UTICAJ TRETMANA METODOM SEMANTIČKA ANALIZA POJMOVA NA POBOLJŠANJE NARATIVNOG DISKURSA KOD OSOBA SA FLUENTNIM AFAZIJAMA
Ključne reči:
Fluentne afazije; Metoda tretmana Analiza semantičkih karakteristika pojmova; Narativni diskurs; Moždani udar
Sažetak
Uvod. Pacijenti sa fluentnim tipom afazije ispoljavaju semantički oskudan diskurs, koji je neretko neinformativan za sagovornika, što ostavlja posledice na njihov svakodnevni život. Jedna od metoda tretmana koja se koristi u kliničkoj praksi je Analiza semantičkih karakteristika pojmova. Cilj ovog rada je utvrđivanje uticaja ove metode tretmana na sadržaj diskursa kod pacijenata sa fluentnom afazijom.
Materija i metode. Uzorak je činilo 30 ispitanika sa afazijom fluentnog tipa, i to: Vernikeova afazija (9 ispitanika), konduktivna afazija (6 ispitanika), transkortikalna senzorna afazija (8 ispitanika), i anomička afazija (7 ispitanika). Za procenu formiranja narativnog diskursa, korišćen je subtest slika „Krađa kolača“ iz BDAE baterije. Procenu diskursa vršila su dva iskusna logopeda- afaziologa. Za statističku obradu podataka korišćen je SPSS paket.
Rezultati. Nakon tretmana Analiza semantičkih karakteristika pojmova, kod svih pacijenata je primećeno povećanje broja sadržajnih reči (H = 22.53, df = 3, p < 0.001; H = 23.42, df = 3, p < 0.001; H = 23.10, df = 3, p < 0.001). Najveće oštećenje diskursa su imali pacijenti sa Vernikeovom i transkortikalnom senzornom afazijom. Neinformativan diskurs imalo je 5 (33.33%) pacijenata sa Vernikeovom i 4 (26.67%) pacijenata sa transkortikalnom senzornom afazijom. Pokazalo se da tip i težina afazije utiču na informativnost diskursa.
Zaključak. Metoda tretmana Analiza semantičkih karakteristika pojmova dovodi do značajnog poboljšanja narativnog diskursa kod pacijenata sa blažim oblicima afazije, kao što su anomička i konduktivna afazija.
Reference
1. Vuković M. Afaziologija (Peto dopunjeno izdanje). Planeta print; 2019a.
2. Vuković M. Afaziologija (Četvrto dopunjeno izdanje). Uduženje logopeda Srbije; 2016.
3. Vuković M. Afaziologija (Treće dopunjeno izdanje). Arhipelag; 2011.
4. Sherratt S. Multi‐level discourse analysis: A feasible approach, Aphasiology.2007;21:3-4:375-393, DOI: 10.1080/02687030600911435
5. Hazamy AA, Obermeyer J. Evaluating informative content and global coherence in fluent and non-fluent aphasia. Int J Lang Commun Disord. 2020 Jan;55(1):110-120. doi: 10.1111/1460-6984.12507. Epub 2019 Oct 10. PMID: 31600017.
6. Vuković M, Drljan B, Petrović Lazić M, Jugović I. Analiza narativnog diskursa kod osoba sa afazijom. U Zbornik radova- ,,Smetnje i poremećaji:fenomenologija, prevencija i tretman deo II /Disabilities and Disorders: Phenomenology, Prevention and Treatment Part II Beograd, Univerzitet u Beogradu, Fakultet za specijalnu edukaciju i rehabilitaciju. 2010;83-96.
7. Vuković, M. Poremećaji komunikacije kod traumatskih oštećenja mozga. Planeta print; 2019c.
8. Coelho CA, McHugh RE, Boyle M. Semantic feature analysis as a treatment for aphasic dysnomia: A replication. Aphasiology. 2000; 14:2:133-142. DOI:10.1080/026870300401513
9. Dipper L, Marshall J, Boyle M, Hersh D, Botting N, Cruice M. Creating a Theoretical Framework to Underpin Discourse Assessment and Intervention in Aphasia. Brain Sci. 2021 Feb 2;11(2):183. doi: 10.3390/brainsci11020183. PMID: 33540723; PMCID: PMC7913065.
