Measuring goodness of story narratives: Implications for traumatic brain injury

Lê, Karen; Coelho, Carl; Mozeiko, Jennifer; Grafman, Jordan

doi:10.1080/02687038.2010.539696

Cited by 30 publications

(4 citation statements)

References 24 publications

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“…The first research question focused on the measures of discourse production and inferential reasoning. Consistent with previous studies assessing narrative discourse processing (Lê et al, 2011;Coelho et al, 2013;Marini et al, 2017;Büttner-Kunert et al, 2022) we found lower scores in participants with TBI than in the control group. As the score of Text Production reflects the number of obligatory propositions, IwTBI had obvious difficulties in finding all the propositions necessary for telling the story in a coherent and comprehensive way.…”

Section: Discussionsupporting

confidence: 91%

“…Macrostructural planning processes in individuals with moderate to severe TBI have been examined especially in the context of the coherence of narrative discourses (Lê et al, 2011;Power et al, 2020;Steel et al, 2021). Here, the selection and completeness of essential units, such as key components and obligatory propositions and inferences, can be assessed.…”

Section: Assessing Discourse In Traumatic Brain Injury: Insights Into...mentioning

confidence: 99%

“…Here, the selection and completeness of essential units, such as key components and obligatory propositions and inferences, can be assessed. For example, sense units that are mentioned by more than 80% of a normative sample are considered to be critical for the thematic progression of the story (Lê et al, 2011). Also, in order to be coherent, utterances must thematically correspond to the topic of a discourse (Cannizzaro and Coelho, 2012).…”

Section: Assessing Discourse In Traumatic Brain Injury: Insights Into...mentioning

confidence: 99%

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Interaction of discourse processing impairments, communicative participation, and verbal executive functions in people with chronic traumatic brain injury

et al. 2022

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IntroductionEspecially in the chronic phase, individuals with traumatic brain injury (TBI) (IwTBI) may still have impairments at the discourse level, even if these remain undetected by conventional aphasia tests. As a consequence, IwTBI may be impaired in conversational behavior and disadvantaged in their socio-communicative participation. Even though handling discourse is thought to be a basic requirement for participation and quality of life, only a handful of test procedures assessing discourse disorders have been developed so far. The MAKRO Screening is a recently developed screening tool designed to assess discourse impairments. The test construction is based on psycholinguistic frameworks and the concept of macro-rules, which refer to cognitive functions responsible for organizing and reducing complex information (e.g., propositional content) in discourse.AimThe aim of our study was to investigate discourse processing in IwTBI in different tasks and to assess problems in communicative participation in the post-acute and chronic phase. In this context, we also aimed to analyze the influence of the severity of the initial impairment and the verbal executive abilities on the discourse performance. Additionally, the impact of macrolinguistic discourse impairments and verbal fluency on perceived communicative participation was targeted in our analysis.MethodsData from 23 IwTBI (moderate to severe) and 23 healthy control subjects have been analyzed. They completed two subtests of the MAKRO screening: Text production and Inferences. Discourse performance was examined in relation to measures of semantic fluency and verbal task-switching. Socio-communicative problems were evaluated with the German version of the La Trobe Communication Questionnaire (LCQ).ResultsIwTBI showed lower test results than the control group in the two subtests of the MAKRO-Screening. Difficulties in picture-based narrative text production also indicated greater perceived difficulties in communicative participation (LCQ). We also found that the subject’s performance on the MAKRO-Screening subtests can partly be explained by underlying dysexecutive symptoms (in terms of verbal fluency and verbal task switching) and the severity of their injury. The preliminary results of our study show that cognitive-linguistic symptoms in IwTBI are also evident in the chronic phase. These can be detected with procedures referring to the discourse level, such as the MAKRO-Screening. The assessment of discourse performance should be an integral part in the rehabilitation of IwTBI in order to detect cognitive-linguistic communication disorders and to evaluate their impact on socio-communicative participation.

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Section: Discussionsupporting

confidence: 91%

Section: Assessing Discourse In Traumatic Brain Injury: Insights Into...mentioning

confidence: 99%

Section: Assessing Discourse In Traumatic Brain Injury: Insights Into...mentioning

confidence: 99%

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Interaction of discourse processing impairments, communicative participation, and verbal executive functions in people with chronic traumatic brain injury

et al. 2022

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“…The major components of story grammar include (a) setting and episode, (b) initiating event, (c) attempt, (d) consequences/reactions, (e) abstract/internal responses, and (f ) coda/plan (Richardson & Hudspeth, 2014b). This analytic approach focuses on the superstructure of a narrative production (Koo, 2006) and forms the basis for differentiation between PWA and unimpaired speakers (Richardson & Hudspeth, 2014b), as well as individuals with and without brain injuries (Lê, Coelho, Mozeiko, & Grafman, 2011). Specifically, story length and completeness of story components were suggested to be sensitive to discriminate between language-impaired and control groups (Koo, 2006;Richardson & Hudspeth, 2014b).…”

Section: Using Story Grammar To Analyze Spoken Discoursementioning

confidence: 99%

An Integrative Analysis of Spontaneous Storytelling Discourse in Aphasia: Relationship With Listeners' Rating and Prediction of Severity and Fluency Status of Aphasia

Kong

Wong

2018

Am J Speech Lang Pathol

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Purpose This study investigated which of the three analytic approaches of oral discourse, including linguistically based measures, proposition-based measures, and story grammar, best correlated with aphasia severity and with naïve listeners' ratings on aphasic productions. The predictive power of these analytic approaches to aphasia severity and fluency status of people with aphasia (PWA) was examined. Finally, which approach best discriminated fluent versus nonfluent PWA was determined. Method Audio files and orthographic transcriptions of the storytelling task “The Boy Who Cried Wolf” from 68 PWA and 68 controls were extracted from the Cantonese AphasiaBank. Each transcript was analyzed using these 3 systems. Results The linguistic approach of discourse analysis best correlated with aphasia severity and naïve listeners' subjective ratings. Although both linguistically based and proposition-based measures significantly predicted aphasia severity, a subset of linguistic measures focusing on the quantity and efficiency of production were particularly useful for clinical estimation of the fluency status of aphasia. Conclusions The linguistically based measures appeared to be the most clinically effective and powerful in reflecting PWA's performance of spoken discourse.

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Traumatic Brain Injury

Lê¹,

Mozeiko²

2021

The Handbook of Language and Speech Disorders

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Measuring goodness of story narratives: Implications for traumatic brain injury

Cited by 30 publications

References 24 publications

Interaction of discourse processing impairments, communicative participation, and verbal executive functions in people with chronic traumatic brain injury

Interaction of discourse processing impairments, communicative participation, and verbal executive functions in people with chronic traumatic brain injury

An Integrative Analysis of Spontaneous Storytelling Discourse in Aphasia: Relationship With Listeners' Rating and Prediction of Severity and Fluency Status of Aphasia

Traumatic Brain Injury

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