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Prosody abilities in a large sample of affective and non-affective first episode psychosis patients. | LitMetric

AI Article Synopsis

  • The study investigates prosody comprehension deficits (both linguistic and emotional) in patients with First Episode Psychosis (FEP) compared to healthy controls, exploring if these deficits appear early in psychosis.
  • Findings show that FEP patients experience significant prosody comprehension challenges, with non-affective FEP patients exhibiting greater impairments than those with affective symptoms.
  • There is a correlation between the severity of psychotic symptoms and the level of prosodic deficits, reinforcing the idea that poor prosody is a key characteristic of psychosis.

Article Abstract

Objective: Prosody comprehension deficits have been reported in major psychoses. It is still not clear whether these deficits occur at early psychosis stages. The aims of our study were to investigate a) linguistic and emotional prosody comprehension abilities in First Episode Psychosis (FEP) patients compared to healthy controls (HC); b) performance differences between non-affective (FEP-NA) and affective (FEP-A) patients, and c) association between symptoms severity and prosodic features.

Methods: A total of 208 FEP (156 FEP-NA and 52 FEP-A) patients and 77 HC were enrolled and assessed with the Italian version of the "Protocole Montréal d'Evaluation de la Communication" to evaluate linguistic and emotional prosody comprehension. Clinical variables were assessed with a comprehensive set of standardized measures.

Results: FEP patients displayed significant linguistic and emotional prosody deficits compared to HC, with FEP-NA showing greater impairment than FEP-A. Also, significant correlations between symptom severity and prosodic features in FEP patients were found.

Conclusions: Our results suggest that prosodic impairments occur at the onset of psychosis being more prominent in FEP-NA and in those with severe psychopathology. These findings further support the hypothesis that aprosodia is a core feature of psychosis.

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Source
http://dx.doi.org/10.1016/j.comppsych.2018.07.004DOI Listing

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