Comprehension of metaphors in patients with schizophrenia-spectrum disorders

Abstract Background Metaphors, mainly proverbs and idiomatic expressions of ordinary life are commonly used as a model for concretism. Previous studies have shown impaired metaphor comprehension in patients with schizophrenia-spectrum disorders compared to either psychiatric or non-psychiatric contr...

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Published in:	Comprehensive psychiatry Vol. 55; no. 4; pp. 928 - 937
Main Authors:	Mossaheb, Nilufar, Aschauer, Harald N, Stoettner, Susanne, Schmoeger, Michaela, Pils, Nicole, Raab, Monika, Willinger, Ulrike
Format:	Journal Article
Language:	English
Published:	New York, NY Elsevier Inc 01-05-2014 Elsevier Elsevier Limited
Subjects:	Adult Adult and adolescent clinical studies Biological and medical sciences Cognition Disorders - diagnosis Cognition Disorders - psychology Comprehension Female Humans Language Language Disorders - diagnosis Language Disorders - psychology Male Medical sciences Metaphor Middle Aged Neuropsychological Tests - statistics & numerical data Psychiatric Status Rating Scales - statistics & numerical data Psychiatry Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Psychoses Psychotic Disorders - diagnosis Psychotic Disorders - psychology Reference Values Schizophrenia Schizophrenia - diagnosis Schizophrenic Psychology Studies Psychosis Human Schizophrenia Comprehension Metaphor
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Summary:	Abstract Background Metaphors, mainly proverbs and idiomatic expressions of ordinary life are commonly used as a model for concretism. Previous studies have shown impaired metaphor comprehension in patients with schizophrenia-spectrum disorders compared to either psychiatric or non-psychiatric control subject. The aim of this study was to detect possible quantitative differences in figurative processing between patients with schizophrenia-spectrum disorders and healthy controls. Methods In order to analyse possible dissociations of different aspects of figurative speech, a range of metaphor tasks was used to distinguish between recognition of familiar metaphors, paraphrasing the meaning of the latter and generating novel metaphors: we used a standard proverb test for conventional metaphors consisting of a multiple-choice and a paraphrasing task, and the Metaphoric Triads Test for the assessment of novel metaphors. We included 40 patients with schizophrenia-spectrum disorders and 43 healthy control subjects. Results Our results showed that patients had impaired figurative speech processing regarding novel and conventional metaphors. Associations with cognitive functions were detected. Performance on the paraphrasing task was associated with the severity of negative symptoms. Conclusion We conclude that patients with schizophrenia-spectrum disorders do exhibit impairments in the recognition and paraphrasing of conventional and the generation of novel metaphors and that some cognitive domains as well the extent of negative symptoms might be associated with these deficits.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0010-440X 1532-8384
DOI:	10.1016/j.comppsych.2013.12.021