Karen Lê, André Lindsey, Carl Coelho, Joanna Fiszdon, Richard Feinn
{"title":"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","authors":"Karen Lê, André Lindsey, Carl Coelho, Joanna Fiszdon, Richard Feinn","doi":"10.1016/j.apmr.2025.09.015","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Interventions: </strong>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.</p><p><strong>Results: </strong>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 η<sup>2</sup> = .20), PSC (p = .005, 95% CI [.61, 3.26], partial η<sup>2</sup> = .18), and story completeness (p = .005, 95% CI [.43, 2.26], partial η<sup>2</sup> = .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 η<sup>2</sup> = .02).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Differences in narrative discourse ability in traumatic brain injury and a neurotypical comparison group: Influence of age, education, and sex.\",\"authors\":\"Karen Lê, André Lindsey, Carl Coelho, Joanna Fiszdon, Richard Feinn\",\"doi\":\"10.1016/j.apmr.2025.09.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Interventions: </strong>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.</p><p><strong>Results: </strong>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 η<sup>2</sup> = .20), PSC (p = .005, 95% CI [.61, 3.26], partial η<sup>2</sup> = .18), and story completeness (p = .005, 95% CI [.43, 2.26], partial η<sup>2</sup> = .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 η<sup>2</sup> = .02).</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":8313,\"journal\":{\"name\":\"Archives of physical medicine and rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of physical medicine and rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.apmr.2025.09.015\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physical medicine and rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.apmr.2025.09.015","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
Differences in narrative discourse ability in traumatic brain injury and a neurotypical comparison group: Influence of age, education, and sex.
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.
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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