Language-Specific Attention Treatment for Aphasia: Description and Preliminary Findings

2017 ◽  
Vol 38 (01) ◽  
pp. 005-016 ◽  
Author(s):  
Richard Peach ◽  
Meghana Nathan ◽  
Katherine Beck

The need for a specific, language-based treatment approach to aphasic impairments associated with attentional deficits is well documented. We describe language-specific attention treatment, a specific skill-based approach for aphasia that exploits increasingly complex linguistic tasks that focus attention. The program consists of eight tasks, some with multiple phases, to assess and treat lexical and sentence processing. Validation results demonstrate that these tasks load on six attentional domains: (1) executive attention; (2) attentional switching; (3) visual selective attention/processing speed; (4) sustained attention; (5) auditory-verbal working memory; and (6) auditory processing speed. The program demonstrates excellent inter- and intrarater reliability and adequate test–retest reliability. Two of four people with aphasia exposed to this program demonstrated good language recovery whereas three of the four participants showed improvements in auditory-verbal working memory. The results provide support for this treatment program in patients with aphasia having no greater than a moderate degree of attentional impairment.

Author(s):  
Jörg-Tobias Kuhn ◽  
Elena Ise ◽  
Julia Raddatz ◽  
Christin Schwenk ◽  
Christian Dobel

Abstract. Objective: Deficits in basic numerical skills, calculation, and working memory have been found in children with developmental dyscalculia (DD) as well as children with attention-deficit/hyperactivity disorder (ADHD). This paper investigates cognitive profiles of children with DD and/or ADHD symptoms (AS) in a double dissociation design to obtain a better understanding of the comorbidity of DD and ADHD. Method: Children with DD-only (N = 33), AS-only (N = 16), comorbid DD+AS (N = 20), and typically developing controls (TD, N = 40) were assessed on measures of basic numerical processing, calculation, working memory, processing speed, and neurocognitive measures of attention. Results: Children with DD (DD, DD+AS) showed deficits in all basic numerical skills, calculation, working memory, and sustained attention. Children with AS (AS, DD+AS) displayed more selective difficulties in dot enumeration, subtraction, verbal working memory, and processing speed. Also, they generally performed more poorly in neurocognitive measures of attention, especially alertness. Children with DD+AS mostly showed an additive combination of the deficits associated with DD-only and A_Sonly, except for subtraction tasks, in which they were less impaired than expected. Conclusions: DD and AS appear to be related to largely distinct patterns of cognitive deficits, which are present in combination in children with DD+AS.



2006 ◽  
Vol 36 (11) ◽  
pp. 1613-1624 ◽  
Author(s):  
JONNA KUNTSI ◽  
HANNAH ROGERS ◽  
GREER SWINARD ◽  
NORBERT BÖRGER ◽  
JAAP van der MEERE ◽  
...  

Background. For candidate endophenotypes to be useful for psychiatric genetic research, they first of all need to show significant genetic influences. To address the relative lack of previous data, we set to investigate the extent of genetic and environmental influences on performance in a set of theoretically driven cognitive-experimental tasks in a large twin sample. We further aimed to illustrate how test–retest reliability of the measures affects the estimates.Method. Four-hundred 7- to 9-year-old twin pairs were assessed individually on tasks measuring reaction time, inhibition, working memory and ‘delay aversion’ performance. Test–retest reliability data on some of the key measures were available from a previous study.Results. Several key measures of reaction time, inhibition and working-memory performance indicated a moderate degree of genetic influence. Combining data across theoretically related tasks increased the heritability estimates, as illustrated by the heritability estimates of 60% for mean reaction time and 50% for reaction-time variability. Psychometric properties (reliability or ceiling effects) had a substantial influence on the estimates for some measures.Conclusions. The data support the usefulness of several of the variables for endophenotype studies that aim to link genes to cognitive and motivational processes. Importantly, the data also illustrate specific conditions under which the true extent of genetic influences may be underestimated and hence the usefulness for genetic mapping studies compromised, and suggest ways to address this.


2014 ◽  
Vol 29 (8) ◽  
pp. 473-478 ◽  
Author(s):  
G. Brébion ◽  
C. Stephan-Otto ◽  
E. Huerta-Ramos ◽  
J. Usall ◽  
M. Perez del Olmo ◽  
...  

AbstractObjectiveVerbal working memory span is decreased in patients with schizophrenia, and this might contribute to impairment in higher cognitive functions as well as to the formation of certain clinical symptoms. Processing speed has been identified as a crucial factor in cognitive efficiency in this population. We tested the hypothesis that decreased processing speed underlies the verbal working memory deficit in patients and mediates the associations between working memory span and clinical symptoms.MethodForty-nine schizophrenia inpatients recruited from units for chronic and acute patients, and forty-five healthy participants, were involved in the study. Verbal working memory span was assessed by means of the letter-number span. The Digit Copy test was used to assess motor speed, and the Digit Symbol Substitution Test to assess cognitive speed.ResultsThe working memory span was significantly impaired in patients (F(1,90) = 4.6, P < 0.05). However, the group difference was eliminated when either the motor or the cognitive speed measure was controlled (F(1,89) = 0.03, P = 0.86, and F(1,89) = 0.03, P = 0.88). In the patient group, working memory span was significantly correlated with negative symptoms (r = –0.52, P < 0.0001) and thought disorganisation (r = –0.34, P < 0.025) scores. Regression analyses showed that the association with negative symptoms was no longer significant when the motor speed measure was controlled (β = –0.12, P = 0.20), while the association with thought disorganisation was no longer significant when the cognitive speed measure was controlled (β = –0.10, P = 0.26).ConclusionsDecrement in motor and cognitive speed plays a significant role in both the verbal working memory impairment observed in patients and the associations between verbal working memory impairment and clinical symptoms.


