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Monolingual and bilingual children's use of the mutual exclusivity constraint.

The use of the mutual exclusivity constraint was examined in three-year-old and six-year-old children who were either monolingual in English (N = 32) or bilingual in English/Urdu (N = 32) or in English/Greek (N = 32). Three tests of the constraint were used: disambiguation rejection, and restriction. On the disambiguation test, the mutual exclusivity bias was significantly more evident in five- and six-year-old monolingual children than in their same-age bilingual peers. Monolingual children were also more likely than bilingual children to reject a new name for a familiar object. However, using a restriction test, neither monolingual nor bilingual children readily accepted and restricted typical names for hybrid objects. Developmental differences were also found, as older (five- to six-year-old) monolingual children's responses on the tests were generally more consistent with the constraint than younger (three- to four-year-old) children's responses. Nevertheless, bilingual children did use the constraint, but not to the extent of monolingual children.

Child↗

Factors influencing accuracy of estimation of comprehension problems in patients following cerebrovascular accident, by doctors, nurses and relatives.

Previous work has shown that doctors, nurses and relatives are inaccurate at estimating the comprehension problem of stroke patients. Possible factors that influence the accuracy of these judgements were studied, including confidence of the respondents, the severity of the comprehension problems of the patients and factors specific to relatives (educational background and the length of the relative's relationship with the patient). Doctors, nurses and relatives involved with 30 recently aphasic stroke patients were asked to estimate how patients would perform on the comprehension sections of two tests (Western Aphasia Battery and Functional Communication Profile). Results show that although all respondents over-estimated patients' comprehension abilities, they were more accurate for patients who had mild problems. Doctors and nurses who were more confident about their predictions tended to be more accurate on some parts of the tests than those with less confidence, whereas relatives were equally inaccurate when giving high and low confidence judgements. Length of relationship and educational level did not predict relative's accuracy.

Aged↗

Single words are not enough: verbs, grammar and fluent aphasia.

This paper reports on a range of tests and assessments given to a group of six fluent aphasic speakers. Diverse profiles emerged with dissociations between the ability to name action pictures or construct sentences and the ability to produce grammatically well-formed spontaneous speech.

Aged↗

[Early diagnosis of language development disorders in children].

In a prospective study, we examined whether it is possible to diagnose language disorders in children in their second and third years. Twenty patients aged 17-35 months (average 26 months) were examined from August 2002 to June 2004. Language development was tested on the basis of a questionnaire for parents (ELFRA-1 or ELFRA-2) and on a detailed language assessment. After 3-8 months, the children's language was examined again by the same speech pathologist. In 12 children, in whom we had suspected a language disorder, the diagnosis was confirmed. Eight patients showed age-appropriate language development, which was confirmed in six patients at follow-up. In two cases, the follow-up revealed a language disorder. On the basis of a parent questionnaire and examination by a speech therapist, language disorders can be diagnosed in the second and third years of life. However, control assessments are necessary in order to reveal language development disturbances beginning at later ages.

Child, Preschool↗

Morphological inflections of children with normal and impaired articulation.

Twenty articulation-impaired Kindergarten children and 20 peers with normal articulation were compared on their use of morphological rules with the nonsense material of the Berry-Talbott Test. The results indicated that there were no significant differences between the two groups, although about one quarter of the articulation-impaired subjects did not perform as well as the normal articulation subjects on the overall task.

Articulation Disorders↗

Selective attention and aphasia in adults: preliminary findings.

Thirteen patients with left-hemisphere stroke and history of aphasia and 13 normal controls were administered the covert orientation of visual attention task (COVAT). This task presents targets to the right or left of a central fixation point after a cue (84% of trials) or with no cue (16% of trials). Left-hemisphere damaged patients also received tests of language function at the time of the study. For targets presented 100 msec after cue onset, normal controls demonstrated equivalent responding for targets to the left and to the right of a central fixation point. Patients with left-hemisphere damage showed slower reaction times when responding to targets on the right as opposed to the left side of space when attention was first cued to the opposite side of space (invalid trials) or when attention was focused on a central fixation point (uncued trials), but they did not show slower reaction times on the right side when attention was first cued to the right (valid trials). For left-sided targets, no differences between valid, invalid, and uncued trials existed. Slower responding to right- as opposed to left-sided targets on invalid and uncued trials was correlated with impaired performance on six of seven language measures for patients with left-hemisphere damage. Implications for the relationship between language and selective attention systems in the left hemisphere are discussed.

Adult↗

Prediction of PICA overall score by short versions of the test.

Two short versions (SPICAs) of the Porch Index of Communicative Ability (PICA) were developed and investigated, with specific attention to their ability to predict standard PICA overall scores of patients with aphasia. Ninety-three patients were administered three versions of the test in randomized order. Results indicate that SPICAs predict overall scores by standard administration at acceptable confidence levels in approximately one-third of the time required for the administration of the standard PICA.

