The Link Between Verbal Short-Term Memory and Anomia Treatment Gains.

Autor: Zimmerman RM; Department of Speech and Hearing Sciences, University of Washington, Seattle., Silkes JP; San Diego State University, CA., Kendall DL; Department of Speech and Hearing Sciences, University of Washington, Seattle.; Rehabilitation Research and Development Service, VA Puget Sound DVA Medical Center, Seattle, WA.; University of Pretoria, South Africa., Minkina I; Communication Sciences and Disorders, Temple University, Philadelphia, PA.
Jazyk: angličtina
Zdroj: American journal of speech-language pathology [Am J Speech Lang Pathol] 2019 Aug 09; Vol. 28 (3), pp. 1039-1052. Date of Electronic Publication: 2019 May 21.
DOI: 10.1044/2019_AJSLP-18-0176
Abstrakt: Purpose A significant relationship between verbal short-term memory (STM) and language performance in people with aphasia has been found across studies. However, very few studies have examined the predictive value of verbal STM in treatment outcomes. This study aims to determine if verbal STM can be used as a predictor of treatment success. Method Retrospective data from 25 people with aphasia in a larger randomized controlled trial of phonomotor treatment were analyzed. Digit and word spans from immediately pretreatment were run in multiple linear regression models to determine whether they predict magnitude of change from pre- to posttreatment and follow-up naming accuracy. Pretreatment, immediately posttreatment, and 3 months posttreatment digit and word span scores were compared to determine if they changed following a novel treatment approach. Results Verbal STM, as measured by digit and word spans, did not predict magnitude of change in naming accuracy from pre- to posttreatment nor from pretreatment to 3 months posttreatment. Furthermore, digit and word spans did not change from pre- to posttreatment or from pretreatment to 3 months posttreatment in the overall analysis. A post hoc analysis revealed that only the less impaired group showed significant changes in word span scores from pretreatment to 3 months posttreatment. Discussion The results suggest that digit and word spans do not predict treatment gains. In a less severe subsample of participants, digit and word span scores can change following phonomotor treatment; however, the overall results suggest that span scores may not change significantly. The implications of these findings are discussed within the broader purview of theoretical and empirical associations between aphasic language and verbal STM processing.
Databáze: MEDLINE