Journal of speech, language, and hearing research : JSLHR最新文献

{"title":"Beyond Pitch: Exploring Acoustic and Psychosocial Factors Shaping Voice Perception in Transmasculine Individuals.","authors":"Merve Öğülmüş Uysal, Fatma Esen Aydınlı, Hilmi Ertuğ Baki, Seda Hanife Oğuz Baykal, Bülent Okan Yıldız, Taner Yılmaz, Koray Başar","doi":"10.1044/2026_JSLHR-26-00124","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-26-00124","url":null,"abstract":"<p><strong>Purpose: </strong>Self-perception of voice is a critical outcome for individuals seeking gender-affirming care; however, the variables associated with vocal self-perception remain unclear. While masculinizing gender-affirming hormone therapy (GAHT) contributes to voice masculinization and overall well-being, its relationship with multidimensional factors warrants further investigation. This study aimed to (a) evaluate longitudinal changes in acoustic parameters, body image, and psychosocial status during the first 6 months of GAHT and (b) identify the extent to which these factors predict the variance in self-perception of voice and its daily living impact.</p><p><strong>Method: </strong>Twenty-six transmasculine individuals beginning hormone therapy were followed for 6 months and assessed at three time points. At each point, serum testosterone level, self-perception of voice and its daily living impact, body image, and psychosocial status were measured. Participants' voice recordings were collected for acoustic analysis.</p><p><strong>Results: </strong>Significant changes were found in fundamental frequency (<i>F</i>0), voice quality, and resonance, as well as in perceived social support following the initiation of GAHT. Statistical modeling revealed that body image, state anxiety, and <i>F</i>0 served as significant predictors, accounting for the variation in self-perception of voice and its daily living impact.</p><p><strong>Conclusions: </strong>Beyond the acoustic parameters commonly used in gender-affirming voice therapy, body image and anxiety levels are significantly associated with patient self-perception and voice-related quality of life. This suggests that voice-related outcomes are linked to a multidimensional array of psychosocial variables, necessitating a holistic approach by voice specialists during gender-affirming voice care. Considering both domains may improve assessment and intervention in gender-affirming voice care, and future research should explore these dynamic associations over longer follow-up periods.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective and Quantitative Assessment of Vocal Tremor in Patients With Adductor Laryngeal Dystonia.","authors":"Dexun Lin, Li Zhou, Lu Wang, Lihua Li, Desheng Wang, Xiaojue Chen, Xinlin Xu","doi":"10.1044/2026_JSLHR-25-00990","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-25-00990","url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study were to subjectively and quantitatively analyze vocal tremor (VT) in patients with adductor laryngeal dystonia (ADLD) using video feature tracking of stroboscopic laryngoscopy recordings, to observe the VT incidence and characterize tremor directionality and kinematic parameters, and to identify differences between the patients with intermittent dystonia tremor (iDT) and regular dystonia tremor (rDT).</p><p><strong>Method: </strong>A retrospective analysis included 55 clinically diagnosed ADLD patients (ADLD group) and 10 normal-voiced controls (normal group). Two blinded laryngologists assessed stroboscopic videos and classified ADLD patients with VT into iDT group and rDT group based on tremor regularity. Video tracking was used to quantitatively measure tremor amplitude, period, and velocity of the epiglottis, bilateral vestibular folds, and bilateral arytenoids in horizontal and anteroposterior directions.</p><p><strong>Results: </strong>VT was detected in 61.82% (34/55) of ADLD patients, all of whom were female (34/49). This incidence was statistically different than for controls (0/10) and for male patients with ADLD (0/6; <i>p</i> < .001). Predominant tremor types were horizontal (52.94%, 18/34) and mixed (41.18%, 14/34). Horizontal tremor parameters did not differ significantly within the ADLD group or between the iDT and rDT groups (<i>p</i> > .05). Mean horizontal amplitudes were epiglottis, 0.21 vocal fold widths; left/right vestibular folds, 0.14/0.12 vocal fold widths; and left/right arytenoids, 0.16/0.13 vocal fold widths. In the anteroposterior direction, only arytenoid amplitude and velocity showed intergroup differences (<i>p</i> < .05). The iDT group had smaller epiglottic and bilateral arytenoid oscillation amplitudes than the rDT group (<i>p</i> < .05). Mean anteroposterior amplitudes were epiglottis, 0.33 vocal fold widths; left/right vestibular folds, 0.12/0.16 vocal fold widths; and left/right arytenoids, 0.17/0.22 vocal fold widths.