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轻度失语症阅读障碍的注意力训练:一项随访研究。

Attention training for reading impairment in mild aphasia: a follow-up study.

作者信息

Sinotte Michèle Page, Coelho Carl A

机构信息

University of Connecticut, Communication Sciences Department, Storrs, CT 06269-1085, USA.

出版信息

NeuroRehabilitation. 2007;22(4):303-10.

Abstract

Non-linguistic cognitive skills have recently become an area of focus in aphasia research. One skill that has received in-depth investigation is the role of attention in language tasks. In applying the resource allocation theory to aphasic language deficits, researchers have described performance variablity in language tasks that may result from insufficient capacity, inefficient allocation, or inappropriate allocation of attentional resources [16]. The present study was designed as a follow-up to a recent study examining direct attention training as a treatment for reading impairment in mild aphasia [3]. A treatment program was implemented to target complex attention skills for an individual with mild reading difficulties secondary to aphasia. Results revealed modest gains in reading rate and comprehension. A decrease in the variability of comprehension of longer complex reading passages was noted, suggesting a more efficient allocation of the participant's attentional resources. The positive gains noted for this individual's reading skills were felt to be the result of improvement in allocation of attentional resources rather than improvement in linguistic skills. The findings of this study add to the growing body of literature pertaining to the value of expanding assessment and treatment protocols for individuals with aphasia to include both linguistic and cognitive measures.

摘要

非语言认知技能最近已成为失语症研究的一个重点领域。一项受到深入研究的技能是注意力在语言任务中的作用。在将资源分配理论应用于失语症语言缺陷时,研究人员描述了语言任务中的表现变异性,这可能是由于注意力资源的能力不足、分配效率低下或分配不当所致[16]。本研究是作为最近一项研究的后续研究而设计的,该研究考察了直接注意力训练作为治疗轻度失语症阅读障碍的方法[3]。针对一名因失语症导致轻度阅读困难的个体,实施了一项针对复杂注意力技能的治疗方案。结果显示阅读速度和阅读理解有适度提高。注意到较长复杂阅读段落的理解变异性有所降低,这表明参与者的注意力资源分配更有效。该个体阅读技能的积极提高被认为是注意力资源分配改善的结果,而非语言技能的提高。本研究的结果增加了越来越多的文献,这些文献涉及为失语症患者扩大评估和治疗方案以纳入语言和认知测量的价值。

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