Differences in narrative discourse ability in traumatic brain injury and a neurotypical comparison group: Influence of age, education, and sex.

IF 3.7 2区 医学 Q1 REHABILITATION
Karen Lê, André Lindsey, Carl Coelho, Joanna Fiszdon, Richard Feinn
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Abstract

Objective: To examine the influence of traumatic brain injury (TBI) on narrative discourse comprehension and production of individuals with TBI compared to a non-brain-injured (NBI) group. Further, this work investigated the potential influence of socio-demographic factors (i.e., age, education, sex) on narrative discourse performance.

Design: Case-control design SETTING: General community PARTICIPANTS: A total of 44 adults were grouped into two age- and education-matched cohorts. The TBI group comprised 21 participants with mild-moderate cognitive impairment, and the NBI comprised 23 participants.

Interventions: Not applicable MAIN OUTCOME MEASURES: Narrative discourse outcomes were measured by two comprehension measures (Discourse Comprehension Test, picture story comprehension task) and two production measures (story grammar, story completeness). Four univariate analyses of covariance (ANCOVA) were performed with age, education, and sex as covariates. The ANCOVAs were performed using parameter estimates with robust standard errors, and boxplots were constructed to understand differences between cohorts for each discourse measure.

Results: No sociodemographic variables (i.e., the covariates) were significant for any of the four discourse measures. The NBI group outperformed the TBI group on the DCT (p = .003, 95% CI [1.46, 6.82], partial η2 = .20), PSC (p = .005, 95% CI [.61, 3.26], partial η2 = .18), and story completeness (p = .005, 95% CI [.43, 2.26], partial η2 = .21). Effect sizes were large across these three discourse measures. No significant difference between groups was found for story grammar (p = .440, 95% CI [-.11, .25], partial η2 = .02).

Conclusions: TBI disrupts both narrative discourse comprehension and production ability. Findings underscore the need to evaluate both narrative comprehension and production performance following TBI. Age, education, and sex did not influence discourse outcomes.

创伤性脑损伤与神经正常对照组叙事话语能力的差异:年龄、教育程度和性别的影响
目的:探讨创伤性脑损伤(TBI)与非脑损伤(NBI)对创伤性脑损伤个体叙事话语理解和产生的影响。此外,本研究还调查了社会人口因素(即年龄、教育程度、性别)对叙事话语表现的潜在影响。设计:病例对照设计设置:普通社区参与者:共有44名成年人被分为年龄和教育程度相匹配的两组。TBI组包括21名轻度至中度认知障碍的参与者,NBI组包括23名参与者。主要结果测量:叙事话语结果通过两项理解测量(话语理解测试、图片故事理解任务)和两项生产测量(故事语法、故事完整性)来测量。以年龄、教育程度和性别为协变量,进行四项单因素协方差分析(ANCOVA)。ANCOVAs使用具有稳健标准误差的参数估计进行,并构建箱线图以了解每个话语测量的队列之间的差异。结果:没有社会人口学变量(即协变量)对四种话语测量中的任何一种都是显著的。NBI组在DCT上优于TBI组(p = )。003, 95% CI[1.46, 6.82],偏η2 = 。20), PSC (p = 。005, 95% ci[。[61,3.26],偏η2 = 。18),故事完整性(p = )。005, 95% ci[。[43,2.26],偏η2 = .21]。这三种话语测量的效应量都很大。各组间故事语法差异无统计学意义(p = )。440, 95% ci[- 0.11,。[25],偏η2 = .02)。结论:脑外伤对叙事话语理解和生产能力都有干扰。研究结果强调了评估创伤性脑损伤后的叙事理解和生产表现的必要性。年龄、教育程度和性别对话语结果没有影响。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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