Characterizing Discourse Deficits Following Penetrating Head Injury: A Preliminary Model
Purpose: Discourse analyses have demonstrated utility for delineating subtle communication deficits following closed head injuries (CHIs). The present investigation examined the discourse performance of a large group of individuals with penetrating head injury (PHI). Performance was also compared ac...
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| Veröffentlicht in: | American journal of speech-language pathology 2013-05, Vol.22 (2), p.S438-S448 |
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| container_title | American journal of speech-language pathology |
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| creator | Coelho, Carl Le, Karen Mozeiko, Jennifer Hamilton, Mark Tyler, Elizabeth Krueger, Frank Grafman, Jordan |
| description | Purpose: Discourse analyses have demonstrated utility for delineating subtle communication deficits following closed head injuries (CHIs). The present investigation examined the discourse performance of a large group of individuals with penetrating head injury (PHI). Performance was also compared across 6 subgroups of PHI based on lesion locale. A preliminary model of discourse production following PHI was proposed and tested. Method: Story narratives were elicited from 2 groups of participants, 167 with PHI and 46 non brain-injured (NBI). Micro- and macrostructural components of each story were analyzed. Measures of memory, executive functions, and intelligence were also administered. All measures were compared across groups and PHI subgroups. The proposed model of discourse production was tested with a structural equation modeling procedure. Results: No differences for the discourse measures were noted across the six PHI subgroups. Three measures distinguished the PHI and NBI groups: narrative length, story grammar, and completeness. The proposed model of discourse production had an adequate-to-good fit with the cognitive and discourse data. Conclusion: In spite of differing mechanisms of injury, the PHI group's discourse performance was consistent with what has been reported for individuals with CHI. The model tested represents a preliminary step toward understanding discourse production following traumatic brain injury. (Contains 7 tables and 1 figure.) |
| doi_str_mv | 10.1044/1058-0360(2013/12-0076) |
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The present investigation examined the discourse performance of a large group of individuals with penetrating head injury (PHI). Performance was also compared across 6 subgroups of PHI based on lesion locale. A preliminary model of discourse production following PHI was proposed and tested. Method: Story narratives were elicited from 2 groups of participants, 167 with PHI and 46 non brain-injured (NBI). Micro- and macrostructural components of each story were analyzed. Measures of memory, executive functions, and intelligence were also administered. All measures were compared across groups and PHI subgroups. The proposed model of discourse production was tested with a structural equation modeling procedure. Results: No differences for the discourse measures were noted across the six PHI subgroups. Three measures distinguished the PHI and NBI groups: narrative length, story grammar, and completeness. The proposed model of discourse production had an adequate-to-good fit with the cognitive and discourse data. Conclusion: In spite of differing mechanisms of injury, the PHI group's discourse performance was consistent with what has been reported for individuals with CHI. The model tested represents a preliminary step toward understanding discourse production following traumatic brain injury. (Contains 7 tables and 1 figure.)</description><identifier>ISSN: 1058-0360</identifier><identifier>EISSN: 1558-9110</identifier><identifier>DOI: 10.1044/1058-0360(2013/12-0076)</identifier><identifier>PMID: 23695915</identifier><identifier>CODEN: AJSPFZ</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association (ASHA)</publisher><subject>Aged ; Aphasia ; Brain ; Brain damage ; Brain Injuries - complications ; Brain Injuries - physiopathology ; Brain Injuries - psychology ; Case studies ; Child Language ; Cognition - physiology ; Communication Skills ; Comparative Analysis ; Discourse Analysis ; Executive Function ; Executive Function - physiology ; Grammar ; Head Injuries ; Head Injuries, Penetrating - complications ; Head Injuries, Penetrating - physiopathology ; Head Injuries, Penetrating - psychology ; Humans ; Injuries ; Intelligence ; Language disorders ; Language Disorders - etiology ; Language Disorders - physiopathology ; Language Disorders - psychology ; Language Impairments ; Male ; Males ; Memory ; Memory - physiology ; Middle Aged ; Models, Psychological ; Narration ; Narratives ; Neurological Impairments ; Neuropsychological Tests ; Pilot Projects ; Pragmatics ; Retrospective Studies ; Sentences ; Speech Production Measurement ; Story Grammar ; Story Telling ; Structural Equation Models ; Studies ; Veterans ; Vietnam Conflict</subject><ispartof>American journal of speech-language pathology, 2013-05, Vol.22 (2), p.S438-S448</ispartof><rights>COPYRIGHT 2013 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association May 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c595t-91c0072147eb0a2a7645b16c7302ab3001cbffbc8c171d36fac93b1103899b8c3</citedby><cites>FETCH-LOGICAL-c595t-91c0072147eb0a2a7645b16c7302ab3001cbffbc8c171d36fac93b1103899b8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1005642$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23695915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coelho, Carl</creatorcontrib><creatorcontrib>Le, Karen</creatorcontrib><creatorcontrib>Mozeiko, Jennifer</creatorcontrib><creatorcontrib>Hamilton, Mark</creatorcontrib><creatorcontrib>Tyler, Elizabeth</creatorcontrib><creatorcontrib>Krueger, Frank</creatorcontrib><creatorcontrib>Grafman, Jordan</creatorcontrib><title>Characterizing Discourse Deficits Following Penetrating Head Injury: A Preliminary