Discourse Measures From the Modern Cookie Theft Picture Description Are Sensitive to Mild Communication Deficits Not Captured by the Western Aphasia Battery–Revised Aphasia Quotient.
Purpose: The Western Aphasia Battery–Revised (WAB-R) is often used for diagnosis of aphasia. However, persons scoring above the WAB-R diagnostic cutoff may still present with language difficulties indicative of aphasia. Identification of residual language challenges is critical for treatment referra...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 34; no. 3; pp. 1100 - 1121 |
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| Autores principales: | , , , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184981764&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184981764 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10580360 5E7 jtl: American Journal of Speech-Language Pathology issn: 10580360 maglogo: N pubinfo: dt: May2025 vid: 34 iid: 3 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 184981764 184981764 184981764 10.1044/2024_AJSLP-24-00322 184981764 ppf: 1100 ppct: 21 formats: tig: atl: Discourse Measures From the Modern Cookie Theft Picture Description Are Sensitive to Mild Communication Deficits Not Captured by the Western Aphasia Battery–Revised Aphasia Quotient. aug: au: Bunker, Lisa D. Berube, Shauna K. Neal, Voss Kelly, Lindsey Kelly, Catherine Meier, Erin L. Hillis, Argye E. affil: Speech-Language Pathology Program, College of Health Sciences, Midwestern University, Glendale, AZ. sug: subj: Ischemic Stroke Rehabilitation Aphasia Diagnosis Aphasia Prognosis Task Performance and Analysis Recovery Evaluation Language Tests Human Funding Source Comparative Studies Wilcoxon Rank Sum Test Linear Regression Retrospective Design Record Review Male Female Middle Age Aged Adult NIH Stroke Scale Questionnaires Scales Neuroradiography Data Analysis Software Patient-Reported Outcomes Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Male Female ab: Purpose: The Western Aphasia Battery–Revised (WAB-R) is often used for diagnosis of aphasia. However, persons scoring above the WAB-R diagnostic cutoff may still present with language difficulties indicative of aphasia. Identification of residual language challenges is critical for treatment referral or inclusion in research. We examined differences in discourse following acute left-hemisphere stroke for those above/below the WAB-R diagnostic cutoff compared to healthy controls, as well as recovery during the first year. Method: Sixty-eight participants with acute left-hemisphere stroke completed the WAB-R and were classified as aphasic by WAB-R (ABW; n = 42) or not aphasic by WAB-R (NABW; n = 26). They completed the Modern Cookie Theft (MCT) picture description task at two time points: acute and either 3, 6, or 12 months poststroke. Responses were analyzed for content units, total verbal output, efficiency, and lateralization of content (i.e., right vs. left side of stimulus) and compared to 49 healthy controls. Differences between groups were examined using Wilcoxon rank-sum tests. Change over time was examined using robust linear mixed-effects regression. Results: Wilcoxon tests showed differences between healthy controls and ABW or NABW on all MCT metrics except efficiency for those NABW. Regression models showed no main effects of group or interaction between group and time point. Conclusions: The NABW group showed deficits in verbal output, content production, and laterality on the MCT picture description task, suggesting the presence of possible aphasia and hemispatial neglect. Measures derived from the MCT may be more sensitive to residual language/communication difficulties not captured by the WAB-R. The NABW group also showed similar patterns of recovery as the ABW group, highlighting the MCT task’s ability to capture change for those with mild impairments. Results support use of the MCT task in clinical settings, particularly if/when mild deficits are probable/suspected. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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