Journal of Communication Disorders最新文献

{"title":"Language abilities, not cognitive control, predict language mixing behavior in bilingual speakers with aphasia","authors":"Alina Bihovsky ,&nbsp;Michal Ben-Shachar ,&nbsp;Natalia Meir","doi":"10.1016/j.jcomdis.2023.106367","DOIUrl":"10.1016/j.jcomdis.2023.106367","url":null,"abstract":"<div><h3>Purpose</h3><p>Language Mixing (LM) occurs among neurotypical bilinguals as well as among bilingual persons with aphasia (BiPWAs). The current study aimed to investigate whether LM in BiPWAs stems from a linguistic impairment, an impairment in cognitive control, or both.</p></div><div><h3>Method</h3><p>Twenty Russian-Hebrew-speaking BiPWAs were split into two groups based on aphasia severity (Severe/Moderate vs. Mild). Frequencies and patterns of LM in narrative production by BiPWAs in L1-Russian and in L2-Hebrew were analyzed. To investigate the underlying mechanisms of LM, all participants completed linguistic background questionnaires, the Bilingual Aphasia Test (BAT) in both languages, and a battery of 10 cognitive tests.</p></div><div><h3>Results</h3><p>The results indicated an effect of aphasia severity and an effect of language. Higher LM frequency was observed in BiPWAs with severe/moderate aphasia symptoms as compared to BiPWAs with mild symptoms. In both groups, higher LM frequency was observed in L2-Hebrew narratives, the weaker post-stroke language for most participants in the sample. The results also showed qualitative LM differences in L1-Russsian and L2-Hebrew contexts. In L1-Russian narratives, BiPWAs mainly switched to L2-Hebrew nouns, while in L2-Hebrew narratives, they mainly inserted L1-Russian discourse markers and function words.</p></div><div><h3>Conclusions</h3><p>Linguistic factors such as pre- and post-stroke self-rated language proficiency and level of language impairment due to aphasia were found to predict LM frequency in L1-Russian and in L2-Hebrew. Cognitive abilities did not predict LM frequency. Based on our findings, we suggest that LM behavior in BiPWAs might be primarily related to language skills in L1 and L2, rather than to cognitive control impairments.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"105 ","pages":"Article 106367"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of U.S. speech-language pathologists on supporting the psychosocial health of individuals with aphasia","authors":"Haley Hayashi,&nbsp;Michelle Gravier,&nbsp;Kristen Gustavson,&nbsp;Ellen Bernstein-Ellis","doi":"10.1016/j.jcomdis.2023.106365","DOIUrl":"10.1016/j.jcomdis.2023.106365","url":null,"abstract":"<div><h3>Introduction</h3><p>Individuals living with aphasia (IWA) are more likely than stroke survivors without aphasia to experience depression, anxiety, stress, and social isolation due to communication difficulties, social and life barriers, and neurobiological changes (Hilari, 2011). Researchers in the U.K., Australia, and elsewhere have surveyed speech-language pathologists (SLPs) to ascertain their training and confidence in addressing the psychosocial well-being of IWA (Northcott et al., 2017; Sekhon et al., 2015). To date, no similar survey has been performed in the U.S. The aim of this study was to survey the perspectives of U.S. SLPs on addressing the psychosocial well-being of IWA.</p></div><div><h3>Methods</h3><p>The survey questions were drawn from Northcott et al. (2017), with adjustments for a U.S. audience and additional questions. We conducted a Qualtrics survey which remained open from November 2021 through May 2022 and collected 101 responses. Responses to the closed questions were analyzed using descriptive statistics and open-ended responses were analyzed with qualitative content analysis.</p></div><div><h3>Results</h3><p>Some of the most significant findings of this survey include the low levels of confidence in addressing psychological health, lack of training among SLPs, and rarity of successful collaboration with mental health professionals. In comparison to surveys conducted in other countries, many overarching themes were similar, but there was some variation in specific responses and patterns. Categories emerging from the open-ended responses included the need for more trained mental health professionals, improved collaboration, and emphasis on the importance of the topic.</p></div><div><h3>Conclusions</h3><p>This research highlights the necessity of increased training, as well as improved interprofessional collaboration between SLPs and mental health professionals. Limitations of the study include the potential bias of respondents, as well as the number and scope of the questions and responses. Future studies can employ interviews, trial models for collaboration, and partner with IWA to explore their experiences with psychosocial health support and services.