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语法缺失性和开放性言语型原发性进行性失语症(PPA)患者在物体命名时的语义干扰。

Semantic interference during object naming in agrammatic and logopenic primary progressive aphasia (PPA).

机构信息

Department of Communication Sciences and Disorders, Northwestern University, United States.

出版信息

Brain Lang. 2012 Mar;120(3):237-50. doi: 10.1016/j.bandl.2011.11.003. Epub 2012 Jan 13.

Abstract

This study examined the time course of object naming in 21 individuals with primary progressive aphasia (PPA) (8 agrammatic (PPA-G); 13 logopenic (PPA-L)) and healthy age-matched speakers (n=17) using a semantic interference paradigm with related and unrelated interfering stimuli presented at stimulus onset asynchronies (SOAs) of -1000, -500, -100 and 0 ms. Results showed semantic interference (SI) (i.e. significantly slower RTs in related compared to unrelated conditions) for all groups at -500, -100 and 0 ms, indicating timely spreading activation to semantic competitors. However, both PPA groups showed a greater magnitude of SI than normal across SOAs. The PPA-L group and six PPA-G participants also evinced SI at -1000 ms, suggesting an abnormal time course of semantic interference resolution, and concomitant left hemisphere cortical atrophy in brain regions associated with semantic processing. These subtle semantic mapping impairments in non-semantic variants of PPA may contribute to the anomia of these patients.

摘要

本研究使用语义干扰范式,在刺激呈现时间间隔(SOA)为-1000、-500、-100 和 0 毫秒时,向 21 名原发性进行性失语症(PPA)患者(8 名语法障碍型(PPA-G);13 名语义障碍型(PPA-L))和健康年龄匹配的说话者(n=17)呈现相关和不相关的干扰刺激,考察了物体命名的时间过程。结果表明,所有组在-500、-100 和 0 ms 时均表现出语义干扰(SI)(即相关条件下的反应时明显慢于不相关条件),表明及时向语义竞争者扩散激活。然而,两个 PPA 组在整个 SOA 上的 SI 均大于正常组。PPA-L 组和六名 PPA-G 参与者在-1000 ms 时也表现出 SI,表明语义干扰解决的异常时间过程,以及与语义处理相关的大脑区域的左半球皮质萎缩。这些非语义变异型 PPA 中的细微语义映射损伤可能导致这些患者的命名障碍。

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