EXPRESS: Transposition and substitution letter effects in a flanker task: evidence from children and adults

Several studies have shown that parafoveal processing is essential in reading development. In this study, we explore the effect of transposing and substituting inner and outer letters in a flanker lexical decision task administered to 78 children and 65 adults. The results show a significant interaction between the Group factor and the Flanker factor, suggesting differences in the effects of flankers for children and adults. In the case of adults, transposed and substituted letters generated benefit of the same magnitude in comparison to the unrelated condition, but of lesser magnitude than the Identity condition. In the case of children, the results show facilitation for the transposed conditions of the same magnitude as the Identity condition. However, the substitution conditions failed to generate any benefit in comparison to the unrelated condition. The results for the adults are in line with the predictions of the open bigram model, while the results for the children are explained through a developmental perspective of the dual-route architecture and open bigram framework.

Pragmatic skills in people with Williams syndrome: the perception of families

BACKGROUND

One of the most challenging linguistic areas in people with Williams Syndrome throughout their evolutionary stage is the development of pragmatic skills. The research conducted so far highlights specific problems concerning adaptation to the linguistic context and interlocutors, language comprehension, as well as other aspects interfering with verbal communication. However, until now, most scientific evidence has been based on personal assessments of this group. In a complementary manner, the goal of this study was to discover the level of pragmatic skills of people with Williams Syndrome from the point of view of the families. The sample consisted of 34 families belonging to the Williams Syndrome Association of Spain. The assessment instrument was the pragmatic awareness questionnaire, which includes 26 items related to different aspects that are part of the pragmatic area on a Likert-type scale.

RESULTS

The results indicate that, families consider there to be a regular to low level in all the areas assessed. The strong points seem to lie in the paralinguistic aspects, while the weakest factors are those related to the understanding of figurative language.

CONCLUSIONS

Therefore, it is necessary to continue insisting on the importance of language intervention in this group throughout its development to improve its level of linguistic competence.

Pragmatic competence in people with dual diagnosis: down syndrome and autism spectrum disorder

BACKGROUND

Pragmatics is an area that can be affected in a wide variety of disorders. In this sense, Syndromic Autism is defined as a disorder in which a causal link is established between an associated syndrome and Autism Spectrum Disorder (ASD). Likewise, Down Syndrome (DS) is one of the main genetically based syndromes in which ASD is described as one of its possible manifestations. In this direction, people with DS are described as social beings whereas in ASD there seems to be a specific alteration of this domain.

METHODS

In this study, pragmatic performance was analysed in a sample of 72 participants, where comparisons were made between the scores obtained by children with ASD (n = 24), with DS (n = 24) and with DS + ASD (n = 24).

RESULTS

The Social Communication Questionnaire (SCQ), the Block Objective and Criterial Language Battery (BLOC-SR) and the Neuropsychology subtest (NEPSY-II) aimed at Theory of Mind (ToM) identified significant differences between the groups. However, two-to-two comparisons reported no significant differences between DS and DS + ASD.

CONCLUSIONS

Although several studies report differences between the three proposed groups, our data seem to suggest that ASD symptomatology in DS is associated with Intellectual Developmental Disorder (IDD). However, the lack of solid scientific evidence regarding comorbid diagnosis makes further research along these lines indispensable.

TRIAL REGISTRATION

This study was approved by the Ethics Committee for Social Research at UCLM with reference CEIS-704,511-L8M4.

Linguistic characteristics in bipolar disorder versus borderline personality disorder

Scientific evidence has documented throughout the research carried out in recent years, the neuropsychological, behavioral and adaptive difficulties presented by people with Bipolar Disorder and Borderline Personality Disorder at different stages of their development. However, little importance has been given to other factors such as communication, especially in the adult population. The objective of this research was to know the language characteristics presented by people from both groups and the differences in linguistic development. The sample consisted of 60 participants between the ages of 17 and 42:31 of them with a diagnosis of Borderline Personality Disorder and the remaining 29 with a diagnosis of Bipolar Disorder. The standardized evaluation instruments were: the Social Skills Scale and the Pragmatic Competence Questionnaire completed by three different informants (families, professionals and the own person). The results obtained show that both populations manifest linguistic difficulties in adulthood and that there are differences depending on the perception of the agent involved in the language assessment. These results are highly relevant since they provide up-to-date information about language level, support the need for language intervention in adulthood, and reflect a different communicative profile in Bipolar Disorder and Borderline Personality Disorder.

Causes of revisional surgery, reoperations, and readmissions after bariatric surgery

INTRODUCTION AND OBJECTIVES

Bariatric surgery is the most effective treatment for weight loss, with comorbidity control. With low complication rates, the reasons for reoperation are major complications or weight loss failure/weight regain. Nonsurgical problems can also present, such as anemia, dehydration, chronic pain, and malnutrition, among others. Our aim was to analyze the main causes of revisional surgery, reoperation, and hospital readmission, at a specialized bariatric center.

