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PubMed1994

Processing units in word reading by disabled readers.

The article addresses the issue of whether disabled readers can be instructed to use within-word (multiletter) units. Several analogy methods were employed. In Experiments 1 and 2 short lists of words that differ in only one letter were repeatedly practiced. In Experiment 3 the subjects blended written and spoken words in which the place of segmentation was systematically manipulated. Subjects were tested in all experiments on the reading of practiced words, on nonpracticed words that orthographically as well as phonologically resemble the practiced words, and on nonpracticed nonsimilar words. The findings indicate that: (1) All types of practice were beneficial for the recognition of the practiced words. (2) Transfer to the reading of novel words appeared only when graphemic and orthographic aspects of words were strongly emphasized. (3) Transfer effects were based upon the improved handling of multiletter within-word units when word lists with auditory prompts were practiced, but on improved (single) letter-sound conversions when the analysis and synthesis of isolated words and word parts was trained. (4) At least in Dutch, segmentations according to the onset-rime principle were not more useful than segmenting written and spoken words at other boundaries.

Acoustic Stimulation↗
PubMed1993

Reading in pure alexia. The effect of strategy.

A number of investigators have demonstrated that patients with pure alexia comprehend briefly presented words which they are unable to explicitly identify. We suggested previously that these patients may read by means of two distinct procedures: a laborious letter-by-letter method and a 'whole-word' procedure which, at least initially, does not support explicit word identification. We report a test of this proposal in a patient with pure alexia. We reasoned that if the patient had access to two distinct and incompatible procedures, he might be induced to switch from one to the other by changing task demands. We found that when instructed to name words, the patient employed a letter-by-letter strategy; in contrast, when instructed to make lexical decision or semantic judgements about rapidly presented words, he appeared to use a 'whole-word' strategy. These data support the hypothesis that two distinct procedures are available to this patient. We argue, further, that is necessary to suppress use of the letter-by-letter strategy to demonstrate whole word reading capability in pure alexics, and that failure to do so may account for negative findings in other cases reported in the literature.

Cerebral Infarction↗
PubMedDate not supplied

A critique of Mody, Studdert-Kennedy, and Brady's "Speech perception deficits in poor readers: auditory processing or phonological coding?".

A 1997 article by Mody, Studdert-Kennedy, and Brady claimed that their studies constituted a critical test of two hypotheses concerning students with reading impairment: (a) that they experience speech-specific failure in phonological representation, and (b) they display general deficits in auditory temporal processing. From these studies, the authors concluded that their findings were consistent with the first hypothesis but were not in agreement with the second. A critical analysis of the Mody et al. article leads to the conclusion that it makes no contribution to that debate because (a) the children in the Poor reading group did not meet the accepted reading-impairment criterion of being delayed by at least 1 year in their reading skills, (b) there were severe violations of statistical assumptions, and (c) their conclusions were based on the failure to find significant differences, thus compelling them to accept the null hypothesis as proven, in the absence of any statistical power analysis.

Auditory Perceptual Disorders↗
PubMed1996

Repetitive behavior and repetition avoidance: the role of the right hemisphere.

Based on clinical observations of patients suffering from brain damage, a recent model assumes a right hemisphere dominance for the suppression of repetitive behavior. This study set out to test whether or not the well-known effect of repetition avoidance in sequential response production is likewise mediated by the right hemisphere. It was found that, in 40 healthy subjects, avoidance of repetitions in a random number-generation task correlated positively with a relative superiority for design as compared to letter fluency. Since design fluency is predominantly mediated by the right frontal lobe and letter fluency by the left, this finding supports the notion of a right hemisphere dominance for the avoidance of repetitive responses. This study illustrates the usefulness of a neurobehavioral approach to repetition behavior in the randomization of response. In particular, it demonstrates that the phenomenon of repetition avoidance may be better accounted for in terms of a control mechanism preventing perservation than by referring to human subjects' "generally biased concept of randomness."

Adult↗
PubMed1986

Inference deficits in right brain-damaged patients.