</p><p><strong>Conclusions: </strong>VT is a key phenotype in female ADLD patients. Video tracking enables quantitative characterization of tremor kinematics and reveals objective amplitude differences between the rDT and iDT, providing a methodological basis for objective diagnosis, subtyping, and treatment evaluation of ADLD.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.34057596.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Media Exposure and Caregiver-Reported Child Language Profiles.","authors":"Sara Kalhori Boroujerdi, Virginia L Dubasik","doi":"10.1044/2026_JSLHR-26-00323","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-26-00323","url":null,"abstract":"<p><strong>Purpose: </strong>This study described media exposure patterns of adults and children aged 0-5 years and examined associations among quantity, types, and context of media exposure and caregiver descriptions of child language.</p><p><strong>Method: </strong>Participants were 170 caregivers, primarily mothers with graduate degrees and high socioeconomic status, representing 244 children. Caregivers completed a 30-item survey addressing household characteristics, adult and child media exposure, media content and context, and children's language.</p><p><strong>Results: </strong>Media exposure increased with age, from 0.33 hr/day for the youngest children to 2.86 hr/day for the oldest. Television was the primary access medium, and exposure to educational, noneducational, and content creator media was similar. Background television was common, whereas coviewing occurred occasionally. Mixed-effects models indicated that child age, child gender, and caregiver education were significant predictors of caregiver-reported language characteristics, whereas background television exposure was a significant negative predictor. Household income, caregiver media exposure time, and children's direct media-viewing time were not significant predictors of caregiver-reported language characteristics after controlling demographic and contextual factors. Coviewing showed a trend toward significance, with children in households reporting occasional coviewing demonstrating higher language scores than those in the reference category.</p><p><strong>Conclusions: </strong>Findings suggest that relations between media use and early language development are multifaceted and strongly context dependent. Furthermore, contextual aspects of media exposure, particularly background television, may be more strongly associated with caregiver-reported language characteristics than the amount of media-viewing time. By differentiating when, what, and how media is used, these results lay the groundwork for identifying interactional mechanisms that support language development.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consonant Articulating Errors in Khmer-Speaking Preschool Children: A Picture-Naming Task Analysis.","authors":"Moeurn Linna, Tongquan Zhou","doi":"10.1044/2026_JSLHR-25-00756","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-25-00756","url":null,"abstract":"<p><strong>Purpose: </strong>Consonant errors (mainly phonetic and phonological errors) as a phenomenon in speech development are frequently observed in preschool children's daily speech communication across languages. Since the Khmer language is a low-source language, consonant articulating error patterns of Khmer-speaking children have not been explored to date, leaving open the question whether the patterns are similar to those found in high-source languages such as English. To bridge the gap, this study investigated the on-spot speech of Khmer preschool children across three age groups (3;0 [years;months] to 5;11) using a picture-naming test with 203 pictures of varying complexity.</p><p><strong>Method: </strong>The naming data of 60 (34 girls and 26 boys) and 56 (34 girls and 22 boys) children, respectively, for two tests were recorded and transcribed for analysis, with errors categorized into (a) phonetic errors (substitution, deletion, addition, or distortion) and (b) phonological errors (regular and irregular).</p><p><strong>Results: </strong>The results showed that children aged 3;0-3;11 had the lowest speech sound accuracy among the three groups (3;0-5;11), with more frequent phonetic errors in substitution and deletion and more regular versus irregular phonological errors, including final consonant deletion, lateralization, initial consonant deletion, glottalization, and alveolarization substitution, but the errors did not reach statistically significant differences among the three age groups. The patterns are consistent with the developmental trends of speech sound error found in English and other high-source languages.