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"105 ","pages":"Article 106365"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10575167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersectional sociodemographic and neurological relationships in the naming ability of persons with post-stroke aphasia","authors":"Molly Jacobs ,&nbsp;Elizabeth Evans ,&nbsp;Charles Ellis","doi":"10.1016/j.jcomdis.2023.106352","DOIUrl":"10.1016/j.jcomdis.2023.106352","url":null,"abstract":"<div><h3>Introduction</h3><p>Significant attention has been given to the role of brain function and disruption in determining performance on naming tasks among individuals with aphasia. However, scholarly pursuit of a neurological explanation has overlooked the fundamental cornerstone of individual health—the underlying social, economic, and environmental factors that shape how they live, work, and age, also known as the social determinants of health (SDOH). This study examines the correlation between naming performance and these underlying factors.</p></div><div><h3>Methods</h3><p>Individual level data from the 2010 Moss Aphasia Psycholinguistic Project Database (MAPPD) was matched with the 2009–2011 Medical Expenditure Panel Survey (MEPS) using a propensity score algorithm based on functional, health, and demographic characteristics. Multilevel, generalized, nonlinear regression models were applied to the resulting data set to assess the correlation between the Boston Naming Test (BNT) percentile score and age, income, sex, race, household size, marital status, aphasia type, and region of residence. Poisson regression models with bootstrapped standard errors were used to estimate these relationships</p></div><div><h3>Results</h3><p>Discrete dependent variable estimation with non-normal prior specification included individual level (age, marital status, years of education), socioeconomic (family income), health (aphasia type), household (family size), and environmental (region of residence) characteristics. Regression results indicated that, relative to individuals with Wernicke's, individuals with Anomic (0.74, SE = 0.0008) and Conduction (0.42, SE = 0.0009) aphasia performed better on the BNT. While age at the time of testing was not significantly correlated, higher income level (0.15, SE = 0.0003) and larger family size (0.002, SE = 0.002) was associated with higher BNT score percentiles. Finally, Black persons with aphasia (PWA) (-0.0124, SE = 0.0007) had lower average score percentiles when other factors were held constant.</p></div><div><h3>Conclusions</h3><p>The findings reported here suggest higher income and larger family size are associated with better outcomes. As expected, aphasia type was significantly associated with naming outcomes. However, poorer performance by Black PWA and individuals with low income suggests that SDOH can play a critical role (positive and negative) in naming impairment in some populations with aphasia.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"105 ","pages":"Article 106352"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10207625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using bibliotherapy to rebuild identity for people with aphasia: A book club experience","authors":"Elizabeth Hoover ,&nbsp;Ellen Bernstein-Ellis ,&nbsp;Debra Meyerson","doi":"10.1016/j.jcomdis.2023.106363","DOIUrl":"10.1016/j.jcomdis.2023.106363","url":null,"abstract":"<div><h3>Background</h3><p>Aphasia book clubs were developed to support connecting with literature and reading for pleasure within an aphasia-friendly environment. Bibliotherapy is an evidence-based therapeutic approach, in which a book is selected to address the challenges facing the reader. Its aim is to facilitate a deeper understanding of a lived experience in order to promote healing, strategy development, and adjustment. Aphasia book clubs provide an opportunity to discuss books about the challenges associated with aphasia. A recent book, <em>Identity theft: Rediscovering ourselves after stroke</em> recounts the stroke recovery story of Dr. Debra Meyerson and 22 other stroke survivors. <em>Identity Theft</em> focuses on the need to reconstruct positive identities despite remaining disabilities to facilitate rebuilding rewarding lives. The purpose of this study is to understand the impact of reading <em>Identity Theft</em> in an aphasia book club for people with aphasia (PwA).</p></div><div><h3>Method</h3><p>27 PwA read the book <em>Identity Theft</em> in one of four online aphasia book clubs offered by two universities. Weekly discussions were facilitated by graduate SLP students under the supervision of experienced clinicians. At the end of the 10 week program, semi-structured qualitative interviews were conducted with participants to understand the lived experience. Interviews were analyzed using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>Analysis of the interview data generated four main themes and 13 subthemes. The main themes included: Mechanism for Reflection, Power of Community, Engaged Learning, and Therapeutic Environment. Interview extracts illustrate the way these themes support increasing self-efficacy and rebuilding a positive identity.