Abstract
ABSTRACT Objective: to perform an integrative review to identify speech and language pathology intervention for schizophrenia. Methods: the review covered SCIELO, PUBMED, OXFORD JOURNALS and SCIENCEDIRECT databases for speech and language pathology intervention studies for schizophrenia. A narrative synthesis was adopted considering the level of clinical and methodological heterogeneity amid studies. Results: the results demonstrated an increase in publications since 2012 with 11 articles meeting the criteria. Language and discourse assessment were the speech and language pathology privileged procedures. Conclusion: the review indicates that the most eligible intervention was assessment, that studies’ methodology were heterogeneous and that the communication disorders identified were related to discursive, pragmatic and syntactic disorders, which evidences the importance of more systematized intervention procedures and research on schizophrenic patients.
Highlights
Speech and Language Pathology (SLP) studies the prevention, assessment and treatment of human communication disorders 1
The role played by the speech and language pathologist in Mental Health is based on performing specific procedures for evaluation, intervention, counseling and follow-up on the SLP disordered processes, creating strategies to promote and maintain patient’s functional communication, a fundamental component of social interaction 2
The search was performed in Spanish, English and Portuguese languages; the key words, obtained from the PubMed, used the following combinations: ((Speech & Language Pathology AND Schizophrenia)) OR ((((Pragmatic AND Schizophrenia AND Speech & Language Pathology))) OR (((Mental Health AND Schizophrenia AND Communication))) OR (( (Speech Language Treatment AND Schizophrenia))); ((Fonoaudiología AND Esquizofrenia)) OR (((Pragmatica AND Esquizofrenia AND Fonoaudiología))) OR (((Salud Mental AND Esquizofrenia AND Comunicación ))) OR ((Lenguaje AND Terapia AND Esquizofrenia)); (((Fonoaudiologia AND Esquizofrenia))) OR (((Pragmática AND Esquizofrenia AND Fonoaudiologia))) OR (((Saúde Mental AND Esquizofrenia AND Comunicação))) OR (((Linguagem AND Terapia AND Esquizofrenia)))
Summary
Speech and Language Pathology (SLP) studies the prevention, assessment and treatment of human communication disorders (oral and written language, voice, hearing and oral motor skills) 1. Positive symptoms include disorders of perception (hallucinations), language, behavioural organization (severely disorganized or catatonic) and of thinking (delusional ideas) 4-7. Positive symptoms include two dimensions that may be related to underlying neural mechanisms and different clinical correlations: the psychotic dimension, which comprehends delusions and hallucinations, and the disorganization dimension that compromises behavior and language. Negative symptoms are characterized by disorders of perception, inferential thinking, language and communication, behavior organization, affectivity, speech, hedonic capacity, will, motivation, attention and a decrease or loss of emotions. They include restrictions on the intensity of emotional expression (affective flattening), on the fluency and productivity of thought and language (alogia) and on the initiation of goal-directed behavior (apathy) 5-8. Negative symptoms are correlated to language poverty and worse social and occupational function[9]
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