Content Word Production during Discourse in Aphasia: Deficits in Word Quantity, Not Lexical–Semantic Complexity.

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Title: Content Word Production during Discourse in Aphasia: Deficits in Word Quantity, Not Lexical–Semantic Complexity.
Authors: Alyahya, Reem S. W. (AUTHOR), Halai, Ajay D. (AUTHOR), Conroy, Paul (AUTHOR), Lambon Ralph, Matthew A. (AUTHOR)
Source: Journal of Cognitive Neuroscience. Dec2021, Vol. 33 Issue 12, p2494-2511. 18p. 2 Color Photographs, 3 Charts, 5 Graphs.
Subjects: Aphasia, Insular cortex, Word frequency, Psycholinguistics, Verbs, Adults, Production quantity
Abstract: Although limited and reduced connected speech production is one, if not the most, prominent feature of aphasia, few studies have examined the properties of content words produced during discourse in aphasia, in comparison to the many investigations of single-word production. In this study, we used a distributional analysis approach to investigate the properties of content word production during discourse by 46 participants spanning a wide range of chronic poststroke aphasia and 20 neurotypical adults, using different stimuli that elicited three discourse genres (descriptive, narrative, and procedural). Initially, we inspected the discourse data with respect to the quantity of production, lexical–semantic diversity, and psycholinguistic features (frequency and imageability) of content words. Subsequently, we created a "lexical–semantic landscape," which is sensitive to subtle changes and allowed us to evaluate the pattern of changes in discourse production across groups. Relative to neurotypical adults, all persons with aphasia (both fluent and nonfluent) showed significant reduction in the quantity and diversity of production, but the lexical–semantic complexity of word production directly mirrored neurotypical performance. Specifically, persons with aphasia produced the same rate of nouns/verbs, and their discourse samples covered the full range of word frequency and imageability, albeit with reduced word quantity. These findings provide novel evidence that, unlike in other disorders (e.g., semantic dementia), discourse production in poststroke aphasia has relatively preserved lexical–semantic complexity but demonstrates significantly compromised quantity of content word production. Voxel-wise lesion-symptom mapping using both univariate and multivariate approaches revealed left frontal regions particularly the pars opercularis, insular cortex, and central and frontal opercular cortices supporting word retrieval during connected speech, irrespective of their word class or lexical–semantic complexity. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Cognitive Neuroscience is the property of MIT Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Content Word Production during Discourse in Aphasia: Deficits in Word Quantity, Not Lexical–Semantic Complexity.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Cognitive+Neuroscience%22">Journal of Cognitive Neuroscience</searchLink>. Dec2021, Vol. 33 Issue 12, p2494-2511. 18p. 2 Color Photographs, 3 Charts, 5 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Aphasia%22">Aphasia</searchLink><br /><searchLink fieldCode="DE" term="%22Insular+cortex%22">Insular cortex</searchLink><br /><searchLink fieldCode="DE" term="%22Word+frequency%22">Word frequency</searchLink><br /><searchLink fieldCode="DE" term="%22Psycholinguistics%22">Psycholinguistics</searchLink><br /><searchLink fieldCode="DE" term="%22Verbs%22">Verbs</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Production+quantity%22">Production quantity</searchLink>
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  Data: Although limited and reduced connected speech production is one, if not the most, prominent feature of aphasia, few studies have examined the properties of content words produced during discourse in aphasia, in comparison to the many investigations of single-word production. In this study, we used a distributional analysis approach to investigate the properties of content word production during discourse by 46 participants spanning a wide range of chronic poststroke aphasia and 20 neurotypical adults, using different stimuli that elicited three discourse genres (descriptive, narrative, and procedural). Initially, we inspected the discourse data with respect to the quantity of production, lexical–semantic diversity, and psycholinguistic features (frequency and imageability) of content words. Subsequently, we created a "lexical–semantic landscape," which is sensitive to subtle changes and allowed us to evaluate the pattern of changes in discourse production across groups. Relative to neurotypical adults, all persons with aphasia (both fluent and nonfluent) showed significant reduction in the quantity and diversity of production, but the lexical–semantic complexity of word production directly mirrored neurotypical performance. Specifically, persons with aphasia produced the same rate of nouns/verbs, and their discourse samples covered the full range of word frequency and imageability, albeit with reduced word quantity. These findings provide novel evidence that, unlike in other disorders (e.g., semantic dementia), discourse production in poststroke aphasia has relatively preserved lexical–semantic complexity but demonstrates significantly compromised quantity of content word production. Voxel-wise lesion-symptom mapping using both univariate and multivariate approaches revealed left frontal regions particularly the pars opercularis, insular cortex, and central and frontal opercular cortices supporting word retrieval during connected speech, irrespective of their word class or lexical–semantic complexity. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Cognitive Neuroscience is the property of MIT Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1162/jocn_a_01772
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        Type: general
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      – SubjectFull: Word frequency
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      – SubjectFull: Verbs
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      – SubjectFull: Adults
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      – SubjectFull: Production quantity
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      – TitleFull: Content Word Production during Discourse in Aphasia: Deficits in Word Quantity, Not Lexical–Semantic Complexity.
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              Text: Dec2021
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