The inferential reasoning ability of right hemisphere-damaged (RHD) patients was tested by presenting pairs of sentences which were to be treated as single, integrated units. The two sentences treated together made one interpretation likely (a correct inference); one of the sentences in isolation encouraged a different interpretation (an incorrect inference). The position of the misleading sentence was systematically varied. Results showed that, in contrast to normal controls, RHD patients have more trouble answering inference questions, especially those concerning incorrect inferences, than answering questions about the factual content of the passages. Also, RHD patients made significantly more errors when the misleading information was contained in the first rather than in the second sentence; this finding indicates that these patients have difficulty revising previously acquired knowledge in light of new information. These results suggest the impairment of several components of normal discourse processing subsequent to right hemisphere brain damage.

Brain Injuries↗
PubMed2006

An electrophysiological investigation of semantic and phonological processing in skilled and less-skilled comprehenders.

The most prominent theories of reading consider reading comprehension ability to be a direct consequence of lower-level reading skills. Recently however, research has shown that some children with poor comprehension ability perform normally on tests of lower-level skills (e.g., decoding). One promising line of behavioral research has found semantic processing differences between good and poor comprehenders and suggests that impoverished semantic ability may be linked to poor comprehenders' difficulties. In the current study, we used event related potentials (ERP) to compare adult skilled and less-skilled comprehenders on a set of semantic and phonological processing tasks. The results revealed that the N400 component of the ERP and the P200 component were sensitive to differences between skilled and less-skilled comprehenders during a semantic processing task. Importantly, skilled and less-skilled comprehenders showed no differences in their ERP response during a phonological processing task. These findings provide neurophysiological support for the hypothesis that less-skilled comprehenders have a weakness in semantic processing that may contribute to their comprehension difficulties.

Articulation Disorders↗
PubMed2002

Effect of background noise on perception of English speech for Japanese listeners.

OBJECTIVES: To avoid the accidents induced by confusions of non-native speech perception in the presence of noise at work, this study examined the effect of background noise on the discrimination of English speech for Japanese listeners. METHODS: Normal hearing Japanese subjects, who have English learning experience to the level of college graduates, were tested with the CID W-22 word list in quiet settings and in the presence of white, low-frequency weighted (pink noise), or aircraft noise. RESULTS: The discrimination scores were reduced as S/N ratio decreased, and more adversely affected by background white noise than pink or aircraft noise. The individual variability of English word discrimination scores for Japanese listeners was much larger as the S/N ratio decreased. The typical confusions among phoneme were /m/, /n/, and /s/. CONCLUSIONS: The results of this study suggested that ineffective use of speech cues and difference in composition of English phonemes from Japanese could be responsible for degraded speech discrimination of non-native speech in noise. Moreover, it was expected that Japanese workers with age related hearing loss at higher frequencies might have great difficulty in perceiving English speech sounds in the presence of noise.

Adult↗
PubMed1996

Neuropsychologic deficits and clinical features of posttraumatic temporomandibular disorders.

Previous studies have shown that characteristics of posttraumatic temporomandibular disorders (pTMD) differ considerably from those of nontraumatic or idiopathic temporomandibular disorders (iTMD). Both the rate of recovery and the amount of treatment required appear to be different for both groups. In this blinded study, 14 patients with iTMD and 13 patients with pTMD were examined. Patients submitted to a variety of reaction-time tests and neuropsychologic assessments to test their ability to cope with simple and more complex tasks with and without a variety of cognitive interferences. Clinical examination was used to assess signs of TMD. Eleven of the subjects (six iTMD, five pTMD) consented to a second phase of the investigation, whereby the patients were studied with single-photon emission computerized tomography (SPECT) using 99mTc-hexamethylpropyleneamineoxime (HMPAO). For simple and complex reaction-time tests, the pTMD group was significantly slower than the iTMD group (P < .05 to P < .001). Other neuropsychologic assessment tools such as the Consonant Trigram Test and the California Verbal Learning Test indicated that pTMD patients were more affected by both proactive and retroactive interferences and were more likely to perseverate on a single thought. In clinical examination, pTMD patients demonstrated greater reaction to muscle palpation than did iTMD patients (P < .05). The SPECT results suggested that there were mild differences between the two populations, and further ther studies are required to confirm this finding. The results lend support to the concept that there are differences between pTMD and iTMD populations. It is suggested that although patients with pTMD may have some similarities to those with iTMD, the former population may benefit from being handled somewhat differently and should be assessed and treated using a more broad, multidisciplinary treatment paradigm. These results must be confirmed in studies of larger populations.