10. Stark BC, Dutta M, Murray LL, Fromm D, Bryant L, Harmon TG, Ramage AE, Roberts AC. Spoken Discourse Assessment and Analysis in Aphasia: An International Survey of Current Practices. J Speech Lang Hear Res. 2021 Nov 8;64(11):4366-4389. doi: 10.1044/2021_JSLHR-20-00708. Epub 2021 Sep 23. PMID: 34554878; PMCID: PMC9132151.
11. Jozipović M, Hržica G, Košutar S. (2021). Kohezija u pripovjednom diskursu osoba s afazijom. Rasprave: Časopis Instituta za hrvatski jezik i jezikoslovlje.2021;47:2:315-347. https://doi.org/10.31724/rij.47.2.3.
12. Kim H, Kintz S, Zelnosky K, Wright HH. Measuring word retrieval in narrative discourse: core lexicon in aphasia. Int J Lang Commun Disord. 2019 Jan;54(1):62-78. doi: 10.1111/1460-6984.12432. Epub 2018 Nov 14. PMID: 30426603; PMCID: PMC6661895.
13. Dalton SG, Stark BC, Fromm D, Apple K, MacWhinney B, Rensch A, Rowedder M. Validation of an Automated Procedure for Calculating Core Lexicon From Transcripts. J Speech Lang Hear Res. 2022 Aug 17;65(8):2996-3003. doi: 10.1044/2022_JSLHR-21-00473. Epub 2022 Aug 2. PMID: 35917459; PMCID: PMC9911121.
14. Efstratiadou EA, Papathanasiou I, Holland R, Archonti A, Hilari K. A Systematic Review of Semantic Feature Analysis Therapy Studies for Aphasia. J Speech Lang Hear Res. 2018 May 17;61(5):1261-1278. doi: 10.1044/2018_JSLHR-L-16-0330. PMID: 29710193.
15. Boyle M, Coelho CA. Application of semantic feature analysis as a treatment for aphasic dysnomia. American Journal of Speech-Language Pathology. 1995;4:4:94-98. https://doi.org/10.1044/1058-0360.0404.94
16. Boyle M. Semantic feature analysis treatment for aphasic word retrieval impairments: what's in a name? Top Stroke Rehabil. 2010 Nov-Dec;17(6):411-22. doi: 10.1310/tsr1706-411. PMID: 21239365.
17. Rider JD, Wright HH, Marshall RC, Page JL. Using semantic feature analysis to improve contextual discourse in adults with aphasia. Am J Speech Lang Pathol. 2008 May;17(2):161-72. doi: 10.1044/1058-0360(2008/016). PMID: 18448603.
18. Vuković M, Milovanović T, Jerkić L. Current methods in treatment of aphasia (Métodos actuales en el tratamiento de la afasia). Studies in Psychology. 2022;43:1:55-87.
19. Silkes JP, Fergadiotis G, Graue K, Kendall DL. Effects of Phonomotor Therapy and Semantic Feature Analysis on Discourse Production. Am J Speech Lang Pathol. 2021 Feb 11;30(1S):441-454. doi: 10.1044/2020_AJSLP-19-00111. Epub 2020 Jul 6. PMID: 32628509.
20. Goodglass H, Kaplan E. Boston diagnosticaphasia examination booklet. 1983.
21. Wright HH, Capilouto GJ. Considering a multi-level approach to understanding maintenance of global coherence in adults with aphasia. Aphasiology. 2012 Jan 1;26(5):656-672. doi: 10.1080/02687038.2012.676855. Epub 2012 May 10. PMID: 22962509; PMCID: PMC3432974.
22. Vuković M. Traumatska afazija. Beograd, Defektološki fakultet.1988.
23. Andreetta S, Marini A. The effect of lexical deficits on narrative disturbances in fluent aphasia. Aphasiology. 2015;29:6:705-723, DOI: 10.1080/02687038.2014.979394
24. Kong AP, Linnik A, Law SP, Shum WW. Measuring discourse coherence in anomic aphasia using Rhetorical Structure Theory. Int J Speech Lang Pathol. 2018 Aug;20(4):406-421. doi: 10.1080/17549507.2017.1293158. Epub 2017 Mar 17. PMID: 28306394; PMCID: PMC5601010. https://doi.org/10.1080/17549507.2017.1293158
25. Vuković M. Tretman afazija, treće dopunjeno izdanje. Planeta print.2019.
26. Andreetta S, Cantagallo A, Marini A. Narrative discourse in anomic aphasia. Neuropsychologia. 2012 Jul;50(8):1787-93. doi: 10.1016/j.neuropsychologia.2012.04.003. Epub 2012 May 5. PMID: 22564448.
