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Related Experiment Videos

Conversational repair in schizophrenic and normal children

R Caplan1, D Guthrie, S Komo

  • 1Department of Psychiatry, UCLA, USA.

Journal of the American Academy of Child and Adolescent Psychiatry
|July 1, 1996
PubMed
Summary

Children with schizophrenia use fewer self-initiated communication repairs, especially those on medication. These communication deficits may indicate negative symptoms in childhood-onset schizophrenia.

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Area of Science:

  • Child Psychology
  • Developmental Neuroscience
  • Psychiatric Disorders

Background:

  • Children develop communication repair skills during childhood.
  • Childhood-onset schizophrenia presents with communication deficits.
  • Self-initiated repair is crucial for effective spoken communication.

Purpose of the Study:

  • To compare self-initiated repair strategies in children with and without schizophrenia.
  • To examine the relationship between repair strategies and thought disorder, discourse deficits, and distractibility in childhood schizophrenia.
  • To investigate the impact of neuroleptic medication on communication repair in schizophrenic children.

Main Methods:

  • Speech samples were collected from 32 schizophrenic and 47 normal children (ages 5.6-12.4) using the Story Game.

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  • Measures of self-initiated repair, formal thought disorder, and cohesion were coded.
  • Participants' medication status was considered.

    • Main Results:

    • Schizophrenic children used certain repair strategies less frequently than controls.
    • Medicated schizophrenic children showed underutilization of repair and greater discourse deficits compared to unmedicated peers.
    • Loose associations and distractibility correlated with increased false starts, but not fillers.

    Conclusions:

    • Children with schizophrenia underutilize self-initiated repair, particularly those on neuroleptic medication.
    • Communication impairments may be linked to negative symptoms in childhood-onset schizophrenia.
    • Underutilization of repair suggests potential clinical morbidity and communication challenges.