Aphasiology最新文献

{"title":"A Systematic Scoping Review of Measures Used to Evaluate Treatment-Induced Changes in Depression, Anxiety, and Chronic Stress in People with Post-Stroke Aphasia.","authors":"Christie Carroll-Duhigg, Julian David, Richard M Arenas, Davin K Quinn, H Isabel Hubbard, Tyler B Smith, Jessica D Richardson","doi":"10.1080/02687038.2025.2467234","DOIUrl":"10.1080/02687038.2025.2467234","url":null,"abstract":"<p><strong>Background: </strong>People with aphasia have an increased risk of developing symptoms of depression, anxiety, and chronic stress - all of which interfere with rehabilitation and limit functional outcomes. Interventions addressing the mental health needs of people with aphasia are critically important and rapidly emerging. Most self-rated questionnaires are highly language-dependent. It is unclear how aphasia researchers are managing this potential study limitation.</p><p><strong>Aims: </strong>To examine how treatment-induced changes in depression, anxiety, and chronic stress are currently being measured in people with stroke-induced aphasia and identify areas of concern and implications for future research.</p><p><strong>Methods & procedures: </strong>PsycINFO, CINAHL, PubMed, Embase, and Google Scholar were searched in February 2024. Key search terms included \"depression\", \"anxiety\", \"chronic stress\", \"measurement\", \"aphasia\", \"stroke\", and \"treatment\". Quantitative intervention studies reporting pre-post and/or group comparisons of depression, anxiety, or chronic stress, as either a primary or secondary outcome, with samples consisting of at least 50% of people with aphasia (or those reporting separate data for people with aphasia) were included in the review. Psychometric properties of the 10 most commonly used measures in the included studies were also evaluated.</p><p><strong>Outcomes & results: </strong>Thirty-six studies (out of 1518 screened) met inclusion criteria (13 randomized controlled trials; 23 non-randomized), from which 33 distinct measures were identified, including observer/clinician-rated (proxy), language-dependent self-rated, as well as visual scale/picture-supported measures. Most frequently used measures include the Stroke Aphasic Depression Questionnaire (SADQ-21 and SADQ-Hospital) and Visual Analog Mood Scale (VAMS) for depression; the Hospital Anxiety and Depression Scale - Anxiety subscale (HADS-A) for anxiety; the modified Perceived Stress Scale (mPSS) for chronic stress. Most significant treatment effects reported by studies were derived from measures with weak psychometric support for use with people with aphasia.</p><p><strong>Conclusions: </strong>Measures used to evaluate treatment-induced changes in depression, anxiety, and chronic stress in people with aphasia varied widely across studies. This variability may stem from a lack of validated measures available for this population and/or the absence of best practice recommendations for measuring mental health outcomes in people with aphasia. Given these limitations, caution is urged when interpreting treatment studies using current measures, and there is an urgent need for valid and reliable self-report measures specifically designed with and tested for people with aphasia.</p>","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural Priming in Aphasia: A State-of-the-Art Review and Future Directions.","authors":"Jiyeon Lee","doi":"10.1080/02687038.2024.2445660","DOIUrl":"10.1080/02687038.2024.2445660","url":null,"abstract":"<p><strong>Background & aims: </strong>Decades of research on structural priming - speakers' tacit reuse of previously encountered syntactic structures in subsequent production and comprehension of sentences - has made substantial contributions to theories of syntactic representations, processing, and language learning and acquisition. There is growing interest in the application of structural priming to assess and facilitate language processing and learning in clinical populations. Yet, little research has explored structural priming in aphasia. The purpose of this paper is to provide a state-of-the art review of structural priming studies in aphasia and provide future research directions with an eye towards using structural priming for aphasia rehabilitation.</p><p><strong>Main contribution: </strong>Structural priming occurs not only in laboratory settings, but also in everyday speech, across many simple to complex grammatical structures, different languages, and throughout the lifespan. Importantly, a body of literature suggests that structural priming may reflect processes of implicit learning, strengthening the language user's ability to map messages and sentence structures. With respect to aphasia, existing studies have discovered that priming can help persons with aphasia (PWA) produce and comprehend more complex sentences that are otherwise difficult to produce or comprehend on their own. Additionally, priming effects transfer across production and comprehension modalities, and create long-lasting, cumulative improvements of sentence processing in PWA.</p><p><strong>Conclusions: </strong>The review of the literature suggests that structural priming can be used to assess PWA's ability to access various syntactic structures but also to intervene sentence production deficits in PWA. Future research is recommended to systematically investigate functions of structural priming for widespread recovery of aphasia beyond increasing syntactic complexity, to delineate essential tenants of structural priming intervention at both person and treatment levels, and to examine its use for cross-linguistic treatment of bi/multi-lingual aphasia.</p>","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of pre-stroke formal education on language test performance in aphasic and non-aphasic stroke survivors.","authors":"Sophie M Roberts, Rachel Bruce, Thomas M H Hope, Sharon Geva, Storm Anderson, Hayley Woodgate, Kate Ledingham, Andrea Gajardo-Vidal, Diego L Lorca-Puls, Jennifer T Crinion, Alexander P Leff, David W Green, Cathy J Price","doi":"10.1080/02687038.2024.2434864","DOIUrl":"https://doi.org/10.1080/02687038.2024.2434864","url":null,"abstract":"<p><strong>Background: </strong>A greater amount of education is known to positively impact language skills in neurotypical populations, but its influence on language outcomes and recovery after stroke remains unclear.