</p></div><div><h3>Conclusion</h3><p>The themes align positively with outcomes associated with the bibliotherapy process. Themes also integrate into a self-management model that promotes self-efficacy through education, support, awareness, problem solving and goal setting. Caveats included determining participant readiness to examine recovery issues and facilitator preparation. Aphasia book clubs surrounding psychosocial texts may help PwA reconstruct a positive post-stroke identity.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"105 ","pages":"Article 106363"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10207899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language impairments in people with autoimmune neurological diseases: A scoping review","authors":"Janine Rook ,&nbsp;Sara Llufriu ,&nbsp;Dörte de Kok ,&nbsp;Adrià Rofes","doi":"10.1016/j.jcomdis.2023.106368","DOIUrl":"10.1016/j.jcomdis.2023.106368","url":null,"abstract":"<div><h3>Introduction</h3><p>Autoimmune neurological diseases (ANDs) are a specific type of autoimmune disease that affect cells within the central and peripheral nervous system. ANDs trigger various physical/neuropsychiatric symptoms. However, language impairments in people with ANDs are not well characterized. Here we aimed to determine the kinds of language impairment that most commonly emerge in 10 ANDs, the characteristics of the patients (demographic, neurological damage), and the assessment methods used.</p></div><div><h3>Methods</h3><p>We followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR). PubMed and Google Scholar were searched. We used a list of search terms containing 10 types of ANDs (e.g., multiple sclerosis, acute disseminated encephalomyelitis) in combination with the terms aphasia, dysphasia, fluency, language, listening, morphology, phonology, pragmatics, reading, semantics, speaking, syntax, writing. The reference lists and citations of the relevant papers were also investigated. The type of AND, patient characteristics, neurological damage and examination technique, language tests administered, and main findings were noted for each study meeting the inclusion criteria.</p></div><div><h3>Results</h3><p>We found 171 studies meeting our inclusion criteria. These comprised group studies and case studies. Language impairments differed largely among types of ANDs. Neurological findings were mentioned in most of the papers, but specific language tests were rarely used.</p></div><div><h3>Conclusions</h3><p>Language symptoms in people with ANDs are commonly reported. These are often not full descriptions or only focus on specific time points in the course of the disease. Future research needs to assess specific language functions in people with ANDs and relate their language impairments to brain damage at different stages of disease evolution.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"106 ","pages":"Article 106368"},"PeriodicalIF":1.7,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10634058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Describing communication profiles of low-risk preterm and full-term late talkers","authors":"Mariagrazia Zuccarini ,&nbsp;Annalisa Guarini ,&nbsp;Dino Gibertoni ,&nbsp;Chiara Suttora ,&nbsp;Arianna Aceti ,&nbsp;Luigi Corvaglia ,&nbsp;Arianna Bello ,&nbsp;Maria Cristina Caselli ,&nbsp;Alessandra Sansavini","doi":"10.1016/j.jcomdis.2023.106336","DOIUrl":"10.1016/j.jcomdis.2023.106336","url":null,"abstract":"<div><h3>Introduction</h3><p>Late talkers represent a heterogeneous population. We aimed to describe communication profiles of low-risk preterm and full-term late talkers according to their receptive and expressive vocabulary size, considering communicative, linguistic, cognitive, and motor skills, as well as biological and environmental risk factors.</p></div><div><h3>Methods</h3><p>Sixty-eight late talkers (33 born low-risk preterm and 35 full-term) were identified through a language screening at 30 months. Parents filled out the Italian Short Forms of the MacArthur Bates Communicative Development Inventories and the Socio Conversational Skills Rating Scales. Children were assessed with the Picture Naming Game test and the Bayley Scales of Infant and Toddler Development.</p></div><div><h3>Results</h3><p>A two-step cluster analysis identified three distinct profiles among late talkers according to their receptive and expressive vocabulary size. <em>Severe</em> late talkers (25%) showed less frequent use of pointing, limited verbal imitation, receptive vocabulary size, lexical and sentence production, responsiveness and assertiveness, and lower cognitive scores than <em>mild</em> late talkers (40%). <em>Moderate</em> late talkers (35%) showed less frequent verbal imitation, limited lexical and sentence production and lower cognitive scores than <em>mild</em> late talkers. Male gender was significantly more represented in the <em>severe</em> late profile, whereas other biological and environmental factors did not differ among the three profiles.