The effects of emotional salience on thought disorder in patients with bipolar affective disorder

2004 ◽  
Vol 34 (5) ◽  
pp. 803-809 ◽  
Author(s):  
S. TAI ◽  
G. HADDOCK ◽  
R. BENTALL

Background. This study aimed to explore the effects of emotionally salient material on thought disorder in patients with bipolar affective disorder.Method. Seventy-one participants (20 manic, 15 depressed, 16 currently well patients and 20 non-psychiatric-controls) were interviewed in two conditions: an emotionally salient interview and a non-salient interview. Speech samples were rated using the Scale for the Assessment of Thought, Language and Communication.Results. Manic patients presented with significantly more thought disorder than any other group in both conditions and exhibited the greatest reaction to emotionally salient material.Conclusion. The effects of emotional salience on thought, language and communication are not unique to schizophrenic patients. The speech of manic patients is more affectively responsive than the speech of remitted, bipolar depressed and normal participants. The implications of these findings are discussed.

1995 ◽  
Vol 167 (5) ◽  
pp. 618-620 ◽  
Author(s):  
Gillian Haddock ◽  
Melanie Wolfenden ◽  
Ian Lowens ◽  
Nicholas Tarrier ◽  
Richard P. Bentall

BackgroundThis study examined the effect of emotional salience on the severity of thought disorder in schizophrenic patients.MethodTen thought disordered and ten non-thought disordered schizophrenic patients were interviewed under two conditions: a personal interview involving material which was emotionally salient and an impersonal interview involving material which was not emotionally salient.ResultsBoth groups exhibited some thought disorder during both interviews. The thought disordered patients exhibited significantly more thought disorder during the emotionally salient interview.ConclusionsThought disorder in schizophrenic patients is affected by the emotional salience of the material being discussed. Clinical implications are discussed.


1998 ◽  
Vol 43 (3) ◽  
pp. 271-278 ◽  
Author(s):  
Gérald Mesure ◽  
Christine Passerieux ◽  
Chrystel Besehe ◽  
Daniel Widlöcher ◽  
Marie-Christine Hardy-Baylé

Objective: To explore semantic categorization strategies in patients with schizophrenia. Method: A short-term memory-recognition task that reveals the effects associated with categorization was created and applied to 2 groups of patients with schizophrenia and depression. Results: Only the schizophrenic subgroup with formal thought disorder (measured using Andreasen's Thought, Language, and Communication [TLC] scale) exhibited a deficiency in semantic categorization strategies during the task. Conclusion: These results support the hypothesis of the impairment of the processes involved in the processing of contextual information inpatients with schizophrenia who suffer from formal thought disorder.


1966 ◽  
Vol 11 (1) ◽  
pp. 6-19 ◽  
Author(s):  
R.B. Sloane ◽  
W. Hughes ◽  
H.L. Haust

In a group of depressed manic-depressive patients, urinary adrenalin, noradrenalin, creatinine and volume on admission of the patients to hospital were significantly reduced compared to the values found on their discharge. A small sample of manic-depressed manic patients showed significant elevations in the urinary output of dopamine on both admission and discharge from hospital. A group of schizophrenic patients revealed no over-all difference between the amounts of adrenalin and noradrenalin excreted at the time of their admission to hospital when they were ‘sick’ and the values found when they were discharged as ‘recovered’. The magnitude of excretion of these two amines by this group was at both stages comparable to that of the group of manic-depressive patients on discharge. There was no correlation between catecholamine excretion and clinically rated thought disorder. The more anxious manic patients were and the more bodily symptoms they had, the higher their excretion of noradrenalin. In depressed patients the greater the anxiety and depression, the higher was the excretion of all three catecholamines and the fewer were the bodily symptoms.


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