Cognitive-semantic organization of consciousness in patients with bipolar and schizoaffective disorders
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Rusyaev VYu, Usatenko EV, Bobrov AE. [Cognitive-semantic organization of consciousness in patients with bipolar and schizoaffective disorders]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2024;(4):77-84. Russian
In this cross-sectional case-control study, for the purpose of comparative study of the organization of cognitivesemantic systems, 41 patients with schizoaffective disorder, 62 patients with bipolar affective disorder and 47 healthy controls were examined. The work used the repertory grid technique with specified elements and constructs. At the same time, indicators of cognitive complexity, cognitive amorphism, egocentrism and self-satisfaction were calculated. Significant differences were established between the group of patients with schizoaffective disorder, bipolar disorder and patients in the control group in terms of indicators of cognitive complexity and cognitive amorphism. Indicators of egocentrism and self-satisfaction differed statistically significantly within the group of patients with bipolar disorder, depending on the dominant affect. The possibility of using repertory grid technique as an additional method of differential diagnosis has been demonstrated.
Keywords schizoaffective disorder; bipolar affective disorder; cognitive-semantic sphere; cognitive impairment; psychosemantics
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