情绪和精神障碍中的表达性实用语言:系统审查和元分析
Fiona Meister1,2, Martin Sellier Silva1, Gleb Melshin3
1Department of Psychiatry, McGill University, Montreal, QC, Canada.
Schizophrenia (Heidelberg, Germany)
|February 14, 2026
概括
患有严重精神疾病的成年人表现出显著的务实语言生产缺陷,特别是在合作和凝聚力方面. 这些表达性语言障碍影响社会功能和恢复,需要有针对性的干预措施.
科学领域:
- 心理语言学 心理语言学
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 实用性语言障碍在患有严重精神疾病 (SMIs) 的成年人中很普遍,包括精神分裂症谱系障碍 (SSD),严重抑郁症 (MDD) 和双相情感障碍 (BD).
- 这些障碍会对社会功能和康复结果产生负面影响.
- 现有的研究主要集中在实用性理解上,使实用性生产在SMI人群中未得到充分探索.
研究的目的:
- 系统地审查和分析评估SMI成年人的表达性实用语言的研究,与健康对照进行比较.
- 在SMI人口中确定实用性生产赤字的特定领域.
主要方法:
- 一个符合PRISMA的系统审查和PubMed和Scopus研究的元分析.
- 包括51项研究,其中28项接受了元分析.
- 评估了18个务实语言项目,包括连贯性,凝聚力,格里西安法则,比喻语言,修辞和轮流.
主要成果:
- 在合作性,亚纳波拉和凝聚力方面发现了显著的损害.
- 在Coherence中观察到中度损伤.
- 在"隐喻"中指出了较低的损伤.
- 在所有研究中都没有发现任何显著的调节者.
结论:
- 患有SMI的成年人在表达性实用语言生产中表现出明显的缺陷.
- 标准化的实用测试和针对语言生产的有针对性的干预措施在临床环境中对SMI患者至关重要.
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