</p><p><strong>Conclusion: </strong>These findings reveal the unique speech sound error patterns in Khmer preschool children, which may partly arise from linguistic universality during children's language development and partly be attributed to the typological features peculiar to the Khmer language.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.33684361.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-22"},"PeriodicalIF":2.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phonological Skills Mediate the Association Between Left Beta/Gamma Oscillation and Reading Ability in Chinese Children.","authors":"Yao Jia, Lu Zhang, Yazhou Li, Jingjing Zhao","doi":"10.1044/2026_JSLHR-26-00007","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-26-00007","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate whether Chinese children with dyslexia exhibit atypical left-hemispheric beta/gamma oscillatory patterns during nonverbal auditory processing and to examine whether phonological skills mediate the relationship between these oscillations and reading ability.</p><p><strong>Method: </strong>Forty-two Chinese children with dyslexia and 47 typically developing controls underwent electroencephalography recording while listening to amplitude-modulated white noise (1-80 Hz). Event-related spectral perturbation (ERSP) was quantified over the left- and right-hemisphere regions of interest. Behavioral assessments measured reading accuracy, phonological awareness, and rapid automatized naming.</p><p><strong>Results: </strong>Compared to controls, children with dyslexia showed significantly reduced left-hemispheric beta/gamma oscillations and altered hemispheric asymmetry. Left-hemispheric ERSP was associated with reading accuracy in the dyslexia group. Mediation analysis confirmed that phonological skills partially mediated the relationship between left-hemispheric oscillations and reading accuracy.</p><p><strong>Conclusions: </strong>The results provide electrophysiological evidence that Chinese children with dyslexia show reduced left-hemispheric beta/gamma responses and altered hemispheric asymmetry during nonverbal auditory processing. They further suggest that variation in left-hemispheric auditory oscillatory responses may be associated with literacy partly through phonological skills.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.34024734.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Cognitive Load on Vocal Motor Control: A Model-Based Analysis in Individuals With Hyperfunctional and Healthy Voices.","authors":"Rocío B Ortega, Emiro Ibarra, Jesús A Parra, Nicolás F Quinteros, Kimberly L Dahl, Matías Zañartu","doi":"10.1044/2026_JSLHR-26-00043","DOIUrl":"10.1044/2026_JSLHR-26-00043","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined how cognitive load (CL) influences vocal motor control by integrating acoustic measures with biomechanical trajectories derived from a model-based approach. The aim was to determine whether speakers with vocal hyperfunction (VH) exhibit distinct modulation patterns in laryngeal control compared with healthy control (HC) speakers.</p><p><strong>Method: </strong>Recordings from female speakers (63 with VH and 62 HC speakers) performing a Stroop task were analyzed. Trajectories of fundamental frequency (<i>f</i>_o) and sound pressure level (SPL) were extracted and used as inputs to a computational model that estimated cricothyroid (<i>a</i>_CT) and thyroarytenoid (<i>a</i>_TA) muscle activations, as well as subglottal pressure (<i>P</i>_S). Acoustic and model-derived measures were segmented and analyzed using mixed-effects models.</p><p><strong>Results: </strong>Significant condition effects were found across acoustic and biomechanical features, with parallel patterns in <i>f</i>_o - <i>a</i>_CT and SPL - <i>P</i>_S across segments and groups. No consistent differences were observed for <i>a</i>_TA. The strongest effects occurred in SPL, which increased under CL, especially among speakers with VH, with <i>P</i>_S showing a similar but weaker trend. For <i>f</i>_o and <i>a</i>_CT, opposite group patterns emerged at task onset: HC speakers showed slight decreases, whereas those with VH showed increases.