27. Sorin-Peters R. The evaluation of a learner-centred training programme for spouses of adults with chronic aphasia using qualitative case study methodology. Aphasiology. 2004;18(10):951-975. DOI:10.1080/02687030444000453
28. Alyahya RSW, Lambon Ralph MA, Halai A, Hoffman P. The cognitive and neural underpinnings of discourse coherence in post-stroke aphasia. Brain Commun. 2022 Jun 14;4(3):fcac147. doi: 10.1093/braincomms/fcac147. PMID: 35774183; PMCID: PMC9240415.
29. Pritchard M, Hilari K, Cocks N, Dipper L. Psychometric properties of discourse measures in aphasia: acceptability, reliability, and validity. Int J Lang Commun Disord. 2018 Nov;53(6):1078-1093. doi: 10.1111/1460-6984.12420. Epub 2018 Aug 28. PMID: 30155970.
30. Christiansen JA. Coherence violations and propositional usage in the narratives of fluent aphasics. Brain Lang. 1995 Nov;51(2):291-317. doi: 10.1006/brln.1995.1062. PMID: 8564473.
31. Salis C, DeDe G. Sentence Production in a Discourse Context in Latent Aphasia: A Real-Time Study. Am J Speech Lang Pathol. 2022 May 10;31(3):1284-1296. doi: 10.1044/2022_AJSLP-21-00232. Epub 2022 Apr 1. PMID: 35363996.
32. Armstrong E. Aphasic discourse analysis: The story so far. Aphasiology. 2000;14(9): 875-892. Doi: 10.1080/02687030050127685
33. Boyle M. Semantic feature analysis treatment for anomia in two fluent aphasia syndromes. Am J Speech Lang Pathol. 2004 Aug;13(3):236-49. doi: 10.1044/1058-0360(2004/025). PMID: 15339233.
34. Boyle M. Semantic feature analysis treatment for aphasic word retrieval impairments: what's in a name? Top Stroke Rehabil. 2010 Nov-Dec;17(6):411-22. doi: 10.1310/tsr1706-411. PMID: 21239365.
2. Vuković M. Afaziologija (Četvrto dopunjeno izdanje). Uduženje logopeda Srbije; 2016.
3. Vuković M. Afaziologija (Treće dopunjeno izdanje). Arhipelag; 2011.
4. Sherratt S. Multi‐level discourse analysis: A feasible approach, Aphasiology.2007;21:3-4:375-393, DOI: 10.1080/02687030600911435
5. Hazamy AA, Obermeyer J. Evaluating informative content and global coherence in fluent and non-fluent aphasia. Int J Lang Commun Disord. 2020 Jan;55(1):110-120. doi: 10.1111/1460-6984.12507. Epub 2019 Oct 10. PMID: 31600017.
6. Vuković M, Drljan B, Petrović Lazić M, Jugović I. Analiza narativnog diskursa kod osoba sa afazijom. U Zbornik radova- ,,Smetnje i poremećaji:fenomenologija, prevencija i tretman deo II /Disabilities and Disorders: Phenomenology, Prevention and Treatment Part II Beograd, Univerzitet u Beogradu, Fakultet za specijalnu edukaciju i rehabilitaciju. 2010;83-96.
7. Vuković, M. Poremećaji komunikacije kod traumatskih oštećenja mozga. Planeta print; 2019c.
8. Coelho CA, McHugh RE, Boyle M. Semantic feature analysis as a treatment for aphasic dysnomia: A replication. Aphasiology. 2000; 14:2:133-142. DOI:10.1080/026870300401513
9. Dipper L, Marshall J, Boyle M, Hersh D, Botting N, Cruice M. Creating a Theoretical Framework to Underpin Discourse Assessment and Intervention in Aphasia. Brain Sci. 2021 Feb 2;11(2):183. doi: 10.3390/brainsci11020183. PMID: 33540723; PMCID: PMC7913065.