</p></div><div><h3>Conclusions</h3><p>Findings highlighted the relevance of assessing communicative, lexical, grammar, pragmatic, and cognitive skills to describe late talkers’ profiles. A deeper investigation of phonological skills might also contribute to a further understanding of interindividual variability in this population.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"104 ","pages":"Article 106336"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9652079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Early detection of Spanish-speaking children with developmental language disorders: Concurrent validity of a short questionnaire and a screening test”","authors":"Alejandra Auza B ,&nbsp;Chiharu Murata ,&nbsp;Christian Peñaloza","doi":"10.1016/j.jcomdis.2023.106339","DOIUrl":"10.1016/j.jcomdis.2023.106339","url":null,"abstract":"<div><h3>Background</h3><p>. Under-identification of Developmental Language Disorder (DLD) is a significant problem in monolingual Latin American Spanish-speaking children. We evaluated the identification utility of the sequential use of two screening tools, the \"Parental Questionnaire (PQ)\" and the \"Screening for Language Problems (TPL)\", to identify children who require confirmatory diagnosis of DLD.</p></div><div><h3>Methods</h3><p>: Parents of children (4 to 6 years) were contacted in schools and public health centers in Mexico. Monolingual Spanish-speaking children with no auditory and cognitive disorders were eligible. The reference diagnosis of DLD was established using BESA (Bilingual English-Spanish Assessment) or SCELF-4 (Spanish Clinical Evaluation of Language Fundamentals), combined with data from the narrative samples that yielded the percentage of ungrammaticality and the clinical judgment of two Speech-Language Pathologists (SLPs). Responses to the PQ were obtained as a parental report, and the TPL was applied by a trained SLPs.</p></div><div><h3>Results</h3><p>. Both PQ and TPL presented a significant difference between the groups of children with DLD and typical language development (TLD). By combining the two instruments, a notable improvement in diagnostic utility was shown.</p></div><div><h3>Conclusion</h3><p>. The combination of these two procedures provides an efficient method for screening children having the risk of DLD and contributes to resolving the problem of under-identification.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"104 ","pages":"Article 106339"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why and how to publish aphasia-friendly research summaries","authors":"Jacqueline Hinckley ,&nbsp;Clarisse El-Khouri","doi":"10.1016/j.jcomdis.2023.106338","DOIUrl":"10.1016/j.jcomdis.2023.106338","url":null,"abstract":"<div><h3>Background</h3><p>A common complaint of people with aphasia and their families is their inability to find information about current aphasia treatment research (Hinckley, Boyle, Lombard &amp; Bartels-Tobin, 2014; <span>Hinckley &amp; El-Khouri, 2021</span>). Plain language summaries, video summaries, and graphical summaries are three ways to disseminate research results that are more accessible to a broader audience. The purpose of this tutorial is to discuss the motivations for disseminating research in understandable ways, and to provide information and resources on how aphasia-friendly dissemination can be done.</p></div><div><h3>Method</h3><p>We report an overview of evidence on the importance of and characteristics of dissemination. Next, we provide specific characteristics and resources for producing plain language summaries, video summaries, and graphical abstracts. Finally, we conducted a systematic search for journals in the area of stroke rehabilitation after consultation with a research librarian. The publication webpages of each journal were inspected to gather information about whether and how the journal published plain language summaries, video summaries, or graphical abstracts. Editors were contacted as needed to complete the information. Sixty journals in stroke rehabilitation were identified, and a total of 43 journals (71%) publish video abstracts, graphical summaries, and/or plain language summaries either independently or through third-party platforms.</p></div><div><h3>Conclusions</h3><p>The findings are discussed in the context of the importance of making research consumer-friendly. We offer specific recommendations for aphasia researchers, and future directions for publishing research in ways that will have an impact on the broader public are suggested.