</p><p><strong>Aims: </strong>This study of 749 stroke survivors, with and without aphasia, investigated (A) which aphasia assessment tasks benefitted most from more pre-stroke education; and whether the effect of education (B) differs for aphasic and non-aphasic participants or other stroke and non-stroke-related variables, and/or (C) facilitates recovery from post-stroke aphasia.</p><p><strong>Methods: </strong>Participants ranged from one month to 42 years post-stroke. They were assessed using (i) the Comprehensive Aphasia Test (CAT), and (ii) self-report questionnaires that measured speech production, comprehension, reading, and writing at one week and one year post-stroke. Multiple regression analyses investigated the effect of education amount, and its interaction with other variables, on language outcomes and recovery. Bayesian statistics assessed the strength of the evidence for any observed effects. Many variables including lesion size, age at stroke, and initial severity were controlled for.</p><p><strong>Results: </strong>(A) More years of formal education were associated with better overall language skills, with significant, albeit small effects found for semantic and letter fluency (β = 0.123 and 0.166) and spoken picture description, specifically, the number of words produced (β = 0.085) and grammatical well-formedness (β = 0.087). (B) The benefit of more pre-stroke education was mostly additive with the effects of other variables including initial aphasia severity and left hemisphere lesion size, but was reduced in older participants who had large lesions with severe initial symptoms. Finally, (C) no significant effect of education on language recovery was observed.</p><p><strong>Conclusion: </strong>More pre-stroke formal education is associated with higher post-stroke language scores on a wide range of tasks for both aphasic and non-aphasic participants, but, in participants with large lesions that cause severe aphasia, this advantage diminishes with age. These results suggest a generic benefit of education on language test performance rather than a specific role of pre-stroke education in aiding language outcomes and recovery. An individual's educational background should therefore be considered when interpreting assessment scores.</p>","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"39 11","pages":"1480-1502"},"PeriodicalIF":2.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12839798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Errorless and errorful learning in people with aphasia across novel-object pairing and word retrieval tasks.","authors":"Preeti Rishi, Kristen Nunn, Sofia Vallila Rohter","doi":"10.1080/02687038.2024.2432022","DOIUrl":"10.1080/02687038.2024.2432022","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;While linguistic deficits are key to diagnosing and treating aphasia, there is growing interest in the cognitive processes important for rehabilitation outcomes, particularly the role of learning. Of relevance to the current study, research has manipulated instructional methods (errorless vs. errorful) to assess their effects on outcomes. However, it is still unclear whether individualized profiles of errorless and errorful learning exist in aphasia and whether they might be meaningful for clinical practice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;The current study aimed to examine learning in people with aphasia, manipulating instruction method (errorless, errorful) and linguistic demands of learning.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods & procedures: &lt;/strong&gt;Nine people with stroke-induced aphasia participated in this preliminary study. Participants engaged in errorless and errorful novel object pairing and word retrieval tasks. Learning outcomes were assessed on the same day, next day, and after one week. Participants also completed cognitive-linguistic assessments to investigate the contribution of memory, language, and executive functioning abilities to learning outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes & results: &lt;/strong&gt;At the group level, participants performed significantly better following errorful training for novel object pairing (&lt;i&gt;p&lt;/i&gt; = 0.001) relative to errorless training. An errorful advantage was observed at the individual level in 7 participants during same day testing, with the highest overall performers on the task showing the most persistent errorful learning benefits. In the word retrieval practice task, group and individual-level differences in scores following errorless and errorful practice were minimal. Scores in errorful novel object pair learning correlated with verbal short-term memory and nonverbal long-term memory assessments, while no other correlations were found between learning scores and cognitive-linguistic variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Findings are consistent with prior research that suggests that successful effortful retrieval may pose an advantage over errorless learning when acquiring novel information and the potential contributions of verbal short-term memory and nonverbal long term memory on learning. Results from the word retrieval practice task draw attention to differences between practicing lexical access and novel learning. The lack of an errorful advantage in word retrieval may alternatively be due to task design and merits further research. Results support the hypothesis that people with aphasia display variable learning profiles that may stem from differences in underlying cognitive-linguistic abilities. Continuing research is needed to characterize learning in aphasia to consider its potential influence on rehabilitation outcomes and support speech-language pathologists in considering and accounting for different learning and cognitive-linguistic abilities when individualizi","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eye Movements of Persons with Aphasia During Connected-Text Reading.","authors":"Kimberly G Smith, Sarah C McWilliams, Joseph Schmidt","doi":"10.1080/02687038.2024.2413620","DOIUrl":"10.1080/02687038.2024.2413620","url":null,"abstract":"<p><strong>Background: </strong>Eye movements reflect the cognitive-linguistic processing of neurotypical readers. Numerous reading related eye movement measures are associated with language processing, including first fixation duration, gaze duration, number of fixations, word skipping, and regressions. Eye movements have also been used to examine reading in neuro-atypical populations including persons with aphasia (PWA).