Study of Language Disorders and Interactions Between Mnesic Capabilities and Semantic Competencies in Patients With Psychosis

Status: Recruiting
Location: See location...
Intervention Type: Behavioral, Combination product
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This research concerns the study of language disorders of patients present in the spectrum of psychosis. It is indeed accepted that psychotic disorders are associated with language difficulties, which are only poorly highlighted thanks to reusable tools in clinical practice. These language disorders impact communication, and concern many linguistic domains, thus covering phonology, lexicon, semantics, morphosyntax and pragmatics. It therefore seems relevant to characterize these language disorders and to assess to what extent they interact with the other symptoms of the pathology, in particular the course of the thought disorder and the neuropsychological symptoms. In addition, this study is particularly interested in the interactions between working memory capacities and those related to syntax. It is intended for different patients suffering from psychotic disorders of different intensities, treated in the Psychotherapeutic Center of Nancy. Patients suffering from at-risk mental state (ARMS), first episode of psychosis (FEP) or schizophrenia will benefit from a complete language assessment, evaluating each domain mentioned above, on the expressive and understanding sides. The results of the language assessment will be compared with those of a control group in the same tests. They will also be analyzed with regard to the neuropsychological and psychiatric elements noted in the patient's medical file, in order to highlight possible associations between language skills, neuropsychological and psychiatric symptoms in this patient population.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 16
Maximum Age: 55
Healthy Volunteers: t
View:

• All Groups:

‣ Patient affiliated or entitled to a social security scheme

⁃ Patient having received informed information on the study and having co-signed, with the investigator, a consent to participate in the study

⁃ For minor participants, at least one of the parents or holders of parental authority having been informed of the study, having received the information note relating to it and not having objected to the participation of his or her child

⁃ Native language: French

• ARMS and FEP Patient Group:

‣ Age between 16 and 35 years old

⁃ Present the criteria for EMRP or FEP as defined by the Comprehensive Assessment of At Risk Mental State (CAARMS) or present the criteria for Disorders of the course of thought to the items of the Schizophrenia Proneness Instrument (SPI-A)

• Patients with schizophrenia group:

‣ Age between 16 and 55 years old

⁃ Patient with diagnostic criteria for schizophrenia, as defined by DSM V (American Psychiatric Association, 2015)

⁃ Present the criteria for Disorganization of Speech and Formal Thought Disorder as defined by the Thinking, Language and Communication (TLC) Rating Scale.

• Healthy Volunteers Group:

‣ Age between 16 and 55 years old

⁃ Parental authorization (of both parents) to participate in the study for minor patients

Locations
Other Locations
France
Centre Psychothérapeutique de Nancy
RECRUITING
Laxou
Contact Information
Primary
Anaëlle PAJAUD
Anaelle.PAJAUD@cpn-laxou.com
0383260863
Backup
Naoual MELLOUKI, PhD
Naoual.MELLOUKIBENDIMRED@cpn-laxou.com
0383925267
Time Frame
Start Date: 2024-01-23
Estimated Completion Date: 2026-01-23
Participants
Target number of participants: 90
Treatments
Experimental: early psychotic symptoms
This group includes patients with ARMS and those with FEP. Although they are not in the same place in the continuum of psychosis, these patients benefit from the same language assessment and CAST, do not benefit from the TLC or the MINI, and the data from their neuropsychological and psychiatric assessment will be used , which is why we have chosen to bring them together in the same arm. They are between 16 and 35 years old and are cared for as part of their usual follow-up at the CPN (Nancy Psychotherapeutic Center). They must have received the diagnosis of ARMS and FEP according to the criteria of CAARMS and SPI-A.
Experimental: patients with schizophrenia
The schizophrenic patients group will benefit from language assessment, TLC and CAST. They are between 18 and 55 years old and are cared for as part of their usual follow-up at the CPN. They must have been diagnosed with schizophrenia according to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) criteria.
Experimental: healthy controls
The control group for this study will be made up of volunteers between the ages of 16 and 55, not suffering from any mental disorder detected on the MINI or from a developmental disorder of oral or written language. They will also benefit from an assessment of cannabis use using the CAST.
Related Therapeutic Areas
Sponsors
Leads: Centre Psychothérapique de Nancy

This content was sourced from clinicaltrials.gov