为失语症开发认知控制训练：来自治疗理论与赋能理论的见解
Developing Cognitive Control Training for Aphasia: Insights From Treatment Theory and Enablement Theory.
作者信息
Krason Anna, Middleton Erica L, Whyte John, Thothathiri Malathi
机构信息
Research Department, Jefferson Moss Rehabilitation Research Institute, Elkins Park, PA.
Research Department, Jefferson Moss Rehabilitation Research Institute, Elkins Park, PA.
出版信息
Arch Phys Med Rehabil. 2025 Jul 12. doi: 10.1016/j.apmr.2025.07.001.
It remains challenging to optimize treatment for individuals with aphasia. One of the reasons is that the language processing deficits associated with aphasia have various underlying linguistic and nonlinguistic causes. The utility of cognitive training focusing on attention and working memory has been investigated in aphasia treatment. However, a related cognitive function, namely, cognitive control, remains underexplored. This article leverages treatment and enablement theories to evaluate current cognitive treatments and guide the development of new treatments focused on cognitive control in aphasia. We provide the theoretical and empirical rationale for exploring the clinical significance of cognitive control in aphasia rehabilitation and discuss how treatment and enablement theories may be used to develop a systematic cognitive training approach. We conclude with future directions for cognitive control research that can advance more personalized aphasia rehabilitation.
优化失语症患者的治疗仍然具有挑战性。原因之一是与失语症相关的语言处理缺陷有多种潜在的语言和非语言原因。在失语症治疗中，已经对专注于注意力和工作记忆的认知训练的效用进行了研究。然而，一种相关的认知功能，即认知控制，仍未得到充分探索。本文利用治疗和赋能理论来评估当前的认知治疗方法，并指导开发专注于失语症认知控制的新治疗方法。我们提供了探索认知控制在失语症康复中的临床意义的理论和实证依据，并讨论了如何利用治疗和赋能理论来开发系统的认知训练方法。我们以认知控制研究的未来方向作为结论，这些方向可以推动更个性化的失语症康复。
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