Evaluation Studies as Topic↗

Etomidate speech and memory test (eSAM): a new drug and improved intracarotid procedure.

BACKGROUND: The intracarotid amobarbital procedure (IAP) is an important part of comprehensive investigation of patients who are candidates for surgical treatment of epilepsy. Owing to repeated and lengthy shortages of amobarbital, causing delays in elective surgery, attempts have been made to find a suitable alternative anesthetic. The authors report their experience using etomidate, a widely used agent for the induction of anesthesia. METHODS: Sixteen consecutive patients requiring IAP to evaluate memory or to lateralize speech underwent the procedure using etomidate. Prior to the procedure a catheter was placed in the internal carotid artery and an angiogram was performed. EEG was recorded and read online by an electroencephalographer. An anesthetist injected the drug, administered by bolus followed by an infusion, which was maintained until each speech measure had been sampled and new memory items had been introduced. The infusion was then stopped and testing continued as in a standard IAP. RESULTS: In all cases (30 hemispheres) contralateral hemiplegia followed injection. EEG slow waves were observed in every injected hemisphere, with some contralateral slowing anteriorly in 18. Global aphasia with preserved attention and cooperation followed dominant-hemisphere injections. These phenomena remained during infusion, and upon its termination returned gradually to baseline over a period of about 4 minutes. CONCLUSIONS: Etomidate is a viable alternative to amobarbital, and its administration by bolus followed by infusion offers an improvement over the traditional intracarotid amobarbital procedure. Cognitive tests can be performed during an assured hemianesthesia of the injected hemisphere.

Adolescent↗

Subpopulations in closed-head injury: preliminary results.

The classification systems currently utilized to categorize closed-head injury (CHI) patients are all based on severity levels. However, these scales are unable to account for the wide variability among CHI patients. Another way to classify these patients is to use the clinical picture independent of the overall severity level. That approach is used with aphasic patients but not with the CHI population. These preliminary data indicate that there are distinct subgroups in the CHI population. These subgroups can be identified by their overall pattern of performance on a battery of tests covering language, memory, visuospatial, cognitive and discourse skills. The characteristics of the tentative subgroups are described, but a more extensive study is needed to confirm the robustness of this classification.

Adult↗

[Measurements of aphasic disorders. A brief description of the SAN-battery].

A Dutch test series for the measurement of aphasic disturbances is introduced. Factor analyses demonstrate three factors that can be interpreted clearly as spontaneous speech, production and comprehension of speech. This structure is very stable during a follow-up of one year. The tests and the production, comprehension and severity scores derived from them have high indices of reliability. Norms based on 147 cerebrovascular aphasics and 179 normal controls have been calculated.

Aphasia↗

Lexical processing in Parkinson's disease and multiple sclerosis.

Patients with Parkinson's disease (PD) or multiple sclerosis (MS) were categorized as normal in naming (NN) or impaired in naming (IN) based on their performance on the Boston Naming Test. All patients scored at least 23 on the Mini-Mental State Examination. Both PDIN and MSIN patient groups exhibited poor naming performance when target words were elicited with semantic, visual or rhyming cues. They also performed poorly on the vocabulary subtest of the Wechsler Adult Intelligence Scale-Revised and had difficulty repeating sentences. PDNN and MSNN patients showed more selective deficits. These findings add to a growing literature demonstrating that language in general, and naming in particular, can be compromised in subcortical diseases even when global mental status is only mildly affected. The clinical implications of these observations are, however, unclear.

Adult↗

Enhanced speechreading in deaf adults: can short-term training/practice close the gap for hearing adults?

This study investigated effects of short-term training/practice on group and individual differences in deaf and hearing speechreaders. In two experiments, participants speechread sentences with feedback during training and without feedback during testing, alternating 10 times over six sessions spanning up to 5 weeks. Testing used sentence sets balanced for expected mean performance. In each experiment, participants were adults who reported good speechreading and either normal hearing (n = 8) or severe to profound hearing impairments (n = 8). The experiments were replicates, except that in one participants received vibrotactile speech stimuli in addition to visible speech during training, testing whether vibrotactile speech enhances speechreading learning. Results showed that (a) training/practice did not alter the relative performance among individuals or groups; (b) significant learning occurred when training and testing were conducted with speechreading only (although the magnitude of the effect was small); and (c) there was evidence that the vibrotactile training depressed rather than raised speechreading scores over the training period.

Adolescent↗

Equivalent forms of the Boston Naming Test.

