Idea selection for propositional language production

Age-dependent semantic interference effect on propositional speech production

Older adults can find verbal communication in noisy environments challenging, but the underlying cognitive phenomena and the specific mechanisms contributing to age-related decline remain unclear. Using a newly designed propositional speech production paradigm, we examined how semantic distractors of varying levels of relatedness affect propositional speech performance in healthy adults. In the paradigm, participants were assessed on their ability to formulate verbal responses while distracted by semantically related or unrelated words, simulating real-world scenarios with meaningful auditory distractions (e.g., sounds from radio programs). We also examined the cognitive processes associated with task performance. We recruited 30 younger participants (mean age: 22.23 years) and 27 older participants (mean age: 75.31 years) matched for sex, handedness, and intelligence. All participants were screened using the Montreal Cognitive Assessment (MoCA) and neuropsychological assessments. Older adults performed better than younger adults on a semantic memory task, but performed poorer on tasks assessing executive functions, including interference control, verbal response initiation and suppression, and semantic verbal fluency. In the novel propositional speech production task, older adults exhibited a pronounced semantic interference effect (F1.58, 83.67 = 4.67, p = .018, ηp2 = .08; with MoCA as a covariate), particularly for concrete distractors, resulting in longer response latencies compared to associative and unrelated distractors (Bonferroni-corrected P-values <.01). Exploratory correlation analyses revealed that longer response latencies in the propositional speech production task were associated with a poorer performance on neuropsychological tests tapping verbal response suppression (false discovery rate-corrected p < .05). Our findings suggest that verbal communication difficulties in the context of environmental distractions experienced by older adults could be due to the semantic interference effect. Cognitive interventions aimed at enhancing inhibitory control could be beneficial to older adults in maintaining their social engagement in the later life.

Adynamic spoken language in corpus callosum dysgenesis

Corpus callosum dysgenesis (CCD) is a congenital brain malformation that occurs when the development of the corpus callosum is disrupted, either partially or completely. The cognitive outcomes in individuals with CCD vary greatly, but generally the neuropsychological profile is characterised by slow processing speed, poor transfer of interhemispheric sensory-motor information, and impaired complex problem solving. Core language skills are often preserved in CCD, but there is some evidence that complex language may be impaired. Thus, the current study sought to examine whether spontaneous speech output was reduced in a cohort of individuals with CCD compared to age-matched controls. We further explored a series of factors that may be contributing to poor spontaneous speech in CCD, such as difficulties generating, selecting, and sequencing ideas for expression, as well as apathy and slowed processing speed. A cohort of 25 individuals with CCD and 39 neurotypical controls were enrolled in this study. Participants completed a picture description task to measure spontaneous speech output, alongside a series of cognitive and language baseline tests. Verbal and nonverbal fluency tasks gauged idea generation and sequencing, and sentence-level selection tasks measured idea selection. We found that, despite having largely intact core language skills, individuals with CCD produced significantly less spontaneous speech on the picture description task than controls. This language profile may be described as "adynamic". Further, we found that poor spontaneous speech output in CCD was related to problems generating ideas for expression, as individuals with CCD performed below controls on the verbal and nonverbal fluency tasks. Exploratory analyses revealed that apathy and slowed processing speed may be contributing factors. Adynamia in CCD is a novel finding that may be an intervention target for improving communication skills in this population.

Propositional density: cognitive impairment and aging

It is important to understand the relationship between cognitive abilities and language processing. Here, we explore a burgeoning area of research that harnesses semantic indices to predict cognitive impairment and track cognitive decline. One such index, propositional density, quantifies the information conveyed per language segment. Despite some variation stemming from methodological, sampling, and measurement differences, we suggest that propositional density has diagnostic and assessment value. This paper surveys existing studies that have used propositional density in the context of cognitive aging and impairment and offers some insights into the use of this index to highlight differences in cognition. We also suggest further explorations of basic research involving this concept, and some applications for assessing cognitive health.

The brief executive language screen: sensitivity and specificity in acute to early sub-acute stroke

INTRODUCTION

Propositional language and underlying executive functions can be impaired post-stroke and affect communication and quality of life. Current stroke screening tools are largely tailored to patients with aphasia, being either non-verbal or focussed on core language skills such as naming and repetition. The Brief Executive Language Screening Test (BELS) is a newly developed cognitive screening tool that assesses memory, oral apraxia, core language, as well as propositional language and associated executive functions that can be impacted and overlooked in stroke patients without aphasia. This study examines BELS sensitivity and specificity, and performance in acute to early sub-acute stroke relative to controls.

METHOD

Cross-sectional BELS data from 88 acute left and right hemisphere stroke patients (within 7 weeks of stroke) and 116 age-matched healthy controls were compared using independent samples t-tests. ROC Curve Analysis was performed to determine a cutoff score for the BELS.

