Attentional Orienting and Disfluency-Related Memory Boost Are Intact in Adults With Moderate–Severe Traumatic Brain Injury.

Purpose: Traumatic brain injury (TBI) is associated with a range of cognitive-communicative deficits that interfere with everyday communication and social interaction. Considerable effort has been directed at characterizing the nature and scope of cognitive-communication disorders in TBI, yet the un...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 6; pp. 1803 - 1819
Autores principales: Diachek, Evgeniia, Brown-Schmidt, Sarah, Duff, Melissa
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jun2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00385
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        atl: Attentional Orienting and Disfluency-Related Memory Boost Are Intact in Adults With Moderate–Severe Traumatic Brain Injury.
      aug:
        au:
          Diachek, Evgeniia
          Brown-Schmidt, Sarah
          Duff, Melissa
        affil:
          Department of Psychology and Human Development, Peabody College, Vanderbilt University, Nashville, TN.
          Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN.
      su:
        Attention
        Memory
        Communication
        Case-control method
        Cognition
        Adults
        Statistical power analysis
        Prompts (Psychology)
        Research funding
        Phonological awareness
        Severity of illness index
        Stuttering
        Glasgow Coma Scale
        Neuropsychological tests
        Brain injuries
        Short-term memory
      sug:
        subj:
          Attention
          Memory
          Communication
          Case-control method
          Cognition
          Adults
          Statistical power analysis
          Prompts (Psychology)
          Research funding
          Phonological awareness
          Severity of illness index
          Stuttering
          Glasgow Coma Scale
          Neuropsychological tests
          Brain injuries
          Short-term memory
      ab: Purpose: Traumatic brain injury (TBI) is associated with a range of cognitive-communicative deficits that interfere with everyday communication and social interaction. Considerable effort has been directed at characterizing the nature and scope of cognitive-communication disorders in TBI, yet the underlying mechanisms of impairment are largely unspecified. The present research examines sensitivity to a common communicative cue, disfluency, and its impact on memory for spoken language in TBI. Method: Fifty-three participants with moderate–severe TBI and 53 non-injured comparison participants listened to a series of sentences, some of which contained disfluencies. A subsequent memory test probed memory for critical words in the sentences. Results: Participants with TBI successfully remembered the spoken words (b = 1.57, p < .0001) at a similar level to non-injured comparison participants. Critically, participants with TBI also exhibited better recognition memory for words preceded by disfluency compared to words from fluent sentences (b = 0.57, p = .02). Conclusions: These findings advance mechanistic accounts of cognitive-communication disorder by revealing that, when isolated for experimental study, individuals with moderate–severe TBI are sensitive to attentional orienting cues in speech and exhibit enhanced recognition of individual words preceded by disfluency. These results suggest that some aspects of cognitive-communication disorders may not emerge from an inability to perceive and use individual communication cues, but rather from disruptions in managing (i.e., attending, weighting, integrating) multiple cognitive, communicative, and social cues in complex and dynamic interactions. This hypothesis warrants further investigation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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