In order to develop a test of naming ability that is sensitive to changes in performance on repeated testing, but is unbiased by practice effects, the 85 items of the Boston Naming Test (BNT) were divided into two 42-item forms. Both forms were given to 15 healthy adult subjects, 24 patients with a clinical diagnosis of Alzheimer's disease, and 17 patients with other brain lesions. The reliability of the BNT was high as measured by coefficient alpha and interitem correlations. Performance on the two forms of the test was similar as indicated by mean scores and by correlations between scores. The BNT score includes uncued (spontaneous) and cued responses. When uncued responses were analyzed separately, the reliability and equivalence of the forms remained strong. Using uncued scores therefore does not alter the psychometric properties of the test, and considerably reduces administration time. The modification of the BNT described here should be useful in studies in which repeated measurements are obtained for the purpose of detecting changes in naming ability.

Alzheimer Disease↗

Verbal fluency predicts mortality in Alzheimer disease.

OBJECTIVES: To assess the predictive value of neuropsychologic profiles, at diagnosis, for mortality in incident Alzheimer disease (AD). BACKGROUND: Rate of AD progression varies significantly across individuals for reasons that are not well understood. Several studies have linked rapid decline with disproportionately impaired executive functioning, presumably reflecting greater impairment of frontal networks. To the extent that differential neuropsychologic profiles reflect various neuropathologic presentations of AD, such profiles may inform survival estimates early in the disease. METHODS: Five neuropsychologic indices were used to characterize performance in 161 individuals at diagnosis of AD during a 15-year, longitudinal, primarily community-based study. RESULTS: Fifty-two percent of participants reached the mortality end point with a median survival of 5.52 years (95% confidence interval, 4.41-6.63). Cox proportional hazards analyses indicated that older age at diagnosis was associated with higher risk of mortality (risk ratios, 1.08; 95% confidence interval, 1.04-1.12) whereas Hispanic ethnicity predicted lower mortality [0.22 (0.09-0.55)]. Controlling for these 2 demographic variables, higher verbal fluency scores at diagnosis predicted lower mortality [0.69 (0.49-0.96)]. CONCLUSIONS: Disproportionate impairment of both category and letter fluency at the earliest stages of AD predicts mortality. The prognostic value of these tests may derive from their general psychometric properties, or may reflect the measures' sensitivity to an early or critical level of compromise to frontal networks.

Aged↗

Performance of normally hearing and hearing-impaired listeners using a German version of the SPIN test.

Various stages in the development of a German version of the English SPIN (Speech Performance in Noise) test have been reported previously by the authors (Züst & Tschopp, 1993). The test forms consist of 15 sentences each with a length of five to nine syllables. The forms have been constructed with either low predictable (LP) final words or high predictable (HP) final words, based upon the amount of contextual information available in the sentence. The test is performed with a background noise and uses adaptive testing strategies. The proportion of HP to LP responses is compared. Normally, scores of the HP segment are higher than those of the LP segment of the test, because the increased contextual information contributes to a better understanding of the HP final words. The SPIN test results in young normally hearing listeners (n = 12), elderly normally hearing listeners (n = 13), young hearing-impaired subjects (n = 14) and elderly hearing-impaired subjects (n = 19) are reported. The most important findings were that the LP-HP difference was not dependent on the degree of peripheral hearing loss, and that no age-related effects could be demonstrated. The SPIN test results were compared with conventional speech audiometric parameters, hearing threshold levels for pure tones and self-reported hearing handicap. Low to moderate correlations were present but were not consistent across comparisons.

Adult↗

[The Afrikaans receptive vocabulary test (ARV): description and psychometric evaluation].

This article focuses on the psychometric characteristics of "Die Afrikaanse Reseptiewe Woordeskattoets (ARW)". The psychometric analysis indicates the test forms (A and B) to be equivalent, reliable and valid and that the ARW can thus be used with confidence as a screening and re-evaluation device for the evaluation of receptive vocabulary as well as intelligence.

Child↗

[Cognitive evaluation of patients with temporal epilepsy, candidates for surgery].

We provide a short overview on selected aspects of the neuropsychology of patients with temporal lobe epilepsy candidate to surgery. The possible impairment of verbal and non verbal memory is treated in particular. We also present the neuropsychological test battery that we use for the cognitive assessment of such patients before surgery and in the follow-up phase.

Cognition Disorders↗

Cognitive disorders of infantile autism: a study employing the WISC, spatial relationship conceptualization, and gesture imitations.

Sixteen autistic children with WISC Performance IQs of 70 or above were analyzed to determine their conceptions of spatial relations, size comparisons, and gesture imitations through the use of the WISC, an originally devised Language Decoding Test (LDT), and a modified Gesture Imitation Test (GIT). WISC results were replicated as in previous studies. The autistic children showed an inability to acquire concepts of size comparison and spatial relationships through verbal instructions. They often gave peculiar responses (partial imitations), which seem to be related to their inability to integrate another person's body as a whole through visual input. These findings support the notion that the basic cognitive deficit is an impairment of symbolic-representational functioning, including language and body images, which results from a combination of delay and deviation of the symbolic-representational function.

Adolescent↗