Linguistic performance during monologues and correlates of neuropsychological function for adults with multiple sclerosis.

Cognitive-linguistic deficits are a concern in multiple sclerosis (MS). Thus, clinical management requires knowledge of how impaired cognition associated with MS impacts language performance during everyday communication tasks. This study investigated language performance in narrative monologues pro...

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Publicado en:Aphasiology Vol. 37; no. 9; pp. 1484 - 1508
Autor principal: Feenaughty, Lynda
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2023
Acceso en línea:Ver este registro en EBSCOhost
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        02687038
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      dt: Sep2023
      vid: 37
      iid: 9
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        165472261
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        165472261
        165472261
        10.1080/02687038.2022.2099527
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        atl: Linguistic performance during monologues and correlates of neuropsychological function for adults with multiple sclerosis.
      aug:
        au: Feenaughty, Lynda
        affil: Department of Communicative Disorders and Sciences, University at Buffalo
      sug:
        subj:
          Multiple Sclerosis Complications
          Language Processing
          Narratives
          Cognition
          Neuropsychological Tests
          Task Performance and Analysis
          Funding Source
          Human
          Male
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Data Analysis Software
          Executive Function
          T-Tests
          Mann-Whitney U Test
          Analysis of Covariance
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Cognitive-linguistic deficits are a concern in multiple sclerosis (MS). Thus, clinical management requires knowledge of how impaired cognition associated with MS impacts language performance during everyday communication tasks. This study investigated language performance in narrative monologues produced by individuals with MS compared to healthy controls and the correlations between language performance and cognitive function for the individuals with MS. Thirteen individuals with MS and 13 controls were studied. Four neuropsychological tests from the Minimal Assessment of Cognitive Function in MS confirmed that individuals with MS had impaired cognition and an auditory-perceptual evaluation confirmed that they did not have dysarthria. Narratives were analyzed using the Systematic Analysis of Language Transcripts (SALT). Primary linguistic variables included inter-sentence cohesion adequacy, subordination index, moving average type-token ratio (MATTR), and mean length of utterances (MLU). Secondary linguistic measures included the total number of words, mazes, utterances, and abandoned utterances. Measures of disease severity, depression, and fatigue were also obtained. When controlling for age and fatigue, the total number of words was the only linguistic measure that significantly differed between groups. Participants with MS produced more words than controls. Significant correlations indicated strong associations between MATTR, MLU, abandoned utterances, and subordination index and the cognitive domains of processing speed and/or executive function. Results suggest that communicative competence during everyday speaking tasks may be undermined by off-topic verbose speech, reduced detail, and unfinished thoughts for individuals with MS with impaired processing speed and/or executive function.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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