Model</title><title>American journal of speech-language pathology</title><addtitle>Am J Speech Lang Pathol</addtitle><description>Purpose: Discourse analyses have demonstrated utility for delineating subtle communication deficits following closed head injuries (CHIs). The present investigation examined the discourse performance of a large group of individuals with penetrating head injury (PHI). Performance was also compared across 6 subgroups of PHI based on lesion locale. A preliminary model of discourse production following PHI was proposed and tested. Method: Story narratives were elicited from 2 groups of participants, 167 with PHI and 46 non brain-injured (NBI). Micro- and macrostructural components of each story were analyzed. Measures of memory, executive functions, and intelligence were also administered. All measures were compared across groups and PHI subgroups. The proposed model of discourse production was tested with a structural equation modeling procedure. Results: No differences for the discourse measures were noted across the six PHI subgroups. Three measures distinguished the PHI and NBI groups: narrative length, story grammar, and completeness. The proposed model of discourse production had an adequate-to-good fit with the cognitive and discourse data. Conclusion: In spite of differing mechanisms of injury, the PHI group's discourse performance was consistent with what has been reported for individuals with CHI. The model tested represents a preliminary step toward understanding discourse production following traumatic brain injury. (Contains 7 tables and 1 figure.)</description><subject>Aged</subject><subject>Aphasia</subject><subject>Brain</subject><subject>Brain damage</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - physiopathology</subject><subject>Brain Injuries - psychology</subject><subject>Case studies</subject><subject>Child Language</subject><subject>Cognition - physiology</subject><subject>Communication Skills</subject><subject>Comparative Analysis</subject><subject>Discourse Analysis</subject><subject>Executive Function</subject><subject>Executive Function - physiology</subject><subject>Grammar</subject><subject>Head Injuries</subject><subject>Head Injuries, Penetrating - complications</subject><subject>Head Injuries, Penetrating - physiopathology</subject><subject>Head Injuries, Penetrating - psychology</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intelligence</subject><subject>Language disorders</subject><subject>Language Disorders - 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coelho, Carl</au><au>Le, Karen</au><au>Mozeiko, Jennifer</au><au>Hamilton, Mark</au><au>Tyler, Elizabeth</au><au>Krueger, Frank</au><au>Grafman, Jordan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1005642</ericid><atitle>Characterizing Discourse Deficits Following Penetrating Head Injury: A Preliminary Model</atitle><jtitle>American journal of speech-language pathology</jtitle><addtitle>Am J Speech Lang Pathol</addtitle><date>2013-05</date><risdate>2013</risdate><volume>22</volume><issue>2</issue><spage>S438</spage><epage>S448</epage><pages>S438-S448</pages><issn>1058-0360</issn><eissn>1558-9110</eissn><coden>AJSPFZ</coden><abstract>Purpose: Discourse analyses have demonstrated utility for delineating subtle communication deficits following closed head injuries (CHIs). The present investigation examined the discourse performance of a large group of individuals with penetrating head injury (PHI). Performance was also compared across 6 subgroups of PHI based on lesion locale. A preliminary model of discourse production following PHI was proposed and tested. Method: Story narratives were elicited from 2 groups of participants, 167 with PHI and 46 non brain-injured (NBI). Micro- and macrostructural components of each story were analyzed. Measures of memory, executive functions, and intelligence were also administered. All measures were compared across groups and PHI subgroups. The proposed model of discourse production was tested with a structural equation modeling procedure. Results: No differences for the discourse measures were noted across the six PHI subgroups. Three measures distinguished the PHI and NBI groups: narrative length, story grammar, and completeness. The proposed model of discourse production had an adequate-to-good fit with the cognitive and discourse data. Conclusion: In spite of differing mechanisms of injury, the PHI group's discourse performance was consistent with what has been reported for individuals with CHI. The model tested represents a preliminary step toward understanding discourse production following traumatic brain injury. (Contains 7 tables and 1 figure.)</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association (ASHA)</pub><pmid>23695915</pmid><doi>10.1044/1058-0360(2013/12-0076)</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of speech-language pathology, 2013-05, Vol.22 (2), p.S438-S448 |
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| subjects | Aged Aphasia Brain Brain damage Brain Injuries - complications Brain Injuries - physiopathology Brain Injuries - psychology Case studies Child Language Cognition - physiology Communication Skills Comparative Analysis Discourse Analysis Executive Function Executive Function - physiology Grammar Head Injuries Head Injuries, Penetrating - complications Head Injuries, Penetrating - physiopathology Head Injuries, Penetrating - psychology Humans Injuries Intelligence Language disorders Language Disorders - etiology Language Disorders - physiopathology Language Disorders - psychology Language Impairments Male Males Memory Memory - physiology Middle Aged Models, Psychological Narration Narratives Neurological Impairments Neuropsychological Tests Pilot Projects Pragmatics Retrospective Studies Sentences Speech Production Measurement Story Grammar Story Telling Structural Equation Models Studies Veterans Vietnam Conflict |
| title | Characterizing Discourse Deficits Following Penetrating Head Injury: A Preliminary Model |
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