Pressured speech is also commonly associated with Attention Deficit Hyperactivity Disorder (ADHD), and can be a particular problem for those who have poor impulse control. This could be considered a type of obsessive-compulsive disorder (OCD). Verbal underproductivity seems to affect daily functioning and relations with others, while pressured speech is predictive of satisfaction with life. The pressure would build up inside them, and create so much anxiety, that they had to release it by talking. This suggests a differential relationship between speech disturbances and QoL.
Verbal underproductivity was a significant predictor of objective QoL, while pressured speech had a trend association with subjective QoL. Ratings of positive and negative TD, depression, and general neurocognition were entered into hierarchical regressions to explore their relationship with both life functioning and satisfaction. Fifty-four patients with schizophrenia/schizoaffective disorder were administered the MATRICS Consensus Cognitive Battery (MCCB), the PANSS, MADRS (with separate ratings for negative TD and positive TD ) and Lehman's QOLI assessing both objective and subjective QoL. It assessed effects on functioning (objective QoL) and satisfaction (subjective QoL) concurrently, while controlling for the influence of neurocognition and depression. This study aimed to examine the relationship between schizophrenia speech disturbances, including those traditionally known as formal thought disorder (TD), and quality of life (QoL). Although they are considered a core feature of schizophrenia, comparatively little work has been done to examine their impact on the life experiences of patients. Abstract: Speech disturbances in schizophrenia impact on the individual's communicative ability.
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