A comparison of the BAT and BDAE-SF batteries in determining the linguistic ability in Greek-speaking patients with Broca's aphasia

Using a translanguaging framework to examine language production in a trilingual person with aphasia

When language abilities in aphasia are assessed in clinical and research settings, the standard practice is to examine each language of a multilingual person separately. But many multilingual individuals, with and without aphasia, mix their languages regularly when they communicate with other speakers who share their languages. We applied a novel approach to scoring language production of a multilingual person with aphasia. Our aim was to discover whether the assessment outcome would differ meaningfully when we count accurate responses in only the target language of the assessment session versus when we apply a translanguaging framework, that is, count all accurate responses, regardless of the language in which they were produced. The participant is a Farsi-German-English speaking woman with chronic moderate aphasia. We examined the participant's performance on two picture-naming tasks, an answering wh-question task, and an elicited narrative task. The results demonstrated that scores in English, the participant's third-learned and least-impaired language did not differ between the two scoring methods. Performance in German, the participant's moderately impaired second language benefited from translanguaging-based scoring across the board. In Farsi, her weakest language post-CVA, the participant's scores were higher under the translanguaging-based scoring approach in some but not all of the tasks. Our findings suggest that whether a translanguaging-based scoring makes a difference in the results obtained depends on relative language abilities and on pragmatic constraints, with additional influence of the linguistic distances between the languages in question.

Clustering and Switching in Semantic Verbal Fluency: Their Development and Relationship with Word Productivity in Typically Developing Greek-Speaking Children and Adolescents

Performance in semantic verbal fluency (SVF) tasks, mainly measured by the number of words of a particular semantic category produced within a limited time, is a widely accepted measure of cognitive functioning used in the neuropsychological assessment of children and adults. Two strategic processes, Clustering and Switching (C&S) have been proposed to underlie fluency processes and affect performance in the task. However, few studies have reported on the development of those cognitive strategies and their relationship with word productivity in typically developing children. Even fewer studies have covered a broad developmental period from preschool to adolescence or measured the effect of contextual factors in this relationship. Based on a sample of 472 typically developing Greek-speaking children aged 4;0 to 16;11 years, we investigated the development of SVF performance and reported on the degree to which it is affected by C&S strategies, children's sex, and level of parental education. Results revealed a large effect of age on word productivity and on the use of C&S strategies. Two switching factors (number of clusters and number of switches) and two clustering factors (mean cluster size and a novel measure, maximum cluster size), appeared to be significantly associated with word productivity, with the largest effect being attributed to the two switching factors. C&S factors, together with children's age and parental education, predicted 91.7% of the variance in the SVF score. Children's sex was not found to have a significant effect on either word productivity or C&S strategies. Results are discussed for their theoretical implications on the strategic processes underlying word production in typically developing children.

Effects of executive attention on sentence processing in aphasia

BACKGROUND

In the recent years there has been increasing interest in the effects of attentional control on syntactic comprehension, as measured in garden path sentence resolution. Persons with aphasia (PWA) experience greater penalties in garden path sentences compared to language-unimpaired adults but the origin of this deficit remains a controversial issue. One of the possible deficits has been claimed to be disambiguation of lexical cues in the sentence. However, in languages such as English with little morphological variation this connection is hard to establish. To test this hypothesis we used garden path sentences in a morphologically rich language, Greek, where morphological cues may resolve garden path at the lexical level. We further tested whether domain-general attentional control abilities and in particular shifts in attentional control predict garden path resolution in PWA and age- and education-matched controls.

AIM

This study aimed to determine whether PWA were able to integrate disambiguating morphological (Case) cues while processing garden path sentences. In addition, we tested whether domain-general attentional control and in particular attentional shift from global to local and local to global information (as defined by Navon, 1977) correlates directly with garden path resolution in PWA and healthy controls.

METHODS & PROCEDURE

Fifteen participants with non-fluent/agrammatic aphasia along with fifteen age- and education-matched language-unimpaired adults performed an online self-paced reading and grammaticality judgment task that included object/subject ambiguous sentences. Syntactic ambiguity was created by the optional transitivity of verbs, while the garden path effect was resolved by morphological Case. The individuals' executive attention skills were tested through an online non-verbal global-local attention shifting task that measured costs stemming from shifting attention from the global to the local level, and vice versa.

