Objective The aim was to compare real-time language/cognitive processing in picture naming in adults who stutter (AWS) versus typically-fluent adults (TFA). Methods Participants named pictures preceded by masked prime words. Primes and target picture labels were Identical or mismatched. Priming effects on naming and picture-elicited ERP activity were analyzed. Vocabulary knowledge correlations with these measures were assessed. Results Priming improved naming RTs and accuracy in both groups. RTs were longer for AWS, and correlated positively with receptive vocabulary in TFA. Electrophysiologically, posterior-P1 amplitude negatively correlated with expressive vocabulary in TFA versus receptive vocabulary in AWS. Frontal/temporal-P1 amplitude correlated positively with expressive vocabulary in AWS. Identity priming enhanced frontal/posterior-N2 amplitude in both groups, and attenuated P280 amplitude in AWS. N400 priming was topographically-restricted in AWS. Conclusions Results suggest that conceptual knowledge was perceptually-grounded in expressive vocabulary in TFA versus receptive vocabulary in AWS. Poorer expressive vocabulary in AWS was potentially associated with greater suppression of irrelevant conceptual information. Priming enhanced N2-indexed cognitive control and visual attention in both groups. P280-indexed focal attention attenuated with priming in AWS only. Topographically-restricted N400 priming suggests that lemma/word form connections were weaker in AWS. Significance Real-time language/cognitive processing in picture naming operates differently in AWS.

Objective Our aim was to investigate how semantic and phonological information is processed in adults who stutter (AWS) preparing to name pictures, following-up a report that event-related potentials (ERPs) in AWS evidenced atypical semantic picture-word priming (Maxfield et al., 2010). Methods Fourteen AWS and 14 typically-fluent adults (TFA) participated. Pictures, named at a delay, were followed by probe words. Design elements not used in Maxfield et al. (2010) let us evaluate both phonological and semantic picture-word priming. Results TFA evidenced typical priming effects in probe-elicited ERPs. AWS evidenced diminished Semantic priming, and reverse Phonological N400 priming. Conclusions Results point to atypical processing of semantic and phonological information in AWS. Discussion considers whether AWS ERP effects reflect unstable activation of target label semantic and phonological representations, strategic inhibition of target label phonological neighbors, and/or phonological label-probe competition. Significance Results raise questions about how mechanisms that regulate activation spreading operate in AWS.

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