Lee Jiyeon, Thompson Cynthia K
Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN, USA.
Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA ; Cognitive Neurology and Alzheimer's Disease Center, Northwestern University, Evanston, IL, USA ; Department of Neurology, Northwestern University, Evanston, IL, USA.
Aphasiology. 2015;29(10):1164-1188. doi: 10.1080/02687038.2015.1035225.
Phonological priming has been shown to facilitate naming in individuals with aphasia as well as healthy speakers, resulting in faster naming latencies. However, the mechanisms of phonological facilitation (PF) in aphasia remain unclear.
Within discrete vs. interactive models of lexical access, this study examined whether PF occurs via the sub-lexical or lexical route during noun and verb naming in agrammatic and anomic aphasia.
Thirteen participants with agrammatic aphasia and 10 participants with anomic aphasia and their young and age-matched controls (n=20/each) were tested. Experiment 1 examined noun and verb naming deficit patterns in an off-line confrontation naming task. Experiment 2 examined PF effects on naming both word categories using eyetracking priming paradigm.
Results of Experiment 1 showed greater naming difficulty for verbs than for nouns in the agrammatic group, with no difference between the two word categories in the anomic group. For both participant groups, errors were dominated by semantic paraphasias, indicating impaired lexical selection. In the phonological priming task (Experiment 2), young and age-matched control groups showed PF in both noun and verb naming. Interestingly, the agrammatic group showed PF when naming verbs, but not nouns, whereas the anomic group showed PF for nouns only.
Consistent with lexically mediated PF in interactive models of lexical access, selective PF for different word categories in our agrammatic and anomic groups suggest that phonological primes facilitate lexical selection via feedback activation, resulting in greater PF for more difficult (i.e., verbs in agrammatic and possibly nouns in anomic group) lexical items.
语音启动已被证明可促进失语症患者以及健康说话者的命名,从而使命名潜伏期更快。然而,失语症中语音促进(PF)的机制仍不清楚。
在词汇通达的离散模型与交互模型中,本研究考察了在语法缺失性失语症和命名性失语症患者的名词和动词命名过程中,PF是通过词法下途径还是词法途径发生的。
对13名语法缺失性失语症患者、10名命名性失语症患者以及他们年龄匹配的年轻对照组(每组n = 20)进行了测试。实验1在离线的面对面命名任务中考察名词和动词命名缺陷模式。实验2使用眼动启动范式考察PF对这两类词命名的影响。
实验1的结果显示,语法缺失组中动词的命名难度大于名词,命名性失语组中两类词之间没有差异。对于两组参与者,错误主要是语义性错语,表明词汇选择受损。在语音启动任务(实验2)中,年龄匹配的年轻对照组在名词和动词命名中均表现出PF。有趣的是,语法缺失组在动词命名时表现出PF,但在名词命名时未表现出;而命名性失语组仅在名词命名时表现出PF。
与词汇通达交互模型中词汇介导的PF一致,我们的语法缺失组和命名性失语组中不同词类的选择性PF表明,语音启动词通过反馈激活促进词汇选择,导致对更难的(即语法缺失组中的动词和可能命名性失语组中的名词)词汇项目有更大的PF。