Exploration of irony appreciation in schizophrenia |
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Authors: | Paolo Stratta Ilaria Riccardi Daniela Mirabilio Silvia Di Tommaso Annerita Tomassini Alessandro Rossi |
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Institution: | (1) Unità Operativa di Psicologia Clinica a Villa Serena – Città S. Angelo, Pescara, Italy;(2) Dipartimento di Salute Mentale, ASL 4, L’Aquila, Italy;(3) Dipartimento di Medicina Sperimentale, Università de L’Aquila, Via Vetoio-Coppito II, 67100 L’Aquila, Italy |
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Abstract: | Irony is a form of speech used to convey feelings in an indirect way. Patients with schizophrenia demonstrated an impaired
irony processing, associated with poor theory-of-mind. We investigated irony appreciation in a sample of 20 subjects with
schizophrenic disorder by using cartoon images. The primary aim was to examine the association between Positive and Negative
Symptoms Scale (PANSS) scores (i.e. positive, negative and cognitive) and irony visual joke appreciation. The group performed
significantly worse in the Theory of Mind (ToM) condition than in the physical one. We report a significant relationship between
ToM performances with PANSS positive and cognitive symptoms but not with negative symptom scores. Average humour score significantly
correlated with positive symptoms, i.e. more severe symptoms, less funny the cartoon, while the difficulty in understanding
the jokes was related to PANSS cognitive cluster score, i.e. more cognitive symptoms, less difficult the ToM jokes. Our results
offer evidence for a compromised ToM capability in appreciating visual jokes linked to specific symptomatology. |
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Keywords: | irony schizophrenia Theory of Mind (ToM) positive symptoms cognitive symptoms |
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