</p><p><strong>Conclusions: </strong>The correspondence between acoustic and estimated biomechanical modulations under CL supports the utility of this model-based approach for physiologically interpretable inference of laryngeal motor behavior. Speakers with VH showed greater modulation of <i>a</i>_CT and <i>P</i>_S control, with no systematic changes in <i>a</i>_TA, suggesting that arousal-related laryngeal tension primarily affects more superficial control dimension.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Performance on Relative Clauses in Children With and Without Developmental Language Disorder: A Meta-Analysis.","authors":"Xiaoyan Zeng, Mengyu Gao, Yasuhiro Shirai","doi":"10.1044/2026_JSLHR-24-00625","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-24-00625","url":null,"abstract":"<p><strong>Purpose: </strong>This study attempts to quantify the magnitude of difference in relative clause (RC) performance (comprehension and production) between children with developmental language disorder (DLD) and their typically developing (TD) peers matched for age across nine languages by conducting a three-level meta-analysis. It takes sampling variance (Level 1), within-study variance (Level 2), and between-study variance (Level 3) into consideration.</p><p><strong>Method: </strong>A systematic literature search identified 25 studies investigating the performance on RCs in children with and without DLD. Data from identified studies were carefully selected and converted to Hedges's <i>g</i> effect sizes. Detection of outliers led to the removal of two extreme values, leaving 24 studies and 67 effect sizes for meta-analysis.</p><p><strong>Results: </strong>A significant overall combined effect size (<i>g</i> = -1.024, 95% CI [-1.350, -0.699], <i>p</i> < .001) was obtained, confirming the sensitivity of RCs in differentiating children with and without DLD. The moderator analysis provided no evidence that RC type or language impacted the overall effect size. However, it showed that task type was a significant moderator. Specifically, the difference in the performance on RC tasks between children with DLD and TD children was not statistically significant in discourse elicitation, syntactic priming, and sentence judgment tasks, while their performance on the sentence-picture matching task, the character-picture matching task, the preference elicitation task, the picture description task, and the sentence repetition task showed significance.</p><p><strong>Conclusions: </strong>Across the included languages, children with DLD show markedly poorer performance than their TD peers on RC tasks for both subject and object RCs. Moderator analyses detected no significant variation by RC type or language but indicated that task type significantly modulates the magnitude of the DLD-TD difference.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.33977932.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-22"},"PeriodicalIF":2.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Cervical Transcutaneous Vagus Nerve Stimulation on Word Memory in Healthy Adults: A Randomized Single-Blind Study.","authors":"Qiang Li, Haylee Hurt, Cassandra Callahan, Olivia Galpin","doi":"10.1044/2026_JSLHR-26-00014","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-26-00014","url":null,"abstract":"<p><strong>Purpose: </strong>The noninvasive vagus nerve stimulation has presented a promising adjunctive intervention in cognitive communication disorders. This randomized single-blind study aims to investigate the effect of cervical transcutaneous vagus nerve stimulation (tVNS) on verbal memory in healthy adults.</p><p><strong>Method: </strong>Thirty-one participants were stratified into an experimental group (<i>n</i> = 22) receiving 30-min cervical tVNS and a control group (<i>n</i> = 9). Both groups completed a self-paced task to learn 50 Chinese words, followed by an immediate memory test and a 2-week delayed memory test assessing accuracy and reaction time (RT). Data of accuracy and RT were analyzed statistically based on tVNS stimulation, two sessions of memory test, and three age groups.</p><p><strong>Results: </strong>Cervical tVNS significantly improved memory performance, manifested in faster RT and higher accuracy compared to the control group, particularly for young adults. However, accuracy enhancement was age-specific: Only younger adults showed significantly improved recall accuracy with cervical tVNS, while middle-aged and older adults did not. A significant three-way interaction (Group × Session × Age) indicated that cognitive benefits from cervical tVNS were not uniform across the lifespan.</p><p><strong>Conclusions: </strong>A single cervical tVNS session can modulate verbal memory, primarily speeding RT, but its effects on accuracy are contingent on age. This underscores cervical tVNS as a neuromodulatory tool whose efficacy is filtered by the neurobiological state, highlighting the need for personalized, age-considered protocols in clinical translation.