Raluca Nicoleta TRIFU
Abstract
Depression represents a mental health problem and a real concern in the actual pandemic context. As a state or a trait, depression is also common in persons with special needs. The person diagnosed with depression is unable to concentrate, to sustained attention and to retrieve information. Speed is also impaired. Those particularities impact on language and communication for persons with depression. There is a link between poor verbal interaction and ideas flow. Depressive persons use less words in communication and avoid the use of verbal language. In major depressive disorder, the most frequent depressive disorder, affecting 10-25% of women and 5-12% of men, verbal fluency is impaired. Words repetitions are frequent. This is an indicator for impaired working memory. Concentration is also affected, verbal-idea dezorganization and unstructerd sentences are present. Adjectives and negative semantic words are used. Depressive persons prefer more past tense then present tense and future tense is almost absent. They use the ”I” more than persons without depression or in remissions.
Language display by depressive persons could be a valid indicator for early and differential diagnosis. This study is a narrative one focus on highlight the language displayed by person with depressive disorder as a refection of specific cognitive, affective ad perceptual changes.
Keywords: depressive disorder, verbal fluency, cognitive impairments, psycholinguistic markers.
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Published on line: 03/31/2022
Reference
Al-Mosaiwi, M., & Johnstone, T. (2018). In an Absolute State: Elevated Use of Absolutist Words Is a Marker Specific to Anxiety, Depression, and Suicidal Ideation. Clinical Psychological Science : A Journal of the Association for Psychological Science, 6(4), 529–542. https://doi.org/10.1177/2167702617747074
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5 th ed.). Washington, USA, Washington D.C: APA.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. (5th ed.). Washington D. C.
Bean, K. F. (2012). Differential ratings of and maternal impact on anxiety and depression among African American children in special education. Children And Youth Services Review(9), 1868.
Beck, A. T. (1974). Cognitive therapy and emotional disorders. New York: International Universities Press.
Bernard, J. D., Baddeley, J. L., Rodriguez, B. F., & Burke, P. A. (2015). Depression, Language, and Affect: An Examination of the Influence of Baseline Depression and Affect Induction on Language. Http://Dx.Doi.Org/10.1177/0261927X15589186, 35(3), 317–326. https://doi.org/10.1177/0261927X15589186
Bhojraj, T. S., Francis, A. N., Rajarethinam, R., Eack, S., Kulkarni, S., Prasad, K. M., Montrose, D. M., Dworakowski, D., Diwadkar, V., & Keshavan, M. S. (2009). Verbal fluency deficits and altered lateralization of language brain areas in individuals genetically predisposed to schizophrenia. Schizophrenia Research, 115(2–3), 202–208. https://doi.org/10.1016/j.schres.2009.09.033
Chiriţă, R. (2002). Depresie şi suicid dimensiuni biologice şi anxiologie. Constanţa: Editura Fundaţieu „Andrei Şaguna”.
Chung, C. K., & Pennebaker, J. W. (2013). Linguistic Inquiry and Word Count (LIWC). Applied Natural Language Processing, January 1999, 206–229. https://doi.org/10.4018/978-1-60960-741-8.ch012
Coman, H., Nemeş, B., Nica, S., Herţa, D., & Cosman, D. (2010, March ). Reacţion time and implicit learning in patients with multiple-episode schizofrenia. Journal of Cognitive and Behavioral Psychotherapies(2), 147-161.
Cosman, D., Nemeş, B., Nica, S., & Herţa, D. (2009, March). Verbal, visuospaţial and face working memory impairmant in multiple episode schizophrenia patients. Journal of Cognitive and Behavioral Psychotherapies(1), 123-133.
Douglas, K. M., Richard, J., & Porter. (2009). Longitudinal assessment of neuropsychological function in Major Depression. ; 43:1105–1117. Australian and New Zealand Journal of Psychiatry(43), 1105–1117.
DSM V, A. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). American Psychiatric Association.
DSM. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington D. C, D.C, USA: APA.
Fossati, P., Guillaume, L. B., Ergis, A. M., & Allilaire, J. F. (2003). Qualitative analysis of verbal fluency in depression. Psychiatry Research, 117(1), 17–24. https://doi.org/10.1016/S0165-1781(02)00300-1
Foster, ,. P., Yung, R. C., Branch, K. K., & Stringe. (2011). Increased spreading activation in depression. Brain And Cognition. Brain And Cognition, 77.
