Conflict Adaptation in Aphasia: Upregulating Cognitive Control for Improved Sentence Comprehension.

IF 2.2 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Journal of Speech Language and Hearing Research Pub Date : 2024-11-07 Epub Date: 2024-10-08 DOI:10.1044/2024_JSLHR-23-00768
Anna Krason, Erica L Middleton, Matthew E P Ambrogi, Malathi Thothathiri
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Abstract

Purpose: This study investigated conflict adaptation in aphasia, specifically whether upregulating cognitive control improves sentence comprehension.

Method: Four individuals with mild aphasia completed four eye tracking sessions with interleaved auditory Stroop and sentence-to-picture matching trials (critical and filler sentences). Auditory Stroop congruency (congruent/incongruent across a male/female voice saying "boy"/"girl") was crossed with sentence congruency (syntactically correct sentences that are semantically plausible/implausible), resulting in four experimental conditions (congruent auditory Stroop followed by incongruent sentence [CI], incongruent auditory Stroop followed by incongruent sentence [II], congruent auditory Stroop followed by congruent sentence [CC], and incongruent auditory Stroop followed by congruent sentence [IC]). Critical sentences were always preceded by auditory Stroop trials. At the end of each session, a five-item questionnaire was administered to assess overall well-being and fatigue. We conducted individual-level mixed-effects regressions on reaction times and growth curve analyses on the proportion of eye fixations to target pictures during incongruent sentences.

Results: One participant showed conflict adaptation indicated by faster reaction times on active sentences and more rapid growth in fixations to target pictures on passive sentences in the II condition compared to the CI condition. Incongruent auditory Stroop also modulated active-sentence processing in an additional participant, as indicated by eye movements.

Conclusions: This is the first study to observe conflict adaptation in sentence comprehension in people with aphasia. The extent of adaptation varied across individuals. Eye tracking revealed subtler effects than overt behavioral measures. The results extend the study of conflict adaptation beyond neurotypical adults and suggest that upregulating cognitive control may be a potential treatment avenue for some individuals with aphasia.

Supplemental material: https://doi.org/10.23641/asha.27056149.

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失语症的冲突适应:上调认知控制以改善句子理解。
目的:本研究调查了失语症的冲突适应,特别是上调认知控制是否能改善句子理解:方法:四名轻度失语症患者完成了四次眼动追踪训练,其中包括交错的听觉 Stroop 和句子与图片匹配试验(关键句和填充句)。听觉 Stroop 一致性(男声/女声说 "男孩"/"女孩 "时的一致/不一致)与句子一致性(语法正确且语义合理/不合理的句子)交叉进行、结果产生了四种实验条件(听觉 Stroop 一致后出现不一致句子 [CI];听觉 Stroop 不一致后出现不一致句子 [II];听觉 Stroop 一致后出现一致句子 [CC];听觉 Stroop 不一致后出现一致句子 [IC])。临界句子之前总是先进行听觉 Stroop 试验。每次训练结束后,我们都会发放一份包含五个项目的调查问卷,以评估总体健康状况和疲劳程度。我们对反应时间进行了个体水平的混合效应回归,并对不一致句子中眼睛注视目标图片的比例进行了增长曲线分析:结果:与 CI 条件相比,一名受试者在 II 条件下对主动句子的反应时间更快,对被动句子的目标图片的注视增长更快,这表明受试者已经适应了冲突。不一致的听觉 Stroop 也调节了另一名被试的主动句子加工,这一点可以从眼球运动中看出:这是第一项观察失语症患者在句子理解中的冲突适应的研究。适应的程度因人而异。与明显的行为测量相比,眼动追踪显示出更微妙的效果。研究结果将对冲突适应的研究扩展到了神经畸形成人之外,并表明上调认知控制可能是治疗某些失语症患者的潜在途径。补充材料:https://doi.org/10.23641/asha.27056149.
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来源期刊
Journal of Speech Language and Hearing Research
Journal of Speech Language and Hearing Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
4.10
自引率
19.20%
发文量
538
审稿时长
4-8 weeks
期刊介绍: Mission: JSLHR publishes peer-reviewed research and other scholarly articles on the normal and disordered processes in speech, language, hearing, and related areas such as cognition, oral-motor function, and swallowing. The journal is an international outlet for both basic research on communication processes and clinical research pertaining to screening, diagnosis, and management of communication disorders as well as the etiologies and characteristics of these disorders. JSLHR seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of communication sciences and disorders, including speech production and perception; anatomy and physiology of speech and voice; genetics, biomechanics, and other basic sciences pertaining to human communication; mastication and swallowing; speech disorders; voice disorders; development of speech, language, or hearing in children; normal language processes; language disorders; disorders of hearing and balance; psychoacoustics; and anatomy and physiology of hearing.
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