Performance differences between aphasia and healthy aging on an executive function test battery.

Purpose: Executive function (EF) deficits commonly co-occur with other linguistic and non-linguistic deficits in aphasia. The questions about whether, and to what extent, people with aphasia (PWA) present deficits on different executive functions (EFs) is relatively understudied. Method: In this stu...

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Publicado en:International Journal of Speech-Language Pathology Vol. 22; no. 4; pp. 487 - 498
Autores principales: Mohapatra, Bijoyaa, Marshall, Rebecca Shisler
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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        17549507
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      dt: Aug2020
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      pub: Taylor & Francis Ltd
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        10.1080/17549507.2019.1691262
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        atl: Performance differences between aphasia and healthy aging on an executive function test battery.
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        au:
          Mohapatra, Bijoyaa
          Marshall, Rebecca Shisler
        affil: Department of Communication Disorders, New Mexico State University, Las Cruces, NM, USA
      sug:
        subj:
          Executive Function
          Task Performance and Analysis
          Aphasia
          Healthy Aging
          Human
          Pearson's Correlation Coefficient
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Executive function (EF) deficits commonly co-occur with other linguistic and non-linguistic deficits in aphasia. The questions about whether, and to what extent, people with aphasia (PWA) present deficits on different executive functions (EFs) is relatively understudied. Method: In this study, four EFs, set-switching, updating, inhibition, and dual task processing were evaluated in aphasia and healthy groups. Three groups of participants: 30 healthy young, 30 healthy old, and 10 PWA were assessed on four tasks, Colour Trails Test (CTT 1 and 2), Conners' Continuous Performance Test II (CPT II), n-back (1- and 2-back), and divided attention task that tapped into different EFs. In order to examine performance differences on the EF tasks between the participant groups, repeated measures and multivariate analysis of variances with follow-up pairwise comparisons were computed. Pearson product-moment correlations were conducted to evaluate the strength and direction of the association between aphasia severity (on Western Aphasia Battery-Revised) and executive functioning. Result: PWA demonstrated significantly diminished performance on all EF tasks in comparison to healthy groups and differences were distinct on the higher-level complexity tasks such as the 2-back and CTT 2. The healthy older group demonstrated elevated response times on the CTT, CPT II, and divided attention tasks, and decreased sensitivity scores on the CPT II and n-back in comparison to the younger group. Also, aphasia severity correlated with reduced performance on selective EF measures. Conclusion: This study emphasises the importance of investigating EF deficits in PWA and its potential relationship to language behaviour. Understanding EF is critical for comprehension of linguistic and non-linguistic deficits and in planning treatment for PWA.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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