Prosodic deficits and interpersonal difficulties in patients with schizophrenia

Psychiatry Res. 2021 Dec:306:114244. doi: 10.1016/j.psychres.2021.114244. Epub 2021 Oct 12.

Abstract

The present study examines the use of receptive emotional and linguistic prosody in patients with schizophrenia; particularly, its aim was to evaluate the type and number of errors made when comprehending the emotions and modes implied by meaningless utterances. Seventy-eight participants were enrolled to the study, i.e. two groups (patients with schizophrenia and healthy controls) consisting of 39 subjects. The severity of illness was evaluated with the Positive and Negative Syndrome Scale; comprehension of emotional and linguistic prosody was assessed by the subtests of the Polish Version of the Right Hemisphere Language Battery. Neither emotional nor linguistic prosody comprehension both correlated with schizophrenia symptoms. The study group experienced more difficulties in distinguishing between happiness and anger, and were more likely to misunderstand imperative utterances, confusing them with interrogative or affirmative ones. Such impairments are significant as they may affect the ability to form and sustain relationships with other people, achieve success in the work environment, and integrate in the community. They may also be a trait mark of the illness independent of psychotic symptoms. Further research is needed to translate this knowledge into meaningful and therapeutic interventions to improve quality of life, both for affected individuals and for their communication partners.

Keywords: Communication; Emotional prosody; Language; Linguistic prosody; Schizophrenia.

MeSH terms

  • Comprehension
  • Emotions
  • Humans
  • Language
  • Linguistics
  • Quality of Life
  • Schizophrenia* / complications