RESULTS

Left and right stroke patients were reduced on all propositional language subtests, and executive function subtests of inhibition, strategy, and selection. Differences were also observed for Oral Apraxia, Naming, and Memory. By contrast, Word Comprehension and Repetition, and Sentence Completion Initiation (after corrections applied) did not differ between groups. A total BELS score of 79.25/100 was highly sensitive (.89) and specific (.89) when classifying stroke patients and healthy controls.

CONCLUSION

The BELS is brief, sensitive, suitable for bedside administration, and can aid in detection and rehabilitation of subtle executive language impairments. This in turn will help improve relationships and quality of life post-stroke.

Role of cognitive control in resolving two types of conflict during spoken word production

A theoretically- and clinically-important issue for understanding word retrieval is how speakers resolve conflict during linguistic tasks. This study investigated two types of conflict resolution: prepotent conflict, when one dominant incorrect response must be suppressed; and underdetermined conflict, when multiple reasonable responses compete. The congruency sequence effect paradigm was used to assess trial-to-trial changes in reaction time and accuracy during word production tasks with either prepotent or underdetermined conflict. Pictures were named faster on trials with low-conflict as compared to high-conflict regardless of conflict type. This effect was modulated by the amount of conflict experienced on the previous trial for both tasks. These results suggest that resolution of underdetermined and prepotent conflict may engage the same general cognitive mechanism. This work expands our understanding of the relationship between cognitive control and word production and can inform clinical approaches for people with anomia.

Neural sensitivity to semantic neighbors is stable across the adult lifespan

As we age, language reflects patterns of both stability and change. On the one hand, vocabulary and semantic abilities are largely stable across the adult lifespan, yet lexical retrieval is often slower and less successful (i.e., slower picture naming times, increased tip of the tongue incidents). Although the behavioral bases of these effects have been well established, less is known about the brain regions that support these age-related differences. We used functional Magnetic Resonance Imaging (fMRI) to examine the neural basis of picture naming. Specifically, we were interested in whether older adults would be equally sensitive to semantic characteristics, specifically the number of semantic near neighbors. Near neighbors, defined here as items with a high degree of semantic feature overlap, were of interest as these are thought to elicit competition among potential candidates and increase naming difficulty. Consistent with prior reports, pictures with more semantic near neighbors were named more slowly and less accurately for all adults. Additionally, this interference for naming times was larger as age increased, starting around 30 years old. In contrast to the age-related behavioral slowing, the neural basis of these effects was stable across adulthood. Across all adults, a number of language-relevant regions including left posterior middle temporal gyrus and left inferior frontal gyrus, pars triangularis were sensitive to the number of near neighbors. Our results suggest that although middle-aged and older adults' picture naming is more slowed by increased semantic competition, the brain regions supporting semantic processes remain stable across the adult lifespan.

A Brief Executive Language Screen for Frontal Aphasia

Aphasia assessment tools have primarily focused on classical aphasia type and severity, with minimal incorporation of recent findings that suggest a significant role of executive control operations in language generation. Assessment of the interface between language and executive functions is needed to improve detection of spontaneous speech difficulties. In this study we develop a new Brief Executive Language Screen (BELS), a brief tool specifically designed to assess core language and executive functions shown to be involved in spontaneous generation of language. Similar to other measures of aphasia, the BELS assesses articulation and core language skills (repetition, naming and comprehension). Unique additions to the BELS include assessments of spontaneous connected speech, word fluency (phonemic/semantic) and sentence completion (verbal initiation, inhibition and selection). One-hundred and eight healthy controls and 136 stroke patients were recruited. Confirmatory factor analysis was used to determine construct validity and logistic regression was used to evaluate the discriminative validity, informing the final version of the BELS. The results showed that the BELS is sensitive for articulation and nominal language deficits, and it measures executive aspects of spontaneous language generation, which is a hallmark of frontal dynamic aphasia. The results have encouraging theoretical and practical implications.

Verbal Adynamia and Conceptualization in Partial Rhombencephalosynapsis and Corpus Callosum Dysgenesis

Verbal adynamia is characterized by markedly reduced spontaneous speech that is not attributable to a core language deficit such as impaired naming, reading, repetition, or comprehension. In some cases, verbal adynamia is severe enough to be considered dynamic aphasia. We report the case of a 40-year-old, left-handed, male native English speaker who presented with partial rhombencephalosynapsis, corpus callosum dysgenesis, and a language profile that is consistent with verbal adynamia, or subclinical dynamic aphasia, possibly underpinned by difficulties selecting and generating ideas for expression. This case is only the second investigation of dynamic aphasia in an individual with a congenital brain malformation. It is also the first detailed neuropsychological report of an adult with partial rhombencephalosynapsis and corpus callosum dysgenesis, and the only known case of superior intellectual abilities in this context.