METHODS

A retrospective study was conducted on patients that underwent bariatric surgery within the time frame of 2012 and 2019. The baseline analysis included demographic, anthropometric, and perioperative data, as well as a sub-analysis of the main readmission causes and complications.

RESULTS

A total of 776 primary surgeries were performed (649 RYGBP, 127 SG, and 10 revisional surgeries), and 99 patients were identified for the study: 10 revisional surgeries, 44 reoperations, and 45 readmissions. The incidence of revisional surgery was 1.2%, reoperation was 5.6%, and readmission 5.8%. Fifty percent of the revisional surgeries were performed due to insufficient weight loss or weight regain; the most frequent causes of reoperation were cholecystitis (38.6%) and internal hernias (9.1%); and the most common causes of readmission were nonspecific abdominal pain (35.5%) and dehydration (24.4%).

CONCLUSION

The most frequent causes of postoperative readmission were nonsurgical events, followed by non-bariatric reoperations, and finally revisional surgeries. There was a low incidence of early reoperations. Knowledge of the abovementioned data is important for identifying higher-risk patients, to prevent major complications.

Evaluación de la competencia pragmática de cuatro adultos españoles con discapacidad auditiva congénita a través del Protocolo Rápido de Evaluación Pragmática - Revisado

Numerosos estudios apuntan a las dificultades del lenguaje oral que pueden presentar las personas con discapacidad auditiva a lo largo de su desarrollo. No obstante, poco es conocido acerca del nivel de competencia pragmática que alcanzan y cómo esta área se desarrolla (Madrid Cánovas & Bleda García, 2011). En esta investigación se pretenden abordar las características pragmáticas de cuatro adultos españoles con discapacidad auditiva congénita a través del Protocolo Rápido de Evaluación Pragmática Revisado (PREP-R), que evalúa diferentes niveles de pragmática: textual, enunciativa e interactiva y, además, aporta un índice de habilidad pragmática general, específica y de base gramatical. Los participantes fueron evaluados mediante videograbaciones de muestras de lenguaje espontáneo en conversación con un familiar. Los resultados indican que, en general, los cuatro sujetos presentan un buen nivel de competencia pragmática, que se manifiesta a la hora de ajustar los actos de habla. Sin embargo, para regular su lenguaje, tienden a utilizar conductas compensatorias como: estrategias verbales que les permiten ganar tiempo extra para la construcción de sus emisiones, empleo de actos verbales y/o paraverbales compensatorios y el uso de gestos que completan su producción verbal. Estos datos indican que, aunque los participantes de este estudio presentan buenas habilidades pragmáticas, es necesario seguir desarrollando estrategias a nivel de intervención que les permitan comunicarse sin dificultades en diferentes contextos y con distintos interlocutores.

Repetición de pseudopalabras en trastorno específico del lenguaje

Numerosas hipótesis explicativas apoyan la existencia de limitaciones en el bucle fonológico de las personas con Trastorno Específico del Lenguaje (TEL). La repetición de pseudopalabras es una tarea sensible a la capacidad del bucle fonológico dentro de la memoria de trabajo, puesto que esta repetición provoca que el niño tenga que mantener de forma temporal la información fonológica, para más tarde reproducirlo. El objetivo principal de este trabajo es aportar información novedosa acerca de las diferencias en los resultados entre niños con desarrollo típico y trastornos del lenguaje ante una tarea de repetición de pseudopalabras donde los estímulos han sido controlados estrictamente a nivel fonológico. En este estudio participaron un total de 36 niños de entre 7 y 12 años: 18 niños con desarrollo típico y 18 con diagnóstico previo de TEL. Para llevar a cabo dicho estudio se elaboró una prueba de repetición de pseudopalabras controlando variables, como son la longitud, frecuencia, composición, acentuación y repeticiones de cada sílaba. Los resultados obtenidos demuestran que los niños con TEL se muestran más sensibles a las variables de longitud, frecuencia y la interacción entre estas. De igual forma, los datos han demostrado que la posición en la que aparece una sílaba infrecuente juega un papel importante, provocando mayores errores en los niños con desarrollo típico (DT) cuando la sílaba infrecuente se encuentra en última posición. Los datos obtenidos ponen en manifiesto la necesidad de continuar analizando de manera sistemática la interacción entre las variables longitud y frecuencia. Además, se comentan las implicaciones de cara al diagnóstico clínico.

Can individuals with Down syndrome improve their grammar?

Morphosyntax constitutes one of the most complex areas of language. It takes into account the structure of the word and that of the sentence, and its development allows one to establish adequately agreements both within the nominal phrase and in the rest of the sentence. Morphosyntax is particularly impaired in individuals with Down syndrome. To improve their morphosyntactic skills, an intervention programme was designed and carried out with a total of 20 Spanish-speaking children with Down syndrome; half of them composed the experimental group and the other half the control group. The results obtained show that the children in the experimental group improved more than the children in the control group in the areas of syntax, morphology and semantics, but not in pragmatics, where both groups improved to the same extent. Overall, the results obtained support the effectiveness of the programme implemented as a clinical and educational tool for intervention in individuals with Down syndrome.