</p><p><strong>Aims: </strong>This study aimed to determine whether eye movement measures obtained from connected text reading differ among persons with varying types of aphasia and neurotypical individuals, as well as whether eye movement measures are associated with language processing severity and reading comprehension ability in PWA.</p><p><strong>Methods: </strong>Twenty-four PWA and twenty-four age-matched control participants completed a connected text-reading eye-tracking task. The PWA also completed assessments to evaluate overall language processing severity and reading comprehension skills and to identify specific subtypes of aphasia.</p><p><strong>Results: </strong>Persons with aphasia had shorter gaze duration, longer regression duration, and made more fixations than control participants, while no group differences emerged for first fixation duration or word skipping. Eye movement patterns did not differ among participants with anomic, Broca's, or conduction/Wernicke's. Language severity scores were a significant factor for gaze duration, while reading comprehension scores were not a significant factor for the eye movement measures examined.</p><p><strong>Conclusions: </strong>The findings support previous eye tracking literature that indicate different eye movement patterns for persons with aphasia during text reading relative to neurotypical controls. The findings also highlight that the selection of eye movement measures examined, the stimuli used, and procedural considerations may impact the pattern of results. The results from this study can be used to further determine which eye movement measures may be most suited for studying language processing during reading in neuro-atypical individuals and determine whether persons with aphasia use different strategies for reading comprehension than neurotypical individuals.</p>","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An update on validating the Hong Kong Cantonese version of the Comprehensive Aphasia Test (cant-cat)","authors":"Anthony Pak-Hin Kong","doi":"10.1080/02687038.2024.2398807","DOIUrl":"https://doi.org/10.1080/02687038.2024.2398807","url":null,"abstract":"The Comprehensive Aphasia Test (CAT), a standardized battery with 34 subtests, has been adapted into eight different languages, with other 11 language adaptations close to being finished. Currently...","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"27 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142261613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of confrontational naming treatments for aphasia: a meta-analysis","authors":"Fahime Yousefzade, Asefeh Memarian, Alireza Rahimi, Leila Ghasisin","doi":"10.1080/02687038.2024.2393448","DOIUrl":"https://doi.org/10.1080/02687038.2024.2393448","url":null,"abstract":"Previous systematic reviews and meta-analyses have only mentioned a few confrontational naming treatment methods. There is no recent literature on the effect of different treatment methods and on c...","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"11 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142189618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative production and executive functions in post-stroke agrammatic aphasia","authors":"Eleni Peristeri, Michaela Nerantzini, Katerina Drakoulaki, Antonia Boznou, Spyridoula Varlokosta","doi":"10.1080/02687038.2024.2393221","DOIUrl":"https://doi.org/10.1080/02687038.2024.2393221","url":null,"abstract":"Narrative production has been widely characterized as providing an ecologically valid way to assess language skills in post-stroke aphasia. Although narrative tasks have been instrumental in deline...","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"30 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142189617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aphasia and acute care: a qualitative study of healthcare provider perspectives","authors":"Nina Simmons-Mackie, Aura Kagan, Melodie Chan, Elyse Shumway, Guylaine Le Dorze","doi":"10.1080/02687038.2024.2392900","DOIUrl":"https://doi.org/10.1080/02687038.2024.2392900","url":null,"abstract":"Poor communication between patients with aphasia and healthcare providers has many adverse consequences. Training healthcare providers to support communication not only improves skill in communicat...","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"89 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142261614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“But if you do not keep doing it, you won’t maintain”. A qualitative study on the perspectives of speech-language pathologists on maintenance of therapy gains in aphasia","authors":"Maya Menahemi-Falkov, Robyn O’Halloran, Anne J Hill, Miranda L Rose","doi":"10.1080/02687038.2024.2385060","DOIUrl":"https://doi.org/10.1080/02687038.2024.2385060","url":null,"abstract":"Maintaining therapy gains in the long term is necessary for therapy to be considered successful. Yet, this topic has received limited attention in aphasia rehabilitation research. Unfortunately, fo...","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"40 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141945076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}