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Updated: Apr 26, 2026

Author Spotlight: Deciphering the Cognitive and Neural Mechanisms of Gesture in Communication
Published on: January 26, 2024
Transdiagnostic associations between subjective gesture behaviour and objective performance in schizophrenia and
Anastasia Pavlidou1, Sofie von Känel2,3, Lydia Maderthaner2,4
1University Hospital of Psychiatry and Psychotherapy Bern, Translational Research Centre, University of Bern, Bern, Switzerland. anastasia.pavlidou@unibe.ch.
Individuals with schizophrenia and depression report altered gesture behaviors, with schizophrenia patients uniquely showing reduced gesture perception and use. Self-awareness of gestures differs across mental health disorders, impacting social communication.
Area of Science:
- Psychiatry and Psychology
- Neuroscience
- Social Cognition
Background:
- Social communication deficits are prevalent in mental health disorders.
- Understanding self-perception of gesture behavior is crucial for social functioning.
- Disruptions in self-awareness are linked to social communicative impairments.
Purpose of the Study:
- To compare self-reported gesture behaviors in individuals with schizophrenia, depression, and healthy controls.
- To explore the relationship between self-reported gestures, objective performance, and symptom severity.
- To investigate disorder-specific profiles of gesture self-awareness.
Main Methods:
- Recruited 274 participants: 113 with schizophrenia, 65 with depression, and 96 healthy controls.
- Compared self-reported gesture behaviors in social and non-social contexts.
- Correlated self-reports with objective gesture performance and expert ratings of symptoms and social functioning.
Main Results:
- Both patient groups reported diminished social gesture production compared to controls.
- Schizophrenia patients uniquely reported reduced gesture perception and use.
- Schizophrenia group showed distinct associations between self-reported social perception, gesture perception, and production, linking self-report to objective deficits.
Conclusions:
- Self-awareness of gesture behaviors varies significantly across mental health disorders.
- Integrating self-report and objective measures is vital for understanding social communication deficits.
- Findings inform tailored interventions for enhancing social communication and self-awareness in psychiatric populations.
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