Accidents, Traffic↗
PubMed1996

Phonological working memory and reading in test anxiety.

Texts were presented sentence by sentence (Experiment 1) or word by word (Experiment 2) at a fixed rate to subjects high or low in test anxiety, under various conditions: no interference, concurrent articulatory suppression, and concurrent irrelevant speech (presented auditorily). High-anxiety subjects produced overt articulation more frequently than low-anxiety subjects, especially in the irrelevant speech condition. The most salient finding was an interaction between anxiety and interference on comprehension performance: under word-by-word-but not under sentence-by-sentence-presentation, anxious subjects showed poorer comprehension than non-anxious subjects in both conditions known to interfere with the articulatory loop (i.e. articulatory suppression, and irrelevant speech), but equivalent comprehension in the no interference condition. These findings suggest (a) that the articulatory loop has a special compensatory role for anxious individuals in reading comprehension, and (b) that the importance of this auxiliary mechanism is enhanced when other strategies, such as regressive fixations and control of reading speed, cannot be used.

Adult↗
PubMed1988

Perceptual attention in aging and dementia measured by Gottschaldt's Hidden Figure Test.

Gottschaldt's Hidden Figure Test (GHFT) calls for figure-ground discrimination abilities. The aim of this study was to provide a perceptual attention test for the cognitive assessment of demented patients. In Experiment 1, GHFT normal baselines on 190 healthy controls are achieved, and age-education score correction as well as transformation of the original scores into "Equivalent Scores" is established. On the inferential percentile allocation of 45 mildly-moderately deteriorated DAT patients, 65% of them performed in the critically low range of the score distribution. In Experiment 2, the discriminant power of GHFT between DAT patients and healthy controls matched by age and Experiment 2, the discriminant power of GHFT between DAT patients and healthy controls matched by age and education is assessed. Overall correct classification reached 90%. This experiment shows that GHFT in demented patients works chiefly as an attentional task. The discussion is based largely on methodological and statistical issues.

Adult↗
PubMed2003

Evidence of acclimatization in persons with severe-to-profound hearing loss.

The present study examined the phenomenon of acclimatization in persons with a severe-to-profound hearing loss. A secondary purpose was to examine the efficacy of a digital nonlinear power hearing aid that has a low compression threshold with expansion for this population. Twenty experienced hearing aid users wore the study hearing aids for three months and their performance with the study hearing aids was evaluated at the initial fitting, one month, and three months after the initial fitting. Performance of their current hearing aids was also evaluated at the initial fitting. Speech recognition testing was conducted at input levels of 50 dB SPL and 65 dB SPL in quiet, and 75 dB SPL in noise at a +10 SNR. Questionnaires were used to measure subjective performance at each evaluation interval. The results showed improvement in speech recognition score at the one-month evaluation over the initial evaluation. No significant improvement was seen at the three-month evaluation from the one-month visit. In addition, subjective and objective performance of the study hearing aids was significantly better than the participants' own hearing aids at all evaluation intervals. These results provided evidence of acclimatization in persons with a severe-to-profound hearing loss and reinforced the precaution that any trial of amplification, especially from linear to nonlinear mode, should consider this phenomenon.

Acclimatization↗
PubMed1984

Cognitive development of unselected girls with complete and partial X monosomy.

