Cognitive correlates of pragmatic language comprehension in adult traumatic brain injury: A systematic review and meta-analyses

Rowley, Dane Aaron; Rogish, Miles; Alexander, Tim; Riggs, Kevin J.

doi:10.1080/02699052.2017.1341645

Cited by 37 publications

(19 citation statements)

References 63 publications

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“…However, this injury pattern does have some differences from the patterns reported in mTBI. The prevalence of individuals presenting with two or more symptoms and the SVV abnormalities seems higher than one would expect after conventional mTBI . In addition, the low incidence of headaches (around 25%) is unusual, as many studies of mTBI show that headache is one of the most common and persistent symptoms .…”

Section: Discussionmentioning

confidence: 96%

“…The prevalence of individuals presenting with two or more symptoms and the SVV abnormalities seems higher than one would expect after conventional mTBI. 23,24 In addition, the low incidence of headaches (around 25%) is unusual, as many studies of mTBI show that headache is one of the most common and persistent symptoms. [25][26][27] Perhaps the most important objective clinical feature is the nearly universal evidence of otolithic impairment; such uniformity in symptoms is uncommon in mTBI cases from other sources.…”

Section: Discussionmentioning

confidence: 99%

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Acute findings in an acquired neurosensory dysfunction

Hoffer

Levin

Snapp

et al. 2018

Laryngoscope Investig Oto

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Background In the Autumn of 2016, diplomatic personnel residing in Havana began to present with symptoms of dizziness, ear pain, and tinnitus that emerged after perception of high frequency noise and/or a pressure sensation. Understanding the acute symptoms of this disorder is important for better defining the disorder and developing optimal diagnostic, preventive, and treatment algorithms. Objectives To define the presenting symptoms in a cohort of patients in the acute time period after perceiving a noise/pressure exposure in Havana. Design/Settings/Participants Review of 25 symptomatic individuals who reported a localized sensation of noise/pressure and 10 asymptomatic individuals (roommates of those affected) who did not experience the sound/pressure. Results Immediately after the exposure, the majority of individuals reported intense ear pain in one or both ears and experienced tinnitus. All of the individuals noticed unsteadiness and features of cognitive impairment. On presentation to our center, dizziness (92%) and cognitive complaints (56%) were the most common symptoms. Formal testing revealed that 100% of individuals had an otolithic abnormality and evidence of cognitive dysfunction. Conclusion and Relevance This study focuses on the acute presentation of a phenomenon in which symptoms emerge after perception of a localized noise/pressure and in which the acute symptomology includes the universal nature of vestibular injuries and select cognitive deficits. The findings presented in this acute group of patients begin to provide a better picture of the initial injury pattern seen after this exposure and may allow for more accurate diagnosis of this disorder in future cases. Level of Evidence Retrospective review

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Acute findings in an acquired neurosensory dysfunction

Hoffer

Levin

Snapp

et al. 2018

Laryngoscope Investig Oto

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“…The term refers to goaldirected behaviours (Miyake et al 2000), including working memory, shifting and planning (Ashman, Gordon, Cantor & Hibbard, 2006;Dikmen et al, 2009;Smith & Jonides, 1999;Sullivan, Riccio & Castillo, 2009;Thomas, Snyder, Pietrzak & Maruff, 2014). The abovementioned abilities seem to have a significant role in the capacity to communicate efficiently, and they may be at least partially responsible for pragmatic impairment in TBI at different levels and to varying extents (McDonald & Pearce, 1998;Channon & Watts, 2003;Key-DeLyria & Altmann, 2016;Marini, Zettin & Galetto, 2014; for a meta-analysis see Rowley et al, 2017). Douglas (2010) investigated pragmatic-communication difficulties in TBI as well as difficulties related to the capacity to handle information and the speed of verbal processing.…”

Section: Relation Between Cognitive and Tom Abilities And Pragmatics In Individuals With Tbimentioning

confidence: 99%

Do executive function and theory of mind predict pragmatic abilities following traumatic brain injury? An analysis of sincere, deceitful and ironic communicative acts