10. Stark BC, Dutta M, Murray LL, Fromm D, Bryant L, Harmon TG, Ramage AE, Roberts AC. Spoken Discourse Assessment and Analysis in Aphasia: An International Survey of Current Practices. J Speech Lang Hear Res. 2021 Nov 8;64(11):4366-4389. doi: 10.1044/2021_JSLHR-20-00708. Epub 2021 Sep 23. PMID: 34554878; PMCID: PMC9132151.
11. Jozipović M, Hržica G, Košutar S. (2021). Kohezija u pripovjednom diskursu osoba s afazijom. Rasprave: Časopis Instituta za hrvatski jezik i jezikoslovlje.2021;47:2:315-347. https://doi.org/10.31724/rij.47.2.3.
12. Kim H, Kintz S, Zelnosky K, Wright HH. Measuring word retrieval in narrative discourse: core lexicon in aphasia. Int J Lang Commun Disord. 2019 Jan;54(1):62-78. doi: 10.1111/1460-6984.12432. Epub 2018 Nov 14. PMID: 30426603; PMCID: PMC6661895.
13. Dalton SG, Stark BC, Fromm D, Apple K, MacWhinney B, Rensch A, Rowedder M. Validation of an Automated Procedure for Calculating Core Lexicon From Transcripts. J Speech Lang Hear Res. 2022 Aug 17;65(8):2996-3003. doi: 10.1044/2022_JSLHR-21-00473. Epub 2022 Aug 2. PMID: 35917459; PMCID: PMC9911121.
14. Efstratiadou EA, Papathanasiou I, Holland R, Archonti A, Hilari K. A Systematic Review of Semantic Feature Analysis Therapy Studies for Aphasia. J Speech Lang Hear Res. 2018 May 17;61(5):1261-1278. doi: 10.1044/2018_JSLHR-L-16-0330. PMID: 29710193.
15. Boyle M, Coelho CA. Application of semantic feature analysis as a treatment for aphasic dysnomia. American Journal of Speech-Language Pathology. 1995;4:4:94-98. https://doi.org/10.1044/1058-0360.0404.94
16. Boyle M. Semantic feature analysis treatment for aphasic word retrieval impairments: what's in a name? Top Stroke Rehabil. 2010 Nov-Dec;17(6):411-22. doi: 10.1310/tsr1706-411. PMID: 21239365.
17. Rider JD, Wright HH, Marshall RC, Page JL. Using semantic feature analysis to improve contextual discourse in adults with aphasia. Am J Speech Lang Pathol. 2008 May;17(2):161-72. doi: 10.1044/1058-0360(2008/016). PMID: 18448603.
18. Vuković M, Milovanović T, Jerkić L. Current methods in treatment of aphasia (Métodos actuales en el tratamiento de la afasia). Studies in Psychology. 2022;43:1:55-87.
19. Silkes JP, Fergadiotis G, Graue K, Kendall DL. Effects of Phonomotor Therapy and Semantic Feature Analysis on Discourse Production. Am J Speech Lang Pathol. 2021 Feb 11;30(1S):441-454. doi: 10.1044/2020_AJSLP-19-00111. Epub 2020 Jul 6. PMID: 32628509.
20. Goodglass H, Kaplan E. Boston diagnosticaphasia examination booklet. 1983.
21. Wright HH, Capilouto GJ. Considering a multi-level approach to understanding maintenance of global coherence in adults with aphasia. Aphasiology. 2012 Jan 1;26(5):656-672. doi: 10.1080/02687038.2012.676855. Epub 2012 May 10. PMID: 22962509; PMCID: PMC3432974.
22. Vuković M. Traumatska afazija. Beograd, Defektološki fakultet.1988.
23. Andreetta S, Marini A. The effect of lexical deficits on narrative disturbances in fluent aphasia. Aphasiology. 2015;29:6:705-723, DOI: 10.1080/02687038.2014.979394
24. Kong AP, Linnik A, Law SP, Shum WW. Measuring discourse coherence in anomic aphasia using Rhetorical Structure Theory. Int J Speech Lang Pathol. 2018 Aug;20(4):406-421. doi: 10.1080/17549507.2017.1293158. Epub 2017 Mar 17. PMID: 28306394; PMCID: PMC5601010. https://doi.org/10.1080/17549507