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation to Auditory Errors Modulates Perception of the Errors.","authors":"Yaser Merrikhi, Ayoub Daliri","doi":"10.1044/2026_JSLHR-26-00091","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-26-00091","url":null,"abstract":"<p><strong>Purpose: </strong>Speakers adapt to auditory feedback perturbations by modifying their speech output. Although formant-clamp perturbations, in which feedback formants are fixed at predetermined values independent of the speaker's production, demonstrate that adaptation relies on the motor-to-auditory correspondence, it remains unclear how speakers perceive this feedback during adaptation. We hypothesized that if motor adaptation influences perception, then perceptual judgments of experience errors would change alongside adaptation, even when auditory feedback is held constant.</p><p><strong>Method: </strong>Thirty healthy adults performed an adaptation task across four conditions: formant-shift and formant-clamp perturbations, each introduced either suddenly or gradually. During each trial, participants produced consonant-vowel-consonant words and reported their perceived auditory feedback using a continuous vowel-identification slider. We quantified adaptive motor responses during the first 100 ms of the vowel and compared them with perceived errors derived from perceptual reports.</p><p><strong>Results: </strong>We found that, across all conditions, participants adapted, but formant-shift perturbations elicited significantly greater adaptation and smaller perceived error than formant-clamped feedback. Critically, adaptive responses positively correlated with perceived errors in the suddenly and gradually introduced formant-shift conditions and the suddenly introduced formant-clamp condition, but not in the gradually introduced formant-clamp condition.</p><p><strong>Conclusions: </strong>These findings provide compelling evidence that perception and speech motor adaptation are tightly linked. However, this relationship is not uniform, and it depends on the nature of the perturbation. This suggests that sensorimotor control of speech relies on context-dependent integration of sensory information, rather than a fixed mapping between perception and action.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149067033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared Variance Across Cognitive Assessments Predicts Language Outcomes in Aphasia: A Preliminary Study.","authors":"Svetlana V Kuptsova, Arianna N LaCroix","doi":"10.1044/2026_JSLHR-25-00815","DOIUrl":"https://doi.org/10.1044/2026_JSLHR-25-00815","url":null,"abstract":"<p><strong>Purpose: </strong>Aphasia, a common consequence of stroke, often co-occurs with cognitive impairments, yet clinical assessment is limited by tools that are lengthy, linguistically demanding, and sometimes redundant. This preliminary study examined shared variance across widely used cognitive tests and explored how the resulting principal components related to aphasia severity and sentence comprehension efficiency. We also tested whether single tasks, those with the strongest component loadings, could predict language outcomes as effectively as the full component scores.</p><p><strong>Method: </strong>Seventeen adults with chronic aphasia and 21 matched controls completed the Test of Everyday Attention, the Cognitive Linguistic Quick Test-Plus, and the Visual and Auditory Duration Attention Network Tests. Principal component analysis (PCA) was used to identify shared variance across cognitive tasks, followed by regression analyses relating components and single-task predictors to language outcomes.</p><p><strong>Results: </strong>PCA revealed six components, with subtests from the same battery generally clustering together, suggesting redundancy. Regression analyses showed that visuospatial processing speed and auditory orienting attention predicted less severe aphasia and more efficient sentence comprehension, whereas greater visual-sustained attention was linked to more severe aphasia. Single-task loadings predicted sentence comprehension but not aphasia severity.</p><p><strong>Conclusion: </strong>These preliminary findings highlight the potential to streamline cognitive assessments to reduce redundancy, improve diagnostic precision, and better support individualized rehabilitation.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.33915754.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149067109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}