Different Cognitive Profiles of Patients with Severe Aphasia

Cognitive dysfunction frequently occurs in aphasic patients and primarily compromises linguistic skills. However, patients suffering from severe aphasia show heterogeneous performance in basic cognition. Our aim was to characterize the cognitive profiles of patients with severe aphasia and to determ...

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Main Authors: Chiara Valeria Marinelli, Simona Spaccavento, Angela Craca, Paola Marangolo, Paola Angelelli
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2017/3875954
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author Chiara Valeria Marinelli
Simona Spaccavento
Angela Craca
Paola Marangolo
Paola Angelelli
author_facet Chiara Valeria Marinelli
Simona Spaccavento
Angela Craca
Paola Marangolo
Paola Angelelli
author_sort Chiara Valeria Marinelli
collection DOAJ
description Cognitive dysfunction frequently occurs in aphasic patients and primarily compromises linguistic skills. However, patients suffering from severe aphasia show heterogeneous performance in basic cognition. Our aim was to characterize the cognitive profiles of patients with severe aphasia and to determine whether they also differ as to residual linguistic abilities. We examined 189 patients with severe aphasia with standard language tests and with the CoBaGA (Cognitive Test Battery for Global Aphasia), a battery of nonverbal tests that assesses a wide range of cognitive domains such as attention, executive functions, intelligence, memory, visual-auditory recognition, and visual-spatial abilities. Twenty patients were also followed longitudinally in order to assess their improvement in cognitive skills after speech therapy. Three different subgroups of patients with different types and severity of cognitive impairment were evidenced. Subgroups differed as to residual linguistic skills, in particular comprehension and reading-writing abilities. Attention, reasoning, and executive functions improved after language rehabilitation. This study highlights the importance of an extensive evaluation of cognitive functions in patients with severe aphasia.
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institution Kabale University
issn 0953-4180
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publishDate 2017-01-01
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series Behavioural Neurology
spelling doaj-art-d013c029f3c24841a88eb7a3ebca5cfc2025-02-03T05:44:36ZengWileyBehavioural Neurology0953-41801875-85842017-01-01201710.1155/2017/38759543875954Different Cognitive Profiles of Patients with Severe AphasiaChiara Valeria Marinelli0Simona Spaccavento1Angela Craca2Paola Marangolo3Paola Angelelli4Lab of Applied Psychology and Intervention, Department of History Society and Human Studies, University of Salento, Lecce, ItalyNeurorehabilitation Unit, Department of Humanities Studies, ICS Maugeri SPA SB, IRCCS Institute of Cassano Murge, Bari, ItalyNeurorehabilitation Unit, Department of Humanities Studies, ICS Maugeri SPA SB, IRCCS Institute of Cassano Murge, Bari, ItalyIRCCS Foundation Santa Lucia, Rome, ItalyLab of Applied Psychology and Intervention, Department of History Society and Human Studies, University of Salento, Lecce, ItalyCognitive dysfunction frequently occurs in aphasic patients and primarily compromises linguistic skills. However, patients suffering from severe aphasia show heterogeneous performance in basic cognition. Our aim was to characterize the cognitive profiles of patients with severe aphasia and to determine whether they also differ as to residual linguistic abilities. We examined 189 patients with severe aphasia with standard language tests and with the CoBaGA (Cognitive Test Battery for Global Aphasia), a battery of nonverbal tests that assesses a wide range of cognitive domains such as attention, executive functions, intelligence, memory, visual-auditory recognition, and visual-spatial abilities. Twenty patients were also followed longitudinally in order to assess their improvement in cognitive skills after speech therapy. Three different subgroups of patients with different types and severity of cognitive impairment were evidenced. Subgroups differed as to residual linguistic skills, in particular comprehension and reading-writing abilities. Attention, reasoning, and executive functions improved after language rehabilitation. This study highlights the importance of an extensive evaluation of cognitive functions in patients with severe aphasia.http://dx.doi.org/10.1155/2017/3875954
spellingShingle Chiara Valeria Marinelli
Simona Spaccavento
Angela Craca
Paola Marangolo
Paola Angelelli
Different Cognitive Profiles of Patients with Severe Aphasia
Behavioural Neurology
title Different Cognitive Profiles of Patients with Severe Aphasia
title_full Different Cognitive Profiles of Patients with Severe Aphasia
title_fullStr Different Cognitive Profiles of Patients with Severe Aphasia
title_full_unstemmed Different Cognitive Profiles of Patients with Severe Aphasia
title_short Different Cognitive Profiles of Patients with Severe Aphasia
title_sort different cognitive profiles of patients with severe aphasia
url http://dx.doi.org/10.1155/2017/3875954
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