Awareness of the potential role of EF and WM in sentence comprehension will help clinicians be more aware of potential cognitive-linguistic deficits in their clients. Future research will help to clarify the link between EF and sentence comprehension.
There were few behavioral differences between individuals with TBI history and the control group, though all reported subjective difficulty with reading. The P600 was absent in the TBI group in this study. Given the heterogeneity of individuals with TBI and the difficulty in assessing subtle language impairments, exploring the P600 further may provide useful insight into language processing difficulties.
Background: Individuals with mild traumatic brain injury (mTBI) may experience chronic cognitive-linguistic impairments that are difficult to evaluate with existing measures. Garden path sentences are linguistically complex sentences that lead readers down a path to an incorrect interpretation. Previous research indicates many individuals, with or without mTBI, may have difficulty fully resolving the ambiguity of garden path sentences, a skill which may require cognitive control. Evidence suggests cognitive control can be impacted by mTBI. Thus, impairments in cognitive control are expected to correlate with interpreting ambiguous sentences. Aims:To examine the relationship between cognitive control and the processing of ambiguous garden path sentences in adults with mTBI. We predict individuals with mTBI will perform more poorly on ambiguous sentence tasks compared with a control group. Further, we predict that performance on this task will correlate with measures of cognitive control and working memory. Methods & Procedures: A total of 20 adults with mTBI history and 44 adults with no significant neurological history were recruited from the community. Participants completed a computerized, ambiguous sentence measure with carefully designed comprehension questions and an abbreviated neuropsychological battery of cognitive-linguistic tasks.Outcomes & Results: Participants performed similarly on sentence ambiguity resolution measures across groups with a wide range in performance. A comprehension measure aimed at identifying full ambiguity resolution correlated with cognitive control across groups. Conclusions & Implications:A link between cognitive control and linguistic ambiguity is confirmed in a comprehension measure by the current findings. mTBI history did not appear to change the nature of the relationship between cognitive control and ambiguity resolution. High individual variability on sentence and cognitive control measures across groups suggest that if an impairment were present, it would affect both types of tasks. Thus, testing cognitive 990
Speech-language pathologists will be increasingly called upon to screen for, identify, and assess mild cognitive impairment (MCI) as the population ages. The diagnosis of MCI involves several professionals and requires an evaluation of normal and abnormal cognition and cognitive-communication, which a speech-language pathologist is in a unique position to provide. The general diagnostic criteria for MCI diagnosis are largely agreed upon at this point in time, and subtypes of MCI are receiving increasing attention. Early identification of MCI and detailed characterization of functioning will be more important as therapy targeting prevention of dementia and early cognitive dysfunction is developed. Speech-language pathologists should have a working knowledge of the diagnostic criteria and currently accepted subtypes in order to serve this population.
Conventional opinion about using Rapid Serial Visual Presentation (RSVP) for examining sentence comprehension maintains that RSVP taxes working memory (WM), which probably affects sentence processing. However, most RSVP studies only infer the involvement of WM. Other cognitive resources, such as cognitive control or vocabulary may also impact sentence comprehension and interact with RSVP. Further, sentence ambiguity is predicted to interact with RSVP and cognitive resources to impact sentence comprehension. To test these relationships, participants read ambiguous and unambiguous sentences using RSVP and Whole-Sentence presentation, followed by comprehension questions that were targeted to the ambiguous region of the sentences. Presentation type and ambiguity interacted to affect RT such that the effect of RSVP was exaggerated for ambiguous sentences. RT effects were moderated by WM and vocabulary. WM and cognitive control affected accuracy. Findings are discussed in light of depth of processing and the impact of cognitive resources on sentence comprehension.
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