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Rating scale for the assessment of communication disorders in schizophrenics

Published online by Cambridge University Press:  16 April 2020

V Olivier ,
MC Hardy-Baylé ,
S Lancrenon ,
J Fermanian ,
Y Sarfati ,
C Passerieux  and
JF Chevalier
V Olivier
Affiliation:
Département de Psychiatrie, Hôpital Richaud, I rue Richaud, 78000 Versailles
MC Hardy-Baylé
Affiliation:
Département de Psychiatrie, Hôpital Richaud, I rue Richaud, 78000 Versailles
S Lancrenon
Affiliation:
Syliastat, 31 avenue du Général Leclerc, 92340 Bourg-la-Reine
J Fermanian
Affiliation:
Département de Biostatistiques, Hôpital des Enfants Malades, 151 rue de Sèvres. 75015 Paris, France
Y Sarfati
Affiliation:
Département de Psychiatrie, Hôpital Richaud, I rue Richaud, 78000 Versailles
C Passerieux
Affiliation:
Département de Psychiatrie, Hôpital Richaud, I rue Richaud, 78000 Versailles
JF Chevalier
Affiliation:
Département de Psychiatrie, Hôpital Richaud, I rue Richaud, 78000 Versailles
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Summary

Taking up the Bleulerian view of a clinical description based on a pathogenic model, we propose a rating scale for the assessment of communication disorders in schizophrenic patients. The scale consists of clinical items that could be the direct expression of the three hypotheses of cognitive dysfunction which have been postulated to explain communication dysfunction in these patients. We assessed the frequency of the 16 items in the scale in a total of 80 subjects (43 schizophrenic subjects, ten manic subjects, 17 depressive subjects and ten normal control subjects). The results of this study showed that this item schedule was specific to schizophrenic patients and, in particular, could statistically significantly discriminate schizophrenic patients from psychotic patients with affective disorder. The methodological qualities of the scale were explored and proved accurate, except for the reliability which is too low for some items and the item-to-total correlation which is too low for one item of the scale.

Keywords

schizophreniacommunication disordersrating scalecognitive dysfunction
Type
Original articles
Information
European Psychiatry , Volume 12 , Issue 7 , 1997 , pp. 352 - 361
Copyright
Copyright © Elsevier, Paris 1997