OUTCOMES & RESULTS

PWA were slower and more erroneous than controls in integrating Case cues to disambiguate garden path sentences as manifested in the self-paced reading and grammaticality judgment task. In the global local task, PWA exhibited greater global-to-local (vs. local-to-global) attention shifting costs, while controls did not exhibit dissociation. In the regression analysis, garden path resolution in PWA was significantly predicted by global-to-local attention shifting costs, while controls' garden path resolution was significantly predicted by local-to-global attention shift costs.

CONCLUSIONS

The present study showed for the first time that morphological cues can shed light in sentence comprehension deficits exhibited by PWA. Furthermore, domain-general attentional control abilities were significantly associated with sentence comprehension abilities in both healthy controls and PWA.

Temporal information processing as a basis for auditory comprehension: clinical evidence from aphasic patients

BACKGROUND

Temporal information processing (TIP) underlies many aspects of cognitive functions like language, motor control, learning, memory, attention, etc. Millisecond timing may be assessed by sequencing abilities, e.g. the perception of event order. It may be measured with auditory temporal-order-threshold (TOT), i.e. a minimum time gap separating two successive stimuli necessary for a subject to report their temporal order correctly, thus the relation 'before-after'. Neuropsychological evidence has indicated elevated TOT values (corresponding to deteriorated time perception) in different clinical groups, such as aphasic patients, dyslexic subjects or children with specific language impairment.

AIMS

To test relationships between elevated TOT and declined cognitive functions in brain-injured patients suffering from post-stroke aphasia.

METHODS & PROCEDURES

We tested 30 aphasic patients (13 male, 17 female), aged between 50 and 81 years. TIP comprised assessment of TOT. Auditory comprehension was assessed with the selected language tests, i.e. Token Test, Phoneme Discrimination Test (PDT) and Voice-Onset-Time Test (VOT), while two aspects of attentional resources (i.e. alertness and vigilance) were measured using the Test of Attentional Performance (TAP) battery.

OUTCOMES & RESULTS

Significant correlations were indicated between elevated values of TOT and deteriorated performance on all applied language tests. Moreover, significant correlations were evidenced between elevated TOT and alertness. Finally, positive correlations were found between particular language tests, i.e. (1) Token Test and PDT; (2) Token Test and VOT Test; and (3) PDT and VOT Test, as well as between PDT and both attentional tasks.

CONCLUSIONS & IMPLICATIONS

These results provide further clinical evidence supporting the thesis that TIP constitutes the core process incorporated in both language and attentional resources. The novel value of the present study is the indication for the first time in Slavic language users a clear coexistence of the 'timing-auditory comprehension-attention' relationships.

Verbal comprehension ability in aphasia: demographic and lexical knowledge effects

Background. Assessment of sentence-level auditory comprehension can be performed with a variety of tests varying in response requirements. A brief and easy to administer measure, not requiring an overt verbal or a complex motor response, is essential in any test battery for aphasia. Objective. The present study examines the clinical utility of receptive language indices for individuals with aphasia based on the Comprehension of Instructions in Greek (CIG), a variant of the Token Test, and the Greek version of PPVT-R. Methods. Normative data from a large community sample of Greek adults aged 46–80 years was available on both measures. A word-level-independent measure of auditory comprehension was computed as the standard score difference between the two tests and used to compare patients with and without comprehension deficits as indicated by their Boston Diagnostic Aphasia Examination profile. Results and Conclusions. Indices of internal consistency and test-retest reliability were very good. Education and age effects on performance were significant, with the former being stronger. The potential clinical utility of differential ability indices (contrasting sentence- and word-level auditory comprehension tests) is discussed.

Principles underlying the Bilingual Aphasia Test (BAT) and its uses

The Bilingual Aphasia Test (BAT) is designed to be objective (so it can be administered by a lay native speaker of the language) and equivalent across languages (to allow for a comparison between the languages of a given patient as well as across patients from different institutions). It has been used not only with aphasia but also with any condition that results in language impairment (Alzheimer's, autism, cerebellar lesions, developmental language disorders, mild cognitive impairment, motor neuron disease, multiple sclerosis, Parkinson's, vascular dementia, etc.). It has also been used for research purposes on non-brain-damaged unilingual and bilingual populations. By means of its 32 tasks, it assesses comprehension and production of implicit linguistic competence and metalinguistic knowledge (which provide indications for apposite rehabilitation strategies). Versions of the BAT are available for free download at www.mcgill.ca/linguistics/research/bat/.