Achieving conversational success in aphasia by focusing on non-linguistic cognitive skills: A potentially promising new approach
Achieving conversational success in aphasia by focusing on non-linguistic cognitive skills: A potentially promising new approach
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通过关注非语言认知技能实现失语症对话的成功：一种潜在有前途的新方法
DOI：
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发表时间：
2005
期刊：
影响因子：
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通讯作者：
G. Ramsberger
中科院分区：
文献类型：
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作者：
G. Ramsberger
背景：来自多个实验室的最新报告表明，一些失语症患者伴有非语言认知障碍，特别是在注意力/执行功能方面。最近的研究结果还表明，注意力/执行功能可能在失语症患者的对话成功中发挥重要作用。目的：本文回顾了一些中心近期开展的有关失语症患者注意力/执行功能问题治疗的工作。主要贡献：虽然必须谨慎解释本文审查的研究结果，但越来越多的人支持以下观点：失语症患者的注意力/执行功能技能是可以补救的，并且失语症患者的注意力/执行功能与功能性沟通之间存在重要关系。结果表明，对失语症患者的注意力/执行功能进行治疗（即使是在发病多年后的患者中）可能会导致注意力/执行功能技能和对话交流的交易成功发生可测量的变化。结论：当然还需要完成进一步的研究，以便为临床医生的临床决策提供足够的证据。然而，这一研究方向代表了失语症康复的一个有前途的新方向。
Background : Recent reports from a variety of labs have demonstrated that some patients with aphasia have concomitant non-linguistic cognitive compromises, especially in the area of attention/executive functions. Recent findings also suggest that attention/executive functions may play an important role in the conversational success of persons with aphasia. Aims : This paper provides a review of recent work being carried out in a number of centres having to do with treatment of attention/executive function problems in persons with aphasia. Main Contribution : Although results of the studies reviewed herein must be interpreted with caution, there is growing support for the notion that attention/executive function skills in persons with aphasia are remediable, and that there is an important relationship between attention/executive function and functional communication in people with aphasia. The results suggest that treatment of attention/executive function in aphasia—even in people many years post-onset—may result in measurable changes in attention/executive function skills and in the transactional success of conversational communication. Conclusions : Of course further research must be completed in order to provide clinicians with adequate evidence for clinical decision making. However, this line of research represents a promising new direction in aphasia rehabilitation.