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References

American Psychiatry Association Diagnostic and Statistical Manual of Mental Disorders (3rd ed ) (DSM-III). Washington DC: APA, 1980Google Scholar
Andreasen, NC. Thought, langage and communication disorders. Clinical assessment, definition of terms, and evaluation of their reliability. Arch Gen Psychiatry 1979; 36: 1315–1321CrossRefGoogle Scholar
Andreasen, NC. Thought, language and communication disorders. Diagnostic significance. Arch Gen Psychiatry 1979; 36: 1325–1330CrossRefGoogle ScholarPubMed
Andreasen, NCThe Scale for the Assessment of Negative Symptoms (SANS) Iowa City: University of Iowa, 1983Google Scholar
Andreasen, NCThe Scale for the Assessment of Positive Symptoms (SAPS) Iowa City: University of Iowa, 1984Google Scholar
Arndt, S, Alliger, RJ, Andreasen, NC. The distinction of positive and negative symptoms. The failure of a two-dimensional model. Br J Psychiatry 1991; 158: 317–322CrossRefGoogle ScholarPubMed
Bilder, RM, Mukherjee, S, Rieder, RO, Pandurangi, AK. Symptomatic and neuropsychological components of defect states. Schizophren Bull 1985; 11: 409–419CrossRefGoogle ScholarPubMed
Bleuler, EDementia praecox ou groupe des schizophrénies [Translation: A Viallard]. Paris: EPEL GREC, 1993Google Scholar
Brown, KW, White, T. Syndromes of chronic schizophrenia and some clinical correlates. Br J Psychiatry 1992; 161: 317–322CrossRefGoogle ScholarPubMed
Cassens, G, Inglis, A, Appelbaum, PSet al. Neuroleptics: effects on neuropsychological function in chronic schizophrenic patients. Schizophren Bull 1990; 16: 477–499CrossRefGoogle ScholarPubMed
Chapman, IJ, Chapman, JP, Dant, BL. Schizophrenic inability to disattend from strong aspects of meaning. J Abnorm Psychol 1976; 85: 35–40CrossRefGoogle Scholar
Cooper, JE, Kendell, RE, Gurland, BJet alPsychiatric diagnosis in New York and London In: Maudsley Monograph. Series no 20. London: Oxford University Press, 1972Google Scholar
Dollfus, S, Petit, M, Lesieur, P, Menard, JF. Principal-component analysis of PANSS and SANS-SAPS global ratings in schizophrenic patients. Eur Psychiatry 1991; 6: 251–259CrossRefGoogle Scholar
Frenckell Von, RImpressions cliniques globales [Overall clinical impressions] In: Guelfi, JDet al, eds. Echelles d'évaluation en psychiatrie Paris: Fabre, 1992 93–97Google Scholar
Frith, CDThe Cognitive neuropsychology of schizophrenia Hove (UK), Hillsdale (USA): Lawrence Erlbaum Associates, 1992Google Scholar
Gibbson, RD, Lewine, RRJ, Davis, JM, Scholler, NR, Cole, JO. An empirical test of Kræpelinian versus a Bleulerian view of negative symptoms. Schizophren Bull 1985; 11: 16–45Google Scholar
Gur, RE, Mozley, PD, Resnick, SM, Levick, S, Erwin, R, Saykin, AJet al. Relations among clinical scale in schizophrenia. Am J Psychiatry 1991; 148: 675–677Google Scholar
Hardy-Baylé, MC. Organisation de l'action, phénomènes de conscience et représentation mentale de l'action chez les schizophrènes. Actual Psychiatr 1994; 1: 9–18Google Scholar
Hardy-Baylé, MC, Passerieux, C, Claudel, B, Olivier, V, Chevalier, JF. Les troubles de la communication chez les schizophrènes: explication cognitive et relecture clinique. Encephale 1994; 20: 393–400Google Scholar
Harrow, M, Grossman, LS, Silverstein, ML, Meltzer, HY. Thought pathology in manic and schizophrenic patients: its occurrance at hospital admission and seven weeks later. Arch Gen Psychiatry 1982; 39: 665–671CrossRefGoogle Scholar
Harrow, M, Silverstein, ML, Marengo, J. Disorder thinking. Does it identify nuclear schizophrenia?. Arch Gen Psychiatry 1983; 40: 765–771CrossRefGoogle Scholar
Harrow, M, Marengo, JT. Schizophrenic thought disorder at follow-up: its persistence and prognostic significance. Schizophren Bull 1986; 12: 373–392CrossRefGoogle Scholar
Harvey, PD. Reality monitoring in mania and schizophrenia. J Nerv Ment Dis 1985; 173: 67–73CrossRefGoogle Scholar
Holzman, PS, Shenton, ME, Solovay, MR. Quality of thought disorder in differential diagnosis. Schizophren Bull 1986; 12: 360–371CrossRefGoogle ScholarPubMed
Hymowitz, P, Spohn, H. The effect of antipsychotic medication on the linguistic ability of schizophrenics. J Nerv Ment Dis 1980; 168: 287–296CrossRefGoogle Scholar
Johnston, MH, Holzman, PSAssessing Schizophrenic Thinking San Francisco: Jossey Bass, 1979Google Scholar
Kay, SR, Fisz-Bein, A, Opler, LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophren Bull 1987; 13: 261–274CrossRefGoogle Scholar
Kulhara, P, Chandiramani, K. Positive and negative subtypes of schizophrenia: a follow-up study of India. Schizophr Res 1990; 3: 107–116CrossRefGoogle Scholar
Lepine, JP, Piron, JJ, Chapotot, E. Factor analysis of the PANSS in schizophrenic patients. VIII Congrès Mondial de Psychiatrie 1989Athens: Abstract 3232Google Scholar
Liddle, PF. The Symptoms of chronic schizophrenia. A re-examination of the positive-negative dichotomy. Br J Psychiatry 1987; 151: 145–151CrossRefGoogle ScholarPubMed
Liddle, PF. Schizophrenic syndromes, cognitive performance and neurological dysfunction. Psychol Med 1987; 17: 49–57CrossRefGoogle ScholarPubMed
Liddle, PF, Barnes, TRE, Morris, D, Haque, S. Three syndromes in chronic schizophrenia. Br J Psychiatry 1989; 155: 119–122(Suppl 7)CrossRefGoogle Scholar
Minas, IH, Stuart, GW, Jackson, HJ, Singh, BS, Copolov, DL. Positive and negative symptoms in the psychoses: multidimensional scaling of SAPS and SANS items. Schizophr Res 1992; 8: 143–156CrossRefGoogle ScholarPubMed
Montgomery, SA, Asberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134: 382–389CrossRefGoogle ScholarPubMed
Mortimer, AM, Lund, CE, McKenna, PJ. The positive-negative dichotomy in schizophrenia. Br J Psychiatry 1990; 157: 41–49CrossRefGoogle Scholar
Moscarelli, M, Maffei, L, Cesana, BMet al. An international perspective on assessment of positive and negative symptoms in schizophrenia. Am J Psychiatry 1987; 144: 1595–1598Google Scholar
Organisation Mondiale de la Santé Classification internationale des troubles mentaux et des troubles du comportement. Description Clinique et Directives pour le Diagnostic. CIM-10/ICD-10 Paris: Masson, 1994Google Scholar
Peralta, V, De Leon, J, Cuesta, MJ. A critique of the positive-negative dichotomy. Br J Psychiatry 1992; 161: 335–343CrossRefGoogle ScholarPubMed
Sarfati, Y, Hardy-Baylé, MC, Nadel, J, Chevalier, JF, Widlöcher, D. Attribution of mental states of others in schizophrenic patients. Cognit Neuropsychiatry 1997; 2: 1–17CrossRefGoogle ScholarPubMed
Schneider, KClinical Psychopathology [Translation: Hamilton]. New York: Grune & Stratton Inc, 1959Google Scholar
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