The cognitive development of nine girls with 45,X and 45,X variant karyotypes, seven 45,X mosaics, and nine 46,XX control subjects (ages 8 to 17 years) followed since birth was evaluated. The nonmosaic group was slightly delayed in walking, had a moderately decreased full-scale and performance IQ, demonstrated a striking deficit in perceptual organization and fine motor execution, but had generally average language skills. Three nonmosaic girls with low intelligence were identified and one subject had above average intelligence. Intelligence was not correlated with the presence of physical stigmata. No obvious developmental differences were found between the three girls with 45,X variant, two with partial Xq deletions and one with a ring X chromosome, and the six girls with 45,X genotype. The 45,X mosaic group did not experience early developmental delays and was not significantly different from control subjects on any IQ score. A large amount of variability between subjects was noted, which could be partially attributed to family characteristics and socioeconomic conditions. Whereas this study corroborates previous findings of specific intellectual deficits in 45,X populations, it emphasizes the need for caution in estimating the cognitive development of any X and partial X monosomic infant.

Adolescent↗
PubMed2005

Effect of phenytoin on mood and declarative memory during prescription corticosteroid therapy.

BACKGROUND: In humans and animals, corticosteroid excess is associated with impairment in declarative memory and changes in hippocampal structure. In animals, phenytoin pretreatment blocks the effects of stress on memory and hippocampal histology, although no studies have examined the use of phenytoin to prevent corticosteroid-associated memory changes in humans. Mood changes are also common with corticosteroids, but few treatment data are available. This report examines whether phenytoin can prevent mood or declarative memory changes secondary to bursts of prescription corticosteroids. METHODS: Thirty-nine patients with allergies or pulmonary or rheumatologic illnesses and given systemic corticosteroid therapy were randomized to receive either phenytoin (300 mg/day) or placebo concurrently with the corticosteroids. Mood was assessed with the Hamilton Rating Scale for Depression, Young Mania Rating Scale, and Activation (ACT) subscale of the Internal State Scale; declarative memory was assessed with the Rey Auditory Verbal Learning Test (RAVLT) at baseline and after approximately 7 days of corticosteroid plus phenytoin or placebo therapy. RESULTS: The two groups were similar in age, gender, education, and corticosteroid dose. The phenytoin-treated group showed significantly smaller increases on the ACT, a mania self-report scale, than the placebo-treated group. Groups did not differ significantly on RAVLT change scores. CONCLUSIONS: This is the first placebo-controlled study to examine whether a medication can prevent mood and memory changes secondary to corticosteroids. Phenytoin blocked the hypomanic effects of prescription corticosteroids; however, phenytoin did not block the declarative memory effects of corticosteroids.

Adrenal Cortex Hormones↗
PubMed1999

A date to remember: the nature of memory in savant calendrical calculators.

BACKGROUND: Savant calendar calculators can supply with speed the day of the week of a given date. Although memory is suggested to be an important component of this unusual ability, memory function has never been systematically investigated in these skilled yet learning impaired individuals. METHODS: Eight savant calendrical calculators, most of whom had autism, were compared with eight verbal IQ, age and diagnosis matched controls on digit and word span tests and measures of long-term memory for words and calendrical information (individual years). In an analogue to the 'generation effect', the savants' memory for dates was also compared following calculation and study/read tasks. RESULTS: The savants did not differ from controls on measures of general short- and long-term memory. They did, however, show a clear recall superiority for the long-term retention of calendrical material. They also remembered calculated dates better than those that were only studied. CONCLUSIONS: A general mnemonic advantage cannot explain savant date calculation skills. Rather, through exposure to date information, the savants are suggested to develop a structured calendar-related knowledge base with the process of calculation utilizing the interrelations within this knowledge store. The cognitive processing style characteristic of autism may also play a role in the acquisition of this savant ability.

Adult↗
PubMed2006

Patterns of verbal memory performance in mild cognitive impairment, Alzheimer disease, and normal aging.

