Speech and language therapy intervention in schizophrenia: a case study

Clegg, Judy; Brumfitt, Shelagh; Parks, Randolph W.; Woodruff, Peter

doi:10.1080/13682820601171472

Cited by 43 publications

(17 citation statements)

References 33 publications

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“…Nevertheless, first studies are investigating the outcome of communication therapy in schizophrenia. There already exist some single subject studies showing positive effects of language and speech therapy on speech production in patients with symptoms such as alogia or delusional speech (46)(47)(48)(49). Further studies have found positive effects for discourse production (score of intelligibility, appropriateness and elaboration of responses) (50), verbal fluency (51-53) and naming (54).…”

Section: Current Treatments For Patients With Schizophreniamentioning

confidence: 99%

“…Previous evidence on training of communicative and pragmatic skills in schizophrenia suggest that it may be an acceptable and tolerable intervention to conduct an intensive MSG training (45). For example, some single subjects studies have shown positive effects of language and speech therapy on speech production in patients with symptoms such as alogia or delusional speech (46)(47)(48)(49). Further studies have found positive effects for discourse production (50), verbal fluency (51-53) and naming (54) However, these studies focused on speech production, not on understanding language.…”

Section: Previous Studiesmentioning

confidence: 99%

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A Multimodal Speech-Gesture Training Intervention for Patients With Schizophrenia and Its Neural Underpinnings – the Study Protocol of a Randomized Controlled Pilot Trial

Riedl¹,

Nagels²,

Sammer³

et al. 2020

Front. Psychiatry

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Dysfunctional social communication is one of the most stable characteristics in patients with schizophrenia that also affects quality of life. Interpreting abstract speech and integrating nonverbal modalities is particularly affected. Considering the impact of communication on social life but failure to treat communication dysfunctions with usual treatment, we will investigate the possibility to improve verbal and non-verbal communication in schizophrenia by applying a multimodal speech-gesture training (MSG training). Here we describe the newly developed MSG training program and the study design for the first clinical investigation. The intervention contains perceptive rating (match/mismatch of sentence and gesture) and memory tasks (n-back tasks), imitation and productive tasks (e.g., SG fluency-similar to verbal fluency where words are accompanied by gesture). In addition, we offer information about gesture as metalearning element as well as homework for reasons of transfer to everyday life as part of every session. In the MSG training intervention, we offer eight sessions (60 min each) of training. The first pilot study is currently conducted as a single-center, randomized controlled trial of speech-gesture intervention versus wait-list control with a follow-up. Outcomes are measured through pre-post-fMRI and standardized psychological questionnaires comparing two subject groups (30 patients with schizophrenia and 30 healthy controls). Patients and healthy controls are randomized in two intervention groups (with 20 being in the wait-training group and 10 in the training-follow-up group). With our study design we will be able to demonstrate the beneficial effect of the MSG training intervention on behavioral and neural levels.Clinical Trial Registration: DRKS.de, identifier DRKS00015118.

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Section: Current Treatments For Patients With Schizophreniamentioning

confidence: 99%

Section: Previous Studiesmentioning

confidence: 99%

A Multimodal Speech-Gesture Training Intervention for Patients With Schizophrenia and Its Neural Underpinnings – the Study Protocol of a Randomized Controlled Pilot Trial

Riedl¹,

Nagels²,

Sammer³

et al. 2020

Front. Psychiatry

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“…In the late 1990s, the RSU funded growth of outreach and associated services across London (Cloke et al . 2011). The CHAIN database was developed in the year 2000 to increase coordination and reduce duplication across services.…”

