Conversational Repair in Pediatric Epilepsy

Caplan, Rochelle; Guthrie, Donald; Komo, Scott; Shields, W. Donald; Chayasirisobhon, Sirichai; Kornblum, Harley I.; Mitchell, Wendy G.; Hanson, Rebecca A.

doi:10.1006/brln.2000.2447

Cited by 19 publications

(13 citation statements)

References 41 publications

(44 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, a model with duration only was found to explain 39% of the variance in the physical state scores (F(1, 16) = 9.48, p = 0.008, R 2 = .39, adjusted R 2 = . 35), and age at onset did not explain any additional variance in the scores (R 2 change = .065, F(1, 14) = 1.66, p = 0.218).…”

Section: Epilepsy Developmental Variablesmentioning

confidence: 85%

“…Children with epilepsy with normal global cognition are also at higher risk for disorders of language and communication [27][28][29]. Preschool CWE have been found to have lower verbal IQ and deficits in basic language functions [30][31][32], whereas school-aged CWE cohorts have displayed additional problems with more complex skills that include pragmatic language [33,34] and conversational discourse functions [28,35]. There is also a higher risk of thought disorder that is characterized by an impaired ability to use coherent casual reasoning and to monitor higherorder topic maintenance in communication [36].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impaired performance on advanced Theory of Mind tasks in children with epilepsy is related to poor communication and increased attention problems

Lunn

Lewis

Sherlock

2015

Epilepsy & Behavior

View full text Add to dashboard Cite

Children with epilepsy (CWE) have social difficulties that can persist into adulthood, and this could be related to problems with understanding others' thoughts, feelings, and intentions. This study assessed children's ability to interpret and reason on mental and emotional states (Theory of Mind) and examined the relationships between task scores and reports of communication and behavior. Performance of 56 CWE (8-16years of age) with below average IQ (n=17) or an average IQ (n=39) was compared with that of 62 healthy controls with an average IQ (6-16years of age) on cognition, language, and two advanced Theory of Mind (ToM) tasks that required children to attribute mental or emotional states to eye regions and to reason on internal mental states in order to explain behavior. The CWE-below average group were significantly poorer in both ToM tasks compared with controls. The CWE - average group showed a significantly poorer ability to reason on mental states in order to explain behavior, a difference that remained after accounting for lower IQ and language deficits. Poor ToM skills were related to increased communication and attention problems in both CWE groups. There is a risk for atypical social understanding in CWE, even for children with average cognitive function.

show abstract

Section: Epilepsy Developmental Variablesmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Impaired performance on advanced Theory of Mind tasks in children with epilepsy is related to poor communication and increased attention problems

Lunn

Lewis

Sherlock

2015

Epilepsy & Behavior

View full text Add to dashboard Cite

show abstract

“…These include deficits in object naming, word fluency, and word recognition (Chelune et al, 1991;Davies et al, 1995;Field et al, 2000;Hermann et al, 1997;Hermann & Wyler, 1988;Howell et al, 1994;Langfitt & Rausch, 1996;Mayeux et al, 1980;Saykin et al 1995;Schwartz et al, 1998). However, the effect of these impairments on naturally occurring speech has not been fully determined, because there have been very few neuropsychological analyses of discourse in TLE patients (Caplan et al, 1993(Caplan et al, , 2001Field et al, 2000;Hoeppner et al, 1987;Howell et al, 1994).…”

Section: Introductionmentioning

confidence: 99%

“…However, in order to further describe discourse ability in TLE patients, and its association with linguistic and nonlinguistic cognitive abilities, it would be profitable to test patients on an even more naturalistic discourse task, such as a description of a hobby or open-ended conversation. Such speech samples would, for example, lend themselves more readily to the analysis of cohesion and coherence or the macrolinguistic organization of discourse (Caplan et al, 2001;Field et al, 2000;Glosser & Deser, 1991;Halliday & Hassan, 1976;Liles, 1985;Ulatowski et al, 1990).…”

mentioning

confidence: 99%

Narrative and procedural discourse in temporal lobe epilepsy

Bell

Dow

Watson

et al. 2003

J Int Neuropsychol Soc

View full text Add to dashboard Cite

It is well established that some individuals with temporal lobe epilepsy (TLE) demonstrate language deficits at the single word level. However, discourse production rarely has been examined quantitatively within this group. This study compared adult TLE patients with an early seizure onset (< or = age 14 years, n = 27) to a control group (n = 28) on narrative and procedural discourse tasks. As a group, the TLE patients performed normally on the procedural discourse task, but differed significantly from the controls on several narrative discourse variables. At the individual level, 30% of the TLE patients versus 4% of the controls demonstrated impaired discourse ability (p and 0.01). Within this early onset TLE group, discourse performance was not associated with demographic or seizure history variables. Considering the cognitive domain, discourse performance correlated significantly with working memory. In summary, mild discourse dysfunction was present in a significant minority of early onset TLE patients, but this deficit was not closely associated with other language measures. Discourse ability and its neuropsychological, neuroanatomical and conversational speech correlates deserve further study in TLE patients.

show abstract

“…Children with a broad range of neurobehavioral disorders including epilepsy [1–3], schizophrenia [4], attention-deficit hyperactivity disorder (ADHD) [5], and high-functioning autism [6], as well as young otherwise healthy children [4], have thought disorder. Compared with their peers, these children have difficulty using language to formulate and organize their thoughts.…”

Section: Introductionmentioning

confidence: 99%

Thought disorder and frontotemporal volumes in pediatric epilepsy

Caplan

Levitt

Siddarth

et al. 2008

Epilepsy & Behavior

Self Cite

View full text Add to dashboard Cite

The aim of this study was to determine if volumes of frontotemporal regions associated with language were related to thought disorder in 42 children, aged 5-16 years, with cryptogenic epilepsy, all of whom had complex partial seizures (CPS). The children with CPS and 41 age-and gender-matched healthy children underwent brain MRI scans at 1.5 T. Tissue was segmented, and total brain, frontal lobe, and temporal lobe volumes were computed. Thought disorder measures, IQ, and seizure information were collected for each patient. The subjects with CPS had more thought disorder, smaller total gray matter and orbital frontal gray matter volumes, as well as larger temporal lobe white matter volumes than the control group. In the CPS group, thought disorder was significantly related to smaller orbital frontal and inferior frontal gray matter volumes, increased Heschl's gyrus gray matter volumes, and smaller superior temporal gyrus white matter volumes. However, significantly larger orbital frontal gyrus, superior temporal gyrus, and temporal lobe gray matter volumes and decreased Heschl's gyrus white matter volumes were associated with thought disorder in the control group. These findings suggest that thought disorder might represent a developmental disability involving frontotemporal regions associated with language in pediatric CPS.

show abstract

Conversational Repair in Pediatric Epilepsy

Cited by 19 publications

References 41 publications

Impaired performance on advanced Theory of Mind tasks in children with epilepsy is related to poor communication and increased attention problems

Impaired performance on advanced Theory of Mind tasks in children with epilepsy is related to poor communication and increased attention problems

Narrative and procedural discourse in temporal lobe epilepsy

Thought disorder and frontotemporal volumes in pediatric epilepsy

Contact Info

Product

Resources

About