OBJECTIVE: Individuals with mild cognitive impairment (MCI) typically demonstrate memory loss that falls between normal aging (NA) and Alzheimer disease (AD), but little is known about the pattern of memory dysfunction in MCI. METHOD: To explore this issue, California Verbal Learning Test (CVLT) performance was examined across groups of MCI, AD, and NA. RESULTS: MCI subjects displayed a pattern of deficits closely resembling that of AD, characterized by reduced learning, rapid forgetting, increased recency recall, elevated intrusion errors, and poor recognition discriminability with increased false-positives. MCI performance was significantly worse than that of controls and better than that of AD patients across memory indices. Although qualitative analysis of CVLT profiles may be useful in individual cases, discriminant function analysis revealed that delayed recall and total learning were the best aspects of learning/memory on the CVLT in differentiating MCI, AD, and NA. CONCLUSIONS: These findings support the position that amnestic MCI represents an early point of decline on the continuum of AD that is different from normal aging.

Aged↗
PubMedDate not supplied

A validation of the role of preschool phonological and orthographic skills in the prediction of reading.

Two cohorts of children were followed to determine whether tests of phonological awareness (Syllable Tapping), orthographic processing (Visual Matching), and serial naming speed (RAN Objects), added to a preschool battery, would improve prediction of reading. The major predictors of first-grade reading and spelling were preschool letter naming and sentence memory for both cohorts, but the orthographic and serial naming tasks added a small amount of additional variance. Sentence memory accounted for the most variance in second-grade reading for both cohorts, and Visual Matching made contributions to reading and spelling for each cohort. Sentence memory, Visual Matching, and color naming together yielded an 87% to 90% hit rate in predicting which individual children would be good or poor readers. The orthographic and serial naming speed tasks are useful additions to a preschool predictive battery, but recommendations are that alternative preschool phonological tasks, not based on syllable recognition, should be used to predict reading.

Child↗
PubMed1996

Location of lesions in stroke patients with deficits in syntactic processing in sentence comprehension.

Sixty patients, 46 with left-hemisphere strokes and 14 with right-hemisphere strokes, and 21 normal control subjects were tested for the ability to use syntactic structures to determine the meaning of sentences. Patients enacted thematic roles (the agent, recipient and goal of an action) in 12 examples of each of 25 sentence types, which were designed to test a wide variety of syntactic operations. Both right-and left-hemisphere damaged patients performed worse than control subjects on syntactically complex sentences, and left-hemisphere patients performed worse than right-hemisphere patients. Eighteen patients with left-hemisphere strokes underwent CT scanning to image the perisylvian association cortex. There was no difference between the performance of patients with anterior and posterior lesions, and no correlation between the degree of impairment and the size of lesions in different regions of the perisylvian cortex. These results are consistent with the view that syntactic processing involves an extensive neural system, whose most important region is the left perisylvian cortex. When these results are combined with those of other studies, the picture that emerges is one in which, within this cortical region, this system manifests features of both distributed and localized processing.

Adult↗
PubMed1994

Linguistic abilities in children with Williams-Beuren syndrome.

In recent studies children with Williams-Beuren syndrome (WBS) have been characterized as having a distinct neuropsychological profile with verbal abilities being superior to visuo-spatial and motor skills. An unusual command of language, including excessive use of verbal stereotypes, social phrases, and clichés has been noticed. The aim of this study is to establish whether the quality and quantity of verbal behavior, and the articulation and tonal quality of the voices of children with WBS differ from other children with nonspecific developmental disabilities. A group of 25 children with WBS and a control group of 25 children matched for age (4-10 years), sex (12 girls; 13 boys), and non-verbal reasoning abilities (mean IQ = 79) were investigated. The Heidelberg Language Development Test and a picture story were administered. The mothers were asked to answer a questionnaire to assess the articulation and the vocal characteristics of their children. The results show that children with WB syndrome do not differ in most qualitative and quantitative tasks with regard to verbal competence. They produce significantly more correct plural-singular formations than the control children (t = 2.49, P < 0.01) on a primitive level of grammatical competence. In general, their articulation was reported to be more exact and clear (t = -2.73, P < 0.006). More mothers of children with WBS noticed a production of stereotypes, the use of social phrases, and clichés than did mothers of the control children (Chi square = -6.67 P < 0.005). Children with WBS were less likely to lisp as compared to the control children (Chi square = 2.08, P = 0.074).(ABSTRACT TRUNCATED AT 250 WORDS)

Articulation Disorders↗