Section: The Combined Homelessness and Information Network (Chain)mentioning

confidence: 99%

The speech, language and communication needs of rough sleepers in London

Andrews

Botting

2020

Intl J Lang & Comm Disor

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Background There is very little awareness of the speech, language and communication needs (SLCN) of rough sleepers. The small amount of documentation that does exist involves a wider group of homeless adults (not just rough sleepers), and reports that communication needs are an area of concern. Aims To investigate: (1) the reported prevalence of SLCN amongst UK nationals recorded on the Combined Homeless and Information Network (CHAIN) as sleeping on the streets of London; (2) whether rough sleepers with reported SLCN differ from those without; and (3) what factors best predict patterns of rough sleeping and accommodation stays. Methods & Procedures A data set of 513 participants was provided by CHAIN, which contained information relating to all new rough sleepers and people with long‐term histories of rough sleeping (UK nationals only) recorded by street outreach teams in London between 1 April and 30 June 2013. Also included was data about UK nationals provided with support by the Homelessness and Brain Injury Project. The data set contained information including basic demographics, communication skills, health and social care needs, and institutional background and extended to a 5‐year period. Outcomes & Results (1) SLCN data were often not recorded with data available for only 62% of individuals on the CHAIN databases. However, for those with SLCN data, the prevalence of SLCN was significantly higher than for the general population (17.1%; p < 0.001). (2) There were no significant differences between those with and without SLCN on additional risk factors, quarters rough sleeping, accommodation stays or staff‐recorded alerts. (3) There was a positive correlation between rough sleeping and additional risk factors for those with SLCN (r = 0.32, p < 0.001) and for those without (r = 0.25, p < 0.001). Regression analysis indicated that additional risk factors were more predictive than SLCN in explaining the number of quarters rough sleeping and accommodation stays. Conclusions & Implications SLCN are highly prevalent amongst rough sleepers and significantly greater than for the UK general population. SLCN are not clearly related to rough sleeping behaviour, but the presence of additional risk factors is highly significant in this regard. Homelessness organizations should provide training for staff in SLCN in order to promote better recording of SLCN, inclusive communication and appropriate support to people who are homeless. Further research is also needed to understand better the communication needs of rough sleepers.

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“…Os autores afirmam que, embora a evidência tende a mostrar que certas áreas da linguagem são tratáveis através da terapia, continua a ser difícil indicar o tipo de abordagem que deve ser favorecida e implementada para tratar deficiências de linguagem na esquizofrenia (JOYAL, BONNEAU, FECTEAU; 2016). Clegg et al (2007) realizaram um estudo de intervenção fonoaudiológica em um indivíduo com esquizofrenia, sexo masculino, 53 anos e características de pobreza no discurso. O processo terapêutico foi realizado em duas fases: a primeira fase focou no desenvolvimento da comunicação verbal e, na segunda, desenvolveu-se a consciência de suas habilidades de comunicação social.…”

Section: A Intervenção Fonoaudiológicaunclassified

“…O processo terapêutico foi realizado em duas fases: a primeira fase focou no desenvolvimento da comunicação verbal e, na segunda, desenvolveu-se a consciência de suas habilidades de comunicação social. Os resultados mostraram que a intervenção foi bem sucedida, sendo que a comunicação verbal do sujeito melhorou e ele desenvolveu habilidades de comunicação social de maneira mais apropriada (CLEGG et al, 2007). Este estudo sugere, ainda, que a intervenção fonoaudiológica pode contribuir para a compreensão e o manejo na esquizofrenia e outros distúrbios psiquiátricos em adultos (CLEGG et al, 2007).…”

Section: A Intervenção Fonoaudiológicaunclassified

Comportamento comunicativo de indivíduos com diagnóstico de esquizofrenia: efetividade da intervenção fonoaudiológica

Santos¹

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Speech and language therapy intervention in schizophrenia: a case study

Cited by 43 publications

References 33 publications

A Multimodal Speech-Gesture Training Intervention for Patients With Schizophrenia and Its Neural Underpinnings – the Study Protocol of a Randomized Controlled Pilot Trial

A Multimodal Speech-Gesture Training Intervention for Patients With Schizophrenia and Its Neural Underpinnings – the Study Protocol of a Randomized Controlled Pilot Trial

The speech, language and communication needs of rough sleepers in London

Comportamento comunicativo de indivíduos com diagnóstico de esquizofrenia: efetividade da intervenção fonoaudiológica

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