Linguistic markers of psychosis in Mandarin Chinese: Relations to theory of mind

Psychiatry Res. 2023 Jul:325:115253. doi: 10.1016/j.psychres.2023.115253. Epub 2023 May 14.

Abstract

Disorganized and impoverished language is a key feature of schizophrenia (Sz), but whether and which linguistic changes previously observed in Indo-European languages generalize to other languages remains unclear. Targeting Mandarin Chinese, we aimed to profile aspects of grammatical complexity that we hypothesized would be reduced in schizophrenia in a task of verbalizing social events. 51 individuals with Sz and 39 controls participated in the animated triangles task, a standardized measure of theory of mind (ToM), in which participants describe triangles moving in either a random or an 'intentional' condition. Results revealed that clauses embedded as arguments in other clauses were reduced in Sz, and that both groups produced such clauses and grammatical aspect more frequently in the intentional condition. ToM scores specifically correlated with production of embedded argument clauses. These results document grammatical impoverishment in Sz in Chinese across several structural domains, which in some of its specific aspects relate to mentalizing performance.

Keywords: Language complexity; Mandarin Chinese; Schizophrenia; Spontaneous speech; Theory of mind.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • East Asian People
  • Humans
  • Language
  • Linguistics
  • Psychotic Disorders*
  • Theory of Mind*