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Psychiatr Prax 2020; 47(01): 29-34
DOI: 10.1055/a-1026-0808
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Konkretistische Denkstörungen als Indikator der Akuität bei Schizophrenieerkrankungen

Concretism as a Correlate of the Acuteness of Schizophrenic Symptomatology
Nathalie Brackmann
1   Qualitätssicherung und Forschung, Klinik für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Schweiz
,
Steffen Lau
2   Zentrum für Stationäre Forensische Therapie, Klinik für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Schweiz
,
Elmar Habermeyer
3   Klinik für Forensische Therapie, Psychiatrische Universitätsklinik Zürich, Schweiz
,
James Weiss
2   Zentrum für Stationäre Forensische Therapie, Klinik für Forensische Psychiatrie, Psychiatrische Universitätsklinik Zürich, Schweiz
› Author Affiliations
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Publication History

Publication Date:
07 January 2020 (online)

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Zusammenfassung

Formale Denkstörungen, insbesondere konkretistische, sind ein charakteristisches Merkmal schizophrener Psychosen, welche das Verständnis von idiomatischen Redewendungen, Metaphern und Sprichwörtern im Alltag erschweren oder verunmöglichen. Um die Assoziation zwischen dem Ausmaß des Konkretismusʼ und dem Schweregrad der schizophrenen Erkrankung zu untersuchen, absolvierten 28 Personen mit Schizophrenie nebst der kognitiven Leistungsdiagnostik einen Screening-Sprichwort-Test. Unsere Befunde zeigten einen Zusammenhang zwischen Akuität der schizophrenen Erkrankung und dem Ausmaß des Konkretismusʼ. Der mögliche Mehrgewinn einer Berücksichtigung dieses Befundes bei der Behandlung betroffener Personen wird diskutiert.

Abstract

Formal thought disorders are common in people diagnosed with schizophrenia. Among them, concretism stands for deficiencies in the understanding of idiomatic expressions, metaphors and proverbs. However, little is known as to whether concretism is a correlate of the acuteness or severity of schizophrenia within patients. In this pilot study data of 28 patients was collected in the process of implementing a proverb test for screening purposes as part of an enhancement to the standard assessment of the general cognitive functioning of the patients. Our findings support the argument for such a coherence as a significant correlation between the degree of acuteness and concretism was found. However, the proverb test also correlated significantly with our standard cognitive assessment so the question as to which degree the proverb test will add further information regarding the general cognitive functioning needs to be addressed. Finally, the question as to whether there is an indication to specifically approach concretism in the treatment of patients with schizophrenia is discussed.

Schlüsselwörter

Schizophrenie - formale Denkstörungen - Konkretismus - Sprichwörter - Akuität schizophrener Erkrankung

Keywords

schizophrenia - formal thought disorders - concretism - proverbs - degree of schizophrenic symptoms
 

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