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"104 ","pages":"Article 106338"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9649245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the early communicative behaviors of young children with significant cognitive and motor developmental delays in a two-year span","authors":"Ann Dhondt ,&nbsp;Ines Van keer ,&nbsp;Annette van der Putten ,&nbsp;Bea Maes","doi":"10.1016/j.jcomdis.2023.106337","DOIUrl":"10.1016/j.jcomdis.2023.106337","url":null,"abstract":"<div><h3>Introduction</h3><p>This study examines longitudinal changes in communicative behavior of young children with significant cognitive and motor developmental delays (SDD) and determines their individual communicative trajectories. A second focus of this study is the relation of changes in communicative behavior with motor skills.</p></div><div><h3>Methods</h3><p>Data consists of codes resulting from a self-developed coding scheme used on observations of 23 children in three different settings and responses on a questionnaire. First, group trends were determined to find out whether communication-related variables tend to significantly change over the course of two years. Furthermore, these findings were contrasted with the individual trajectories of the children. Next, the association of initial communicative skills and (the acquisition of) specific motor skills with the change in their communicative functioning was studied. Wilcoxon Signed Ranks and correlational analyses were used to answer the research questions.</p></div><div><h3>Results</h3><p>Out of sixteen different variables related to communicative behavior, ten changed significantly over the course of two years. Children with more focus on prompt on the first datapoint showed a significantly larger increase of signs of functionality. Still, all children showed highly individual trajectories. Children with better motor skills on the first datapoint showed a significantly larger increase in communication rate.</p></div><div><h3>Conclusions</h3><p>Results show that if a myriad of detailed variables are taken into account children with significant cognitive and motor developmental disabilities do change regarding their communicative functioning, but that they tend to all show unique developmental trajectories. Children with stronger skills in some aspects of communication and motor functioning, can be considered advantaged regarding their communicative development.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"104 ","pages":"Article 106337"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9652072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descriptive discourse in fluent aphasia: The predictive role of attention, phonology, lexical retrieval and semantics","authors":"Narcisa Pérez Naranjo ,&nbsp;David del Río ,&nbsp;Silvia Nieva ,&nbsp;Carlos González Alted","doi":"10.1016/j.jcomdis.2023.106335","DOIUrl":"10.1016/j.jcomdis.2023.106335","url":null,"abstract":"<div><h3>Aims</h3><p>To study the relationship between cognitive and linguistic skills (as measured through standardized tasks) over spontaneous speech elicited during a picture description task.</p></div><div><h3>Methods &amp; procedures</h3><p>21 controls and 19 people with fluent aphasia matched by age and sex were evaluated using transcripts made from a picture description task coded using the CHAT format and analyzed using Computerized Language Analysis (CLAN). Indices obtained from the speech samples contained measures of lexical quantity and diversity, morphosyntactic complexity, informativeness, and speech fluency, along with different kinds of speech errors. We studied their correlations with attentional measures from Conners’ Continuous Performance Test and with standardized measures of naming, pseudoword repetition and semantic non-verbal association. We further used stepwise linear regression to analyze the predictive value of standardized linguistic and cognitive skills over discursive indices.</p></div><div><h3>Outcomes &amp; results</h3><p>Contrary to our initial hypothesis, there were no significant correlations between attentional scores and discourse variables in aphasic participants. Moreover, semantic association, along with naming, was the measure more related with discourse performance in people with fluent aphasia, but cognitive and linguistic standardized measures had overall little predictive power on most discourse indices. In the control group, there was a certain association of naming skills and attentional reaction time with discourse variables, but their predictive power was also low.</p></div><div><h3>Conclusions &amp; implications</h3><p>The current results do not support a strong relationship between basic attentional skills and performance in descriptive discourse in fluent aphasia. Although some of the standardized tasks seem to bear some relationship with spontaneous speech, there is a high amount of interindividual variability in discourse that is not captured by classical cognitive tasks routinely used in assessment. Further work on the determinants of discourse performance in aphasia and on the clinical application of discourse analysis is warranted.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"104 ","pages":"Article 106335"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}