Narrative Qualities in Schizophrenia: Associations With Impairments in Neurocognition and Negative Symptoms
Abstract
Schizophrenia spectrum disorders often involve a profound diminishment in people's ability to coherently narrate their lives. Unknown is whether narrative difficulties of persons with schizophrenia differ from those with other disabilities, and how they relate to clinical or neurocognitive aspects of schizophrenia. To address both issues, personal narratives were obtained for 25 participants with schizophrenia spectrum disorders and a comparison group of eight legally blind participants and four with major depressive disorders. Flexibility of abstract thought and positive, negative, and emotional discomfort symptoms were assessed among the schizophrenia group. ANCOVA comparing scores on our scale to assess narrative development, controlling for age, found the schizophrenia group narratives significantly more impoverished than the comparison group on multiple dimensions, including self-worth and agency. Neurocognitive impairment and negative symptoms were significant predictors of impoverishment in the schizophrenia group. Results may highlight deficits that could be addressed in psychotherapy or rehabilitation to promote recovery.
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Individuals with SSD narrate their lives with less agency than healthy controls.
“individuals with SSD narrate their lives with less agency than controls”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Lysaker, Wickett, et al., 2005
Individuals with SSD report lower levels of communion than healthy controls.
“lower levels of communion compared to healthy controls”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Lysaker, Wickett, et al., 2005
Impaired narrative agency is linked to negative symptoms.
“Impaired narrative agency has been linked to a host of clinical variables including negative symptoms”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Lysaker, Wickett, et al., 2005
Impaired narrative agency is linked to impaired cognition.
“impaired cognition”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Lysaker, Wickett, et al., 2005
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- Authors
- Lysaker, P. H., Wickett, A., & Davis, L. W.
- Affiliations
- Richard L. Roudebush VA Medical Center (US)
- Corresponding author
- Lysaker, Paul H.
- Davis, Louanne W.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2005-04
- Volume
- 193
- Issue
- 4
- Pages
- 244-249
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W1990095333
- Cited by
- 47
- References
- 49
- Citations by year
- 2026: 2 · 2023: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 2
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- schizophrenia spectrum disorders, personal narrative, negative symptoms, neurocognitive impairment, self-worth, agency, major depressive disorder, legal blindness, emotional discomfort
- MeSH terms
- Attitude to Health, Awareness, Blindness, Cognition Disorders, Depressive Disorder, Major, Major Depressive Disorder, Factor Analysis, Statistical, Female, Health Status, Humans, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Self Concept, Self Disclosure, Verbal Behavior
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