During In-patient and Post-hospital Periods

Published online by Cambridge University Press:  02 January 2018

Ann Barnett Ragin ,
Michael Pogue-Geile  and
Thomas F. Oltmanns
Ann Barnett Ragin*
Affiliation:
Department of Behavioral Sciences, University of Chicago
Michael Pogue-Geile
Affiliation:
Department of Psychology and Department of Psychiatry, University of Pittsburgh
Thomas F. Oltmanns
Affiliation:
Department of Psychology, University of Virginia
*
∗Chicago, IL, USA 60637
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Abstract

Poverty of speech, a prominent feature of the negative symptom construct in schizophrenia, was assessed longitudinally in 12 schizophrenic and 13 depressed subjects at hospital admission and about seven months after discharge in order to evaluate hypotheses concerning course and diagnostic specificity. Multiple measures of the poverty of speech construct were employed, including both clinical and quantitative indices. During the inpatient period, poverty of speech was more pronounced among depressed than schizophrenic subjects. Examination of this specific negative symptom across inpatient and followup evaluations indicated that poverty of speech increased among schizophrenic subjects, but remained relatively stable or declined among depressed subjects. These results suggest that the processes underlying poverty of speech may differ in schizophrenia and depression.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 1 , January 1989 , pp. 52 - 57
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Alarcon, R. de & Carney, M. W. P. (1969) Severe depressive mood changes following slow-release intramuscular fluphenazine injection. British Medical Journal, iii, 564–567.CrossRefGoogle Scholar
Andreasen, N. C. (1979a) Affective flattening and the criteria for schizophrenia. American Journal of Psychiatry, 136, 944–947.Google Scholar
Andreasen, N. C. (1979b) Thought, language, and communication disorders – I. Clinical assessment, definition of terms, and evaluation of their reliability. Archives of General Psychiatry, 36, 1315–1321.Google Scholar
Andreasen, N. C. (1981) Scale for the Assessment of Negative Symptoms (SANS). Iowa City. University of Iowa.Google Scholar
Andreasen, N. C. & Olsen, S. (1982) Negative v positive schizophrenia: definition and validation. Archives of General Psychiatry, 39, 789–794.Google Scholar
Andreasen, N. C., Hoffman, R. E. & Grove, W. M. (1985) Mapping abnormalities in language and cognition. In Controversies in Schizophrenia (ed. Alpert, M.). New York: Guilford Press.Google Scholar
Carpenter, W. T., Heinrichs, D. W. & Alphs, L. D. (1985) Treatment of negative symptoms. Schizophrenia Bulletin, 11, 440–452.Google Scholar
Crow, T. J. (1980) Molecular pathology of schizophrenia: more than one disease process? British Medical Journal, 280, 1–9.Google Scholar
Goldberg, S. C. (1985) Negative and deficit symptoms in schizophrenia do respond to neuroleptics. Schizophrenia Bulletin, 11, 453–456.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., Carney, M. W. P. & Price, J. S. (1978) Mechanism of the antipsychotic effect in the treatment of acute schizophrenia. Lancet, i, 848–851.CrossRefGoogle Scholar
Johnstone, E. C., Frith, C. D., Gold, A. & Stevens, M. (1979) The outcome of severe acute schizophrenic illnesses after one year. British Journal of Psychiatry, 134, 28–33.Google Scholar
Kety, S. (1980) The syndrome of schizophrenia: unresolved questions and opportunities for research. British Journal of Psychiatry, 136, 421–436.Google Scholar
Knights, A. & Hirsch, S. R. (1981) Revealed depression and drug treatment for schizophrenia. Archives of General Psychiatry, 38, 806–811.Google Scholar
Lewine, R. J., Fogg, L. & Meltzer, H. Y. (1983) Assessment of negative and positive symptoms in schizophrenia. Schizophrenia Bulletin, 9, 368–376.Google Scholar
MacKay, A. V. P. (1980) Positive and negative schizophrenic symptoms and the role of dopamine: discussion, 1. British Journal of Psychiatry, 137, 379–383.CrossRefGoogle Scholar
Meltzer, H. Y. (1985) Dopamine and negative symptoms in schizophrenia: critique of the Type I-II hypothesis. In Controversies in Schizophrenia (ed. Alpert, M.). New Yorks: Guilford Press.Google Scholar
Moller, H. J. & Zerssen, D. von (1982) Depressive states occurring during the neuroleptic treatment of schizophrenia. Schizophrenia Bulletin, 8, 109–117.Google Scholar
Oltmanns, T. F., Murphy, R., Berenbaum, H. & Dunlop, S. R. (1985) Rating verbal communication impairment in schizophrenia and affective disorders. Schizophrenia Bulletin, 11, 292–299.CrossRefGoogle ScholarPubMed
Peterson, H. A. & Marquardt, T. P. (1981) Appraisal and Diagnosis of Speech and Language Disorders. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Pogue-Geile, M. F. (1989) The prognostic significance of negative symptoms in schizophrenia. British Journal of Psychiatry (suppl.) (in press).Google Scholar
Pogue-Geile, M. F. & Harrow, M. (1984) Negative and positive symptoms in schizophrenia and depression: a followup. Schizophrenia Bulletin, 10, 371–387.Google Scholar
Pogue-Geile, M. F. & Harrow, M. (1985) Negative symptoms in schizophrenia: their longitudinal course and prognostic importance. Schizophrenia Bulletin, 11, 427–439.Google Scholar
Pogue-Geile, M. F. & Zubin, J. (1988) Negative symptomatology and schizophrenia: a conceptual and empirical review. International Journal of Mental Health, 16, 3–45.Google Scholar
Shanfield, S., Tucker, G. J., Harrow, M. & Detre, T. (1970) The schizophrenic patient and depressive symptomatology. Journal of Nervous and Mental Disease, 151, 203–210.Google Scholar
Sommers, A. A. (1985) ‘Negative symptoms’: conceptual and methodological problems. Schizophrenia Bulletin, 11, 364–379.Google Scholar
Spitzer, R. & Endicott, J. (1978) Schedule for Affective Disorders and Schizophrenia (SADS), 3rd edn. New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
Spitzer, R., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria for a Selected Group of Functional Disorders. New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
Strauss, J. S., Carpenter, W. T. & Bartko, J. J. (1974) Speculations on the processes that underlie schizophrenic symptoms and signs. Schizophrenia Bulletin, 11, 61–69.CrossRefGoogle Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125–137.Google Scholar
Wing, J. K. (1962) Institutionalism in mental hospitals. British Journal of Social and Clinical Psychology, 1, 38–51.Google Scholar
Wing, J. K. (1982) Psychosocial factors influencing the onset and course of schizophrenia. In Handbook of Psychiatry 3: Psychoses of Uncertain Aetiology (eds Wing, J. K. & Wing, L.). Cambridge: Cambridge University Press.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Zubin, J. (1985) Negative symptoms: Are they indigenous to schizophrenia? Schizophrenia Bulletin, 11, 461–469.Google Scholar
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