2014 ◽  
Vol 61 ◽  
pp. 190-196 ◽  
Author(s):  
Lars Meyer ◽  
Katrin Cunitz ◽  
Jonas Obleser ◽  
Angela D. Friederici

2021 ◽  
Vol 14 (2) ◽  
pp. 37-51
Author(s):  
Katrien Kestens ◽  
Sofie Degeest ◽  
Marijke Miatton ◽  
Hannah Keppler

Objective: This study developed and gained insight in an auditory Stroop test, implementable in cognitive hearing sciences. Methods: An auditory Stroop test was developed and performed in 178 participants, aged between 18 and 69 years. This Auditory Stroop test consisted of two tests: Stroop-tones and Stroop-words whereby the pitch of pure-tones and spoken words (i.e., the words high and low) had to be identified by high or low, respectively. An interference score was calculated as a measure of verbal executive functioning. Regression models were conducted to examine the effect of age, sex, education, awakeness, hearing, as well as visual and verbal working memory, and processing speed on the auditory Stroop scores. Normative data were obtained per age decade. Results: Compared to the visual counterparts, the auditory Stroop outcomes were better predicted by verbal working memory and processing speed. A trend was observed showing a decrease in performances with increasing age. No other participant-related variables had a significant relationship with the auditory Stroop test. Conclusion: This auditory Stroop test was considered a good test for measuring executive functioning using auditory stimuli. Implementing this auditory Stroop test within cognitive hearing sciences will contribute to unravel the auditory-cognitive perspective of speech understanding.


2000 ◽  
Vol 43 (2) ◽  
pp. 293-308 ◽  
Author(s):  
James W. Montgomery

In this study we examined the influence of verbal working memory on sentence comprehension in children with SLI. Twelve children with SLI, 12 normally developing children matched for age (CA), and 12 children matched for receptive vocabulary (VM) completed two tasks. In the verbal working memory task, children recalled as many real words as possible under three processing load conditions (i.e., no-load condition; single-load condition, where words were recalled according to physical size of word referents; and dual-load condition, where words were recalled by semantic category and physical size of word referents). In the sentence comprehension task, children listened to linguistically nonredundant (shorter) and linguistically redundant (longer) sentences. Results of the memory task showed that the children with SLI recalled fewer words in the dual-load condition than their CA peers, who showed no condition effect. The SLI and VM groups performed similarly overall, but both groups showed poorer recall in the dual-load condition than in the other conditions. On the sentence comprehension task, children with SLI comprehended fewer sentences of both types than the CA children and fewer redundant sentences relative to themselves and to the VM children. Results were interpreted to suggest that children with SLI (a) have less functional verbal working memory capacity (i.e., ability to coordinate both storage and processing functions) than their CA peers and (b) have greater difficulty managing both their working memory abilities and general processing resources than both age peers and younger children when performing a "complex" off-line sentence processing task.


2011 ◽  
Vol 23 (7) ◽  
pp. 1664-1680 ◽  
Author(s):  
Corianne Rogalsky ◽  
Gregory Hickok

The role of Broca's area in sentence processing has been debated for the last 30 years. A central and still unresolved issue is whether Broca's area plays a specific role in some aspect of syntactic processing (e.g., syntactic movement, hierarchical structure building) or whether it serves a more general function on which sentence processing relies (e.g., working memory). This review examines the functional organization of Broca's area in regard to its contributions to sentence comprehension, verbal working memory, and other multimodal cognitive processes. We suggest that the data are consistent with the view that at least a portion of the contribution of Broca's area to sentence comprehension can be attributed to its role as a phonological short-term memory resource. Furthermore, our review leads us to conclude that there is no compelling evidence that there are sentence-specific processing regions within Broca's area.


2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S252-S252
Author(s):  
Aja Greve ◽  
Jens Richardt Møllegaard Jepsen ◽  
Erik Lykke Mortensen ◽  
Rudolf Uher ◽  
Lynn Mackenzie ◽  
...  

Children ◽  
2019 ◽  
Vol 6 (8) ◽  
pp. 91 ◽  
Author(s):  
Cancer ◽  
Stievano ◽  
Pace ◽  
Colombo ◽  
Antonietti

Music and rhythm-based training programs to improve reading are a novel approach to treatment of developmental dyslexia and have attracted the attention of trainers and researchers. Experimental studies demonstrating poor basic auditory processing abilities in individuals with dyslexia suggest they should be effective. On this basis, the efficacy of a novel rhythm-based intervention, Rhythmic Reading Training (RRT), was recently investigated and found to improve reading skills in Italian children with dyslexia, but its mode of action remains somewhat unclear. In this study, 19 children and preadolescents with dyslexia received 20 sessions of RRT over 10 weeks. Gains in a set of reading-related cognitive abilities—verbal working memory, auditory, and visual attention, and rhythm processing—were measured, along with reading outcomes. Analysis of the specific contribution of cognitive subprocesses to the primary effect of RRT highlighted that reading speed improvement during the intervention was related to rhythm and auditory discrimination abilities as well as verbal working memory. The relationships among specific reading parameters and the neuropsychological profile of participants are discussed.


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