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Irony and Proverb Comprehension in Schizophrenia: Do Female Patients 'Dislike' Ironic Remarks?

机译:精神分裂症中的讽刺和谚语理解:女性患者是否“不喜欢”讽刺性言论?

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Difficulties in understanding irony and sarcasm are part of the social cognition deficits in patients with schizophrenia. A number of studies have reported higher error rates during comprehension in patients with schizophrenia. However, the relationships of these impairments to schizotypal personality traits and other language deficits, such as the comprehension of proverbs, are unclear. We investigated irony and proverb comprehension in an all-female sample of 20 schizophrenia patients and 27 matched controls. Subjects indicated if a statement was intended to be ironic, literal, or meaningless and furthermore rated the meanness and funniness of the stimuli and certainty of their decision. Patients made significantly more errors than controls did. Globally, there were no overall differences in the ratings. However, patients rated the subgroup of stimuli with answers given incorrectly as having significantly less meanness and in case of an error indicated a significantly higher certainty than controls. Across all of the study participants, performances in irony (r = -0.51) and proverb (r = 0.56) comprehension were significantly correlated with schizotypal personality traits, suggesting a continuum of nonliteral language understanding. Because irony is so frequent in everyday conversations, this makes irony an especially promising candidate for social cognition training in schizophrenia.
机译:精神分裂症患者难以理解反讽和讽刺是社会认知缺陷的一部分。许多研究报道了精神分裂症患者理解过程中的错误率更高。但是,这些障碍与分裂型人格特征和其他语言缺陷(例如对谚语的理解)之间的关系尚不清楚。我们调查了20位精神分裂症患者和27位相匹配的对照组的全女性样本中的讽刺和谚语理解。受试者指出陈述是否具有讽刺意味,直截了当或毫无意义,并进一步评估了刺激的平均性和趣味性以及其决定的确定性。患者比对照组犯了更多的错误。在全球范围内,评级没有整体差异。但是,患者对刺激亚组的回答不正确,其平均性明显降低,并且在出现错误的情况下,其确定性明显高于对照组。在所有研究参与者中,讽刺(r = -0.51)和谚语(r = 0.56)的理解与分裂型人格特征显着相关,这表明人们对非文字语言的理解是连续的。由于讽刺在日常对话中如此频繁,因此使讽刺成为精神分裂症社交认知训练的特别有希望的候选人。

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