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Examining Self-Reported Thought Disorder: Continuous Variation, Convergence with Schizotypy, and Cognitive Correlates
Philip J Sumner1, Sean P Carruthers1, Susan L Rossell2
1H80, PO Box 218, Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University of Technology, Hawthorn, Melbourne, Victoria, Australia, 3122.
Self-reported thought disorder (TD) in individuals with mild psychosis symptoms correlates with disorganized thinking and cognitive impairments. This study highlights the continuous nature of subjective TD and its link to semantic and executive functions.
Area of Science:
- Cognitive Psychology
- Psychiatry
- Neuroscience
Background:
- Objective thought disorder (TD) varies continuously and impacts cognition in psychosis.
- Subjective TD measures exist but their relation to objective TD and cognition is unclear.
Purpose of the Study:
- To assess the correspondence between self-reported TD and schizotypal disorganization.
- To explore the association between subjective TD severity and cognitive performance.
Main Methods:
- Data from 33 healthy individuals and 38 patients with schizophrenia/schizoaffective disorder (mild symptoms) were pooled.
- Self-report questionnaires for TD and schizotypal disorganization were administered.
- Cognitive functions, including semantic and executive abilities, were assessed.
Main Results:
- Self-reported TD frequencies correlated with schizotypal disorganization.
- Subjective TD showed associations with semantic and executive functioning.
- Mild subjective TD demonstrated continuous variation, aligning with the continuum model.
Conclusions:
- Self-reported subjective TD is linked to disorganized experiences and cognitive alterations at mild severity.
- Subjective TD measures offer valuable insights into the continuum of thought disorder.
- Findings support the continuum model of psychosis, extending to subjective experiences and cognition.
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