Freud, S. (1999). Doliu şi melancolie. In S. Freud, Opere III (pp. 155-158). Bucureşti: Editura trei.
Gadow, K. D., Guttmann-Steinmetz, S., & Rieffe. (2012). Depression symptoms in boys with autism spectrum disorder and comparison samples. Journal Of Autism And Developmental Disorders, 7( 42), 1353-1363.
Guetzloe, E. C. (1991). Depression and Suicide: Special Education Students at Risk. Exceptional Children at Risk: CEC Mini-Library. Exceptional Children at Risk: CEC Mini-Library.
Hartog, D., Derix, M., Bemmel, V. A., Kremer, B., & Jolles, J. (2005). Cognitive functioning in young and middle-ages unmedicated out-patients with major depression: testing the efort and cognitive speed hypotheses. Psychological Medicine, 1443-1451.
Henry, J., & Crawford, J. (2005). A meta-analytic review of verbal fluency deficits in depression. Journal of clinical and experimental neuropsychology, 27, 78-101.
Herrmann, M., Ehlis, A. C., & Fallgatter, A. J. (2004). Bilaterally reduced frontal activation during a verbal fluency task in depressed patients as measured by near-infrared spectroscopy. The Journal of neuropsychiatry and clinical neurosciences.;16:170-175., 16, 170-175.
Hoeppne, J., Prudente-Morrissey, L., Herpertz, S. C., Benecke, R., & Walter, U. (2009). Substantia nigra hyperechogenicity in depressive subjects relates to motor asymmetry and impaired word fluency. European archives of psychiatry and clinical neuroscience(259), 92-97.
Loftus, A. M., & Loftus, E. F. (1975). A Spreading-Activation Theory of Semantic Processing. Psychological Review.
M.P. N, L. B.-R. (1995). Influence of depression on verbal fluency performance. Aging and cognition. . 2, 206-15.
Maag, J. W., & Reid, R. (2006). Depression Among Students with Learning Disabilities: Assessing the Risk. Journal Of Learning Disabilities, 39(1), 3-10.
Medina, C., & Luna, G. (2006). Suicide Attempts Among Adolescent Mexican American Students Enrolled In Special Education Classes. Adolescence, 41(162), 299-312.
Noda, T., Yoshida, S., Matsuda, T., Okamoto, N., & Sakamoto, K. (2012). Frontal and right temporal activations correlate negatively with depression severity during verbal fluency task: A multi-channel near-infrared spectroscopy study. Journal of Psychiatri, 46(7), 905-12.
Okada, G., Okamoto, Y., Morinobu, S., Yamawaki, S., & Yokota, N. (2003). Attenuated Left Prefrontal Activation during a Verbal Fluency Task in Patients with Depression. . Neuropsychobiology(47), 21-26.
Okada, G., Okamoto, Y., Yamashita, H., Ueda, K., & Takami, H. (2009). Attenuated prefrontal activation during a verbal fluency task in remitted major depression. Psychiatry and clinical neurosciences(63), 423-425.
OMS. (2012). WHO – Suicide Prevention SUPRE- Multisite intervention study on suicidal behaviours. SUPRE-MIS.
Pasquier, F., Lebert, F., Grymonprez, L., & Petit, H. (1995). Verbal fluency in dementia of frontal lobe type and dementia of Alzheimer type. Journal of Neurology, Neurosurgery, and Psychiatry, 58(1), 81–84. https://doi.org/10.1136/jnnp.58.1.81
Patel, K. (2020). Mental health implications of COVID-19 on children with disabilities. Asian Journal of Psychiatry, 54, 102273. https://doi.org/10.1016/J.AJP.2020.102273
Peterson, C., Maier, S. F., & Seligman, M. E. P. (1993). Learned helplessness: A theory for the age of personal control. In Learned helplessness: A theory for the age of personal control. https://doi.org/10.1097/00008877-199204001-00099
Quillian, M. (1967). Word concepts: A theory and simulation of some basic semantic capabilities . Behavioral Science, 12(5), 410.
Scheurich, A., Fellgiebel, I., Schermuly, I., Bauer, R., & Wofges, M. (2008). Experimental evidence for a motivational origin of cognitive impairment in major depression. Psychological Medicine 38, 237–246. f 2007 Cambridge University Press(38), 237–246.
Seligman, M. E. (1974). Depression and learned helplessness. In The psychology of depression. Contemporary theory and research (p. 359). https://doi.org/ISBN 0-7167-0751-9
Smirnova, D., Cumming, P., Sloeva, E., Kuvshinova, N., Romanov, D., & Nosachev, G. (2018). Language patterns discriminate mild depression from normal sadness and euthymic state. Frontiers in Psychiatry, 9(APR). https://doi.org/10.3389/FPSYT.2018.00105/FULL
Smirnova, D., Romanov, D., Sloeva, E., Kuvshinova, N., Cumming, P., & Nosachev, G. (2019). Language in mild depression: How it is spoken, what it is about, and why it is important to listen. Psychiatria Danubina, 31, 427–433.
Smirnova, D., Sloeva, E., Kuvshinova, N., & Krasnov. (2015). Language changes as an important psychopathological phenomenon of mild depression. European Psychiatry, (p. 281).
Styron, W. (2007). Bezna Vizibilă. Bucureşti: Editura All.
Takami, H., Okamoto, Y., Yamashita, H., Okada, G., & Yamawak, N. (2007). Attenuated anterior cingulate activation during a verbal fluency task in elderly patients with a history of multiple-episode depression. The American journal of geriatric psychiatry.
Tausczik, Y. R., & Pennebaker, J. W. (2010). The psychological meaning of words: LIWC and computerized text analysis methods. Journal of Language and Social Psychology, 29(1), 24–54. https://doi.org/10.1177/0261927X09351676
Tolboll, K. B. (2019). Linguistic features in depression: A meta-analysis. Journal of Language Works – Sprogvidenskabeligt Studentertidsskrift, 4(2), 39–59. https://tidsskrift.dk/lwo/article/view/117798
Tremblay, C., Monchi, O., Hudon, C., MacOir, J., & Monetta, L. (2012). Are verbal fluency and nonliteral language comprehension deficits related to depressive symptoms in Parkinson’s disease? Parkinson’s Disease. https://doi.org/10.1155/2012/308501
Trifu, R. N., Nemeș, B., Cozman, D., & Bodea-Hațegan, C. (2017). Linguistic indicators of language in major depressive disorder (MDD). an evidence based research. Journal of Evidence-Based Psychotherapies, 17(1), 105–128.
Trifu, R., Mera, D., Hambrich, M., & Cozman, D. (2015). Verbal Fluency, Clustering and Switching In Persons with Depression as Indicators for Cognitive Impairments. Revista Română de Psihiatrie, XVII(4), 112–119.
Trifu, R (2017) – Disfuncții cognitive în tulburarea depresivă majoră. Teză de Doctorat. Universitatea de Medicină și Farmacie „Iuliu Hațieganu” Cluj-Napoca.
Tupak, S. V., Badewien, M., Dresler, T., Hahn, T., & Herrmann. (2012). Differential prefrontal and frontotemporal oxygenation patterns during phonemic and semantic verbal fluency. Neuropsychologia. . Neuropsychologia, 50(7), 1565-9.
W H O. (2010). The ICD-10 Classification of Mental and Behavioural Disorders.Clinical descriptions and diagnostic guidelines. World Health Organization.
WHO. (2016). ICD-10 Clasificarea tulburărilor mentale şi de comportament descrieri clinice şi îndreptare diagnostice (L. Mircea, T. Radu, P. Răzvan, D. Mircea, I. Monica, N. Ovidiu, A. Carmen, L. Mircea, T. Radu, P. Răzvan, D. Mircea, I. Monica, N. Ovidiu, & A. Carmen (eds.)). Editura Trei EX – 558 p.
WHO. (2018). ICD-11. ICD-11. https://icd.who.int/
WHO. (2022). COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide
Willner, P., Rose, J., Stenfert Kroese, B., Murphy, G. H., Langdon, P. E., Clifford, C., Hutchings, H., Watkins, A., Hiles, S., & Cooper, V. (2020). Effect of the COVID-19 pandemic on the mental health of carers of people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 33(6), 1523–1533. https://doi.org/10.1111/JAR.12811
World Health Organization. (1993). The ICD-10 Classification of Mental and Behavioural Disorders. In Nonserial Publication WHO. https://doi.org/10.4103/0019
Yochim, B., Macneill, S. E., & Lichtenberg, P. A. (2006). Vascular Depression” Predicts Verbal Fluency in Older Adults. Journal of Clinical and Experimental Neuropsychology. Journal of Clinical and Experimental Neuropsychology( 28), 495–508.