Bosco

Gabbatore

Angeleri

et al. 2018

Journal of Communication Disorders

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Quality of life and social integration are strongly influenced by the ability to communicate and previous research has shown that pragmatic ability can be specifically impaired in individuals with traumatic brain injury (TBI). In addition, TBI usually results in damage to the frontotemporal lobes with a consequent impairment of cognitive functions, i.e., attention, memory, executive function (EF) and theory of mind (ToM). The role of the underlying cognitive deficits in determining the communicative-pragmatic difficulties of an individual with TBI is not yet completely clear. This study examined the relationship between the ability to understand and produce various kinds of communicative acts, (i.e., sincere, deceitful and ironic) and the above-mentioned cognitive and ToM abilities following TBI. Thirty-five individuals with TBI and thirty-five healthy controls were given tasks assessing their ability to comprehend and produce sincere, deceitful and ironic communicative acts belonging to the linguistic and extralinguistic scales of the Assessment Battery for Communication (ABaCo), together with a series of EF and ToM tasks. The results showed that, when compared to healthy individuals, participants with TBI performed poorly overall in the comprehension and production of all the pragmatic phenomena investigated, (i.e., sincere, deceitful and ironic communicative acts), and they also exhibited impaired performance at the level of all the cognitive functions examined. Individuals with TBI also showed a decreasing trend in performance in dealing with sincere, deceitful and ironic communicative acts, on both the comprehension and production subscales of the linguistic and extralinguistic scales. Furthermore, a hierarchical regression analysis revealed that - in patients with TBI but not in the controls - EF had a significant effect on the comprehension of linguistic and extralinguistic irony only, while the percentage of explained variance increased with the inclusion of theory of mind. Indeed, ToM had a significant role in determining patients' performance in the extralinguistic production of sincere and deceitful communicative acts, linguistic and extralinguistic comprehension of deceit and the linguistic production of irony. However, with regard to the performance of patients with TBI in the various pragmatic tasks investigated, (i.e., sincere, deceitful and ironic communicative acts), EF was able to explain the pattern of patients' scores in the linguistic and extralinguistic comprehension but not in production ability. Furthermore, ToM seemed not to be able to explain the decreasing trend in the performance of patients in managing the various kinds of communicative acts investigated.

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“…Indeed, it is well established that deficits in ToM may result from a brain injury (for reviews, see Martin-Rodriguez & León-Carrión, 2010, McDonald, 2013and Weed, 2008. These deficits of theory of the mind, and particularly second-order ToM, co-occurred with difficulties in understanding irony in many ABI patients (Channon, Pellijeff & Rule, 2005;McDonald & Flanagan, 2004;Shamay-Tsoory, Tomer & Aharon-Peretz, 2005;Winner, Brownell, Happé, Blum & Pincus, 1998; for a review see Rowley et al,2017). Moreover, several studies using neuroimaging methods have shown the activation of a neural ToM network -left and right temporal-parietal junction, medial prefrontal cortex, and precuneus -when performing a task of irony understanding (Eviatar & Just, 2006;Shibata, Toyomura, Itoh & Abe, 2010;Spotorno, Koun, Prado, Van Der Henst & Running head: Heterogeneity of neuropsychological and pragmatics profiles Noveck, 2012;Uchiyama et al, 2006;Wakusawa et al, 2007).…”

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confidence: 99%

Differential impairments in irony comprehension in brain-damaged individuals: Insight from contextual processing, theory of mind, and executive functions.

Cordonier¹,

Fossard²,

Champagne-Lavau³

2020

Neuropsychology

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Objective: The comprehension of irony can be affected after brain injuries. The cognitive mechanisms accounting for such disorders remain yet unclear. The heterogeneity of cognitive profiles of brain-damaged individuals and the use of independent tests to measure the links between these mechanisms and the comprehension of irony might contribute to this lack of clarity. The present study aimed to further explore the underlying mechanisms of irony understanding disorders (i.e., context processing, executive functions (EF), and theory of mind (ToM)) in patients with brain lesions. Method: We used a paradigm manipulating these mechanisms within an irony task to identify different patterns of pragmatic performance associated with cognitive profiles. We administered this task and standard neuropsychological tests assessing EF, and ToM to thirty acquired brain injured (ABI) and thirty healthy control (HC) participants. Results: A cluster analysis revealed that two-thirds of the ABI participants (3 subgroups out of 4) presented atypical pragmatic and neuropsychological patterns. The most severe disturbances in understanding irony, characterized by insensitivity to the context, were associated with a joint impairment on ToM and EF in one subgroup. In the two other context-sensitive subgroups, an isolated deficit in EF co-occurred with difficulties dealing with literal or ironic statements when the EF demand of the irony task was increased. However, the effect of this EF demand could be negated by the presence of markers helping the comprehension of irony. Conclusions: These results have important clinical implications for the evaluation and therapy of pragmatic disorders in ABI individuals.

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Cognitive correlates of pragmatic language comprehension in adult traumatic brain injury: A systematic review and meta-analyses

Cited by 37 publications

References 63 publications

Acute findings in an acquired neurosensory dysfunction

Acute findings in an acquired neurosensory dysfunction

Do executive function and theory of mind predict pragmatic abilities following traumatic brain injury? An analysis of sincere, deceitful and ironic communicative acts

Differential impairments in irony comprehension in brain-damaged individuals: Insight from contextual processing, theory of mind, and executive functions.

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