失语症中形态句法和主题障碍的神经功能相关性:系统回顾和元分析》(The Neurofunctional Correlates of Morphosyntactic and Thematic Impairments in Aphasia: A Systematic Review and Meta-analysis)。

IF 5.4 2区 心理学 Q1 NEUROSCIENCES Neuropsychology Review Pub Date : 2024-08-31 DOI:10.1007/s11065-024-09648-0
Sabrina Beber, Giorgia Bontempi, Gabriele Miceli, Marco Tettamanti
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引用次数: 0

摘要

对失语症患者进行的病变症状研究表明,左侧颞顶叶受损(但令人惊讶的是,前额叶未受损)与语义可逆句子(孩子被母亲拥抱)理解中处理主题角色的能力受损相关。这一结果对 "左前额叶区域对句子理解至关重要 "这一历史悠久的观点提出了质疑。然而,大多数研究都侧重于主题角色分配,而没有考虑对句子处理同样至关重要的形态句法过程。我们回顾并荟萃分析了有关失语症患者在理解和造句过程中主题角色分配和形态句法处理的神经功能相关性的病变症状研究。按照 PRISMA 核对表,我们选择了 43 篇论文进行综述,27 篇论文进行荟萃分析,并确定了一系列潜在的偏倚风险。综述和荟萃分析均证实了主题角色加工与颞顶区之间的相关性,但也清楚地表明前额叶区参与了句子加工。探索性荟萃分析表明,主题角色和形态句法加工都与左侧前额叶和颞顶区相关,形态句法加工与前额叶结构的相关性大于与颞顶区的相关性,而主题角色分配则显示出相反的趋势。我们讨论了目前文献中的局限性,并提出了一系列建议,以澄清尚未解决的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Neurofunctional Correlates of Morphosyntactic and Thematic Impairments in Aphasia: A Systematic Review and Meta-analysis.

Lesion-symptom studies in persons with aphasia showed that left temporoparietal damage, but surprisingly not prefrontal damage, correlates with impaired ability to process thematic roles in the comprehension of semantically reversible sentences (The child is hugged by the mother). This result has led to challenge the time-honored view that left prefrontal regions are critical for sentence comprehension. However, most studies focused on thematic role assignment and failed to consider morphosyntactic processes that are also critical for sentence processing. We reviewed and meta-analyzed lesion-symptom studies on the neurofunctional correlates of thematic role assignment and morphosyntactic processing in comprehension and production in persons with aphasia. Following the PRISMA checklist, we selected 43 papers for the review and 27 for the meta-analysis, identifying a set of potential bias risks. Both the review and the meta-analysis confirmed the correlation between thematic role processing and temporoparietal regions but also clearly showed the involvement of prefrontal regions in sentence processing. Exploratory meta-analyses suggested that both thematic role and morphosyntactic processing correlate with left prefrontal and temporoparietal regions, that morphosyntactic processing correlates with prefrontal structures more than with temporoparietal regions, and that thematic role assignment displays the opposite trend. We discuss current limitations in the literature and propose a set of recommendations for clarifying unresolved issues.

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来源期刊
Neuropsychology Review
Neuropsychology Review 医学-神经科学
CiteScore
11.00
自引率
1.70%
发文量
36
期刊介绍: Neuropsychology Review is a quarterly, refereed publication devoted to integrative review papers on substantive content areas in neuropsychology, with particular focus on populations with endogenous or acquired conditions affecting brain and function and on translational research providing a mechanistic understanding of clinical problems. Publication of new data is not the purview of the journal. Articles are written by international specialists in the field, discussing such complex issues as distinctive functional features of central nervous system disease and injury; challenges in early diagnosis; the impact of genes and environment on function; risk factors for functional impairment; treatment efficacy of neuropsychological rehabilitation; the role of neuroimaging, neuroelectrophysiology, and other neurometric modalities in explicating function; clinical trial design; neuropsychological function and its substrates characteristic of normal development and aging; and neuropsychological dysfunction and its substrates in neurological, psychiatric, and medical conditions. The journal''s broad perspective is supported by an outstanding, multidisciplinary editorial review board guided by the aim to provide students and professionals, clinicians and researchers with scholarly articles that critically and objectively summarize and synthesize the strengths and weaknesses in the literature and propose novel hypotheses, methods of analysis, and links to other fields.
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