Gender differences in aphasia outcomes: evidence from the AphasiaBank

Sharma, Saryu; Briley, Patrick M.; Wright, Heather Harris; Perry, Jamie L.; Fang, Xiangming; Ellis, Charles

doi:10.1111/1460-6984.12486

Cited by 15 publications

(8 citation statements)

References 33 publications

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“…The most classic type of nonfluent aphasia is broca aphasia, which is characterized by poor oral fluency and retelling ability and relatively good listening and understanding ability, which damages broca's brain area and affects the continuity of language [ 62 , 63 ]. After analysis by Sharma et al[ 10 ], it was found that the incidence of broca aphasia in men (27.4%) was significantly higher than that in women (19.2%), with an average age of 61.9 years. At present, the mechanism is not clear.…”

Section: Discussionmentioning

confidence: 99%

“…The severity and age of stroke can predict the risk of PSA [ 7 , 8 ], and the location and size of stroke have an important reference role in predicting PSA types [ 9 ]. But whether gender plays a predictive role in the incidence of PSA and its types is still controversial [ 10 , 11 ]. The lateralization of cerebral hemisphere use and the onset age of stroke affect the incidence of PSA in different sexes [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Meta-analysis and systematic review of the relationship between sex and the risk or incidence of poststroke aphasia and its types

Li,

Zhang,

Zhang

et al. 2024

BMC Geriatr

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Objective To analyse and discuss the association of gender differences with the risk and incidence of poststroke aphasia (PSA) and its types, and to provide evidence-based guidance for the prevention and treatment of poststroke aphasia in clinical practice. Data sources Embase, PubMed, Cochrane Library and Web of Science were searched from January 1, 2002, to December 1, 2023. Study selection Including the total number of strokes, aphasia, the number of different sexes or the number of PSA corresponding to different sex. Data extraction Studies with missing data, aphasia caused by nonstroke and noncompliance with the requirements of literature types were excluded. Data synthesis 36 papers were included, from 19 countries. The analysis of 168,259 patients with stroke and 31,058 patients with PSA showed that the risk of PSA was 1.23 times higher in female than in male (OR = 1.23, 95% CI = 1.19–1.29, P < 0.001), with a prevalence of PSA of 31% in men and 36% in women, and an overall prevalence of 34% (P < 0.001). Analysis of the risk of the different types of aphasia in 1,048 patients with PSA showed a high risk in females for global, broca and Wenicke aphasia, and a high risk in males for anomic, conductive and transcortical aphasia, which was not statistically significant by meta-analysis. The incidence of global aphasia (males vs. females, 29% vs. 32%) and broca aphasia (17% vs 19%) were higher in females, and anomic aphasia (19% vs 14%) was higher in males, which was statistically significant (P < 0.05). Conclusions There are gender differences in the incidence and types of PSA. The risk of PSA in female is higher than that in male.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Meta-analysis and systematic review of the relationship between sex and the risk or incidence of poststroke aphasia and its types

Li,

Zhang,

Zhang

et al. 2024

BMC Geriatr

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“…Data for this study were drawn from the Mandarin protocol of the AphasiaBank database located in the TalkBank System (Chen et al., 2018; Deng et al., 2021). AphasiaBank is a shared database that offers researchers a large corpus with a definitive goal to improve the treatment of aphasia by comparing discourse natures from patients with aphasia and individuals without aphasia (Fromm et al., 2020; MacWhinney & Fromm, 2016; MacWhinney et al., 2011; Sharma et al., 2019). The database emphasizes the collection of data based on a specified elicitation protocol that requires the investigator to follow a script for asking questions and eliciting narratives, which offers multimedia information including transcripts of discourse by specific tasks (Fromm et al., 2020; MacWhinney, 2019; MacWhinney & Fromm, 2016).…”

Section: Methodsmentioning

confidence: 99%

Applying core lexicon analysis in patients with anomic aphasia: Based on Mandarin AphasiaBank

Jiang

Liao

Liu

2023

Intl J Lang & Comm Disor

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BackgroundPatients with anomic aphasia experience difficulties in narrative processing. General discourse measures are time consuming and require necessary skills. Core lexicon analysis has been proposed as an effort‐saving approach but has not been developed in Mandarin discourse.AimsThis exploratory study was aimed (1) to apply core lexicon analysis in Mandarin patients with anomic aphasia at the discourse level and (2) to verify the problems with core words among people with anomic aphasia.Methods & ProcedureThe core nouns and verbs were extracted from narrative language samples from 88 healthy participants. The production of core words for 12 anomic aphasia and 12 age‐ and education‐matched controls were then calculated and compared. The correlation between the percentages and the Aphasia Quotients of the revised Western Aphasia Battery was analyzed as well.Outcomes & ResultsThe core nouns and verbs were successfully extracted. Patients with anomic aphasia produced fewer core words than healthy people, and the percentages differed significantly in different tasks as well as word classes. There was no correlation between the core lexicon use and the severity of aphasia in patients with anomic aphasia.Conclusions & ImplicationsCore lexicon analysis may potentially serve as a clinician‐friendly manner of quantifying core words produced at the discourse level in Mandarin patients with anomic aphasia.WHAT THIS PAPER ADDSWhat is already known on the subject Discourse analyses in aphasia assessment and treatment have increasingly garnered attention. Core lexicon analysis based on English AphasiaBank has been reported in recent years. It is correlated with microlinguistic and macrolinguistic measures in aphasia narratives. Nevertheless, the application based on Mandarin AphasiaBank is still under development in healthy individuals and patients with anomic aphasia.What this paper adds to existing knowledge A Mandarin core lexicon set was developed for different tasks. The feasibility of core lexicon analysis to evaluate the corpus of patients with anomic aphasia was preliminarily discussed and the speech performance of patients and healthy people was then compared to provide a reference for the evaluation and treatment of clinical aphasia corpus.What are the potential or actual clinical implications of this work? The purpose of this exploratory study was to consider the potential use of core lexicon analysis to evaluate core word production in narrative discourse. Moreover, normative and aphasia data were provided for comparison to develop clinical use for Mandarin patients with anomic aphasia.

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“…Sex/gender differences have also been reported among individuals with aphasia, although the evidence has been mixed. Sharma et al (2019) found greater impairment among men when compared to women in a study of 294 individuals with aphasia using data from the AphasiaBank (Sharma et al, 2019). However, other studies have generally reported no differences in the aphasia outcomes between men and women (Schehter et al, 1985;Sundet, 1988).…”

Section: Social Determinants Of Health and Aphasia Outcomesmentioning

confidence: 95%

The Intersection of Social Determinants of Health and Post-stroke Aphasia Outcomes: A Need for Intersectional Analysis

Evans,

Jacobs,

Ellis

2023

Semin Speech Lang

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Aphasia is a disorder that results from damage to portions of the brain that are responsible for language and can vary significantly by type and severity. Differences in aphasia outcomes are influenced by the social determinants of health (SDOH). The SDOH are structural, environmental, and personal determinants that influence health outcomes. Intersectionality, or how one's social and political identities interact to influence individual life outcomes and/or advantage in our society, provides a way to examine the varying levels of the SDOH. However, intersectionality is complex, difficult to measure, and has not yet been explored in post-stroke aphasia outcomes. This article reviews the relationship of race and aphasia outcomes and the SDOH and aphasia outcomes. Additionally, we provide a novel current approach to examine the SDOH and aphasia outcomes. Lastly, we discuss the need for evaluation of intersectionality in aphasia and aim to provide a leveled social–ecological framework to examine aphasia-related outcomes. With notable individual differences among aphasia outcomes, we present a framework to support optimizing research and clinical aphasia care in speech-language pathology.

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Gender differences in aphasia outcomes: evidence from the AphasiaBank

Cited by 15 publications

References 33 publications

Meta-analysis and systematic review of the relationship between sex and the risk or incidence of poststroke aphasia and its types

Meta-analysis and systematic review of the relationship between sex and the risk or incidence of poststroke aphasia and its types

Applying core lexicon analysis in patients with anomic aphasia: Based on Mandarin AphasiaBank

The Intersection of Social Determinants of Health and Post-stroke Aphasia Outcomes: A Need for Intersectional Analysis

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