Terminology and Methodology in the Assessment of Cognitive-Linguistic Disorders

Body, Richard; Perkins, Michael

doi:10.1375/brim.7.3.212

Cited by 13 publications

(6 citation statements)

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“…Research has highlighted some of the difficulties speech pathologists face in cognitive-communication assessment after TBI, such as the heterogeneity of the population and limitations of standardized assessment tools [5,6]. There are few specific guidelines regarding the optimum timing and methods of speech pathology assessment after TBI or recommendations for practice during PTA.…”

Section: Cognitive-communication and Ptamentioning

confidence: 99%

Speech pathologists’ current practice with cognitive-communication assessment during post-traumatic amnesia: A survey

et al. 2013

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The study confirmed that speech pathologists have a key role in the multidisciplinary team caring for the person in PTA, especially with family education and facilitating interactions with the rehabilitation team and family. Decision-making around timing and means of assessment of cognitive-communication during PTA appeared primarily reliant on speech pathologists' professional experience and the culture of their workplace. The findings support the need for further research into the nature of cognitive-communication disorder and resolution over this period.

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Section: Cognitive-communication and Ptamentioning

confidence: 99%

Speech pathologists’ current practice with cognitive-communication assessment during post-traumatic amnesia: A survey

et al. 2013

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“…In addition to an evident language disorder, such as aphasia following stroke, more subtle language and communication difficulties can arise in many neurological conditions. These conditions have been termed, for example, subtle language deficits (Crosson, 1996), cognitive-linguistic impairments (Body & Perkins, 2006), high-level language deficits (Lethlean & Murdoch, 1997), and cognitive-communication disorders (Togher et al, 2014); see Body and Perkins for a review. Among other symptoms, word-retrieval difficulties are typically involved (Hough, 2008;Kavé & Goral, 2016;Miller, Noble, Jones, & Burn, 2006).…”

Section: Introductionmentioning

confidence: 99%

“…When trying to detect language deficits of a more subtle nature, standard aphasia batteries are insufficient (Body & Perkins, 2006;Coelho, Ylvisaker, & Turkstra, 2005;Crosson, 1996;Saldert, 2017). Tasks that are more suitable usually depend on the integration of language and several other aspects of cognition, such as executive functions and memory, including pragmatic ability, which makes them more complex.…”

Section: Introductionmentioning

confidence: 99%

“…Several more or less established test batteries are currently used to detect such subtle language disorders, including the Test of Language Comprehension (TLC; Wiig & Secord, 1989) and the Mount Wilga High Level Language Screening Test (MWHLL; Christie, Clark, & Mortensen, 1986). However, such instruments have received criticism due to a lack of a theoretical framework explaining why the tasks may be difficult and also due to questionable reliability and validity (Body & Perkins, 2006;Coelho et al, 2005;Frith, Togher, Ferguson, Levick, & Docking, 2014;Saldert, 2017). Thus, there is a need for valid language tests suitable to capture subtle language difficulties.…”

Section: Introductionmentioning

confidence: 99%

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Complex oral semantic verbal fluency in non-brain-damaged adults and individuals with multiple sclerosis and subjective anomia

Bauer

Saldert

2019

Aphasiology

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Background: Many neurologic conditions, for example multiple sclerosis (MS), are associated with subtle communication and language difficulties. To detect such difficulties, there is a need for valid and reliable methods. While standard aphasia test batteries have been found insufficient, more complex language tasks are believed to be able to distinguish more subtle language difficulties from normal variation in communicative ability. Aims: The aim of this study was to: (1) explore the influence of demographic variables on the results of a novel complex oral semantic fluency task with multiple restrictions in non-braindamaged (NBD) adults, (2) investigate the construct validity and reliability of the method, and (3) compare the results of NBD individuals and individuals with MS. Method and procedure: One hundred and ten NBD individuals performed the complex task and three standard fluency tasks with single restrictions. Regression analyses were run to assess the influence of demographic factors. Furthermore, 16 individuals with MS and subjective anomia performed the complex task and the results were compared with those for a matched group of NBD individuals. Outcome and results: Age and education influenced the NBD individuals' scores on the complex task. The NBD individuals' results on the complex task correlated with those on the three standard fluency tasks. Furthermore, the subgroup of 16 pair-matched NBD individuals produced statistically significantly more adequate responses in the complex task than the group of individuals with MS. However, on an individual level some of the participants with MS performed at level with, or even better than the pair-matched NBD individuals. Provision of scoring guidelines yielded high interrater-reliability. Conclusions: The results illustrate the challenge in attempts to provide formal measures of subtle language disorders. Still, the complex task is a promising assessment tool which may be a complement to existing standard word fluency tasks, although future studies are required to establish the validity and ability to detect subtle language difficulties in different clinical groups.

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“…High‐level language tasks place high demands on cognitive abilities such as working memory, process speed and executive functions. Body and Perkins ( 2006 ) provide and discuss examples of terms used to describe cognitive processing dependent on linguistic as well as other cognitive abilities . Terms commonly used are high‐level language , higher order language , cognitive–pragmatic , cognitive–linguistic and complex language function (Body & Perkins, 2006 ).…”

Section: Introductionmentioning

confidence: 99%

Word‐finding difficulties in Parkinson's disease: Complex verbal fluency, executive functions and other influencing factors

Hedman

Hartelius

Saldert

2022

Intl J Lang & Comm Disor

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Background Persons with Parkinson's disease (PD) frequently report word‐finding difficulties. Many of the established tests are, however, insufficient in detecting mild cases of such symptoms. Results from earlier research have suggested that controlled oral word association tests (COWATs) with high demands on cognitive processing resources could prove helpful in detecting the more subtle (language‐related) problems seen in neurological disorders such as PD. Aims First, to examine whether persons with PD (PwPD) differ in performance on different types of COWATs compared with non‐brain‐damaged controls. Second, to investigate possible relationships between executive functions and the novel complex oral semantic fluency (COSEF) task performance scores in the PwPD group. Third, to investigate whether age, years of education, severity of motor symptoms and self‐perceived severity of word‐finding difficulties influenced the COSEF task results. Methods & Procedures A total of 17 PwPD participated in the study. Their results were compared with a matched control group (n = 17) at both group and individual levels. One phonemic and two types of semantic COWATs were used. Correlations between the COSEF task and executive function results, age, education and severity of motor symptoms were analysed in the PwPD group. Outcomes & Results The PwPD group had significantly lower scores on the COSEF task compared with the control group, but not on the other COWATs. A variation in the results was seen on an individual level. In the PwPD group, large significant correlations were seen between the COSEF task and verbally based tasks measuring working memory and cognitive flexibility. Both age and education, but neither self‐perceived severity of word‐finding difficulties nor motor symptoms, were correlated with the COSEF task result in the group of PwPD. Conclusions & Implications The results are in line with the predictions that a relatively more cognitive demanding COWAT such as the COSEF task could prove valuable when assessing word‐finding difficulties in PD in research and clinical assessment. What this paper adds What is already known on the subjectVarying degrees of word‐finding difficulties are a common symptom in PD and may affect everyday communication. Discreet word‐finding difficulties can be hard to detect with the established language assessment tools. What this paper adds to existing knowledgeThis study adds insights into how PwPD perform on different types of COWATs compared with a control group. It also sheds light on the relationships between a novel, more cognitive complex COWAT and executive functions in PD. What are the potential or actual clinical implications of this work?More cognitively complex COWATs can contribute significantly to the assessment of discreet word‐finding difficulties, but it is important to include a thorough anamnesis regarding language and communication in PwPD.

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Terminology and Methodology in the Assessment of Cognitive-Linguistic Disorders

Cited by 13 publications

References 58 publications

Speech pathologists’ current practice with cognitive-communication assessment during post-traumatic amnesia: A survey

Speech pathologists’ current practice with cognitive-communication assessment during post-traumatic amnesia: A survey

Complex oral semantic verbal fluency in non-brain-damaged adults and individuals with multiple sclerosis and subjective anomia

Word‐finding difficulties in Parkinson's disease: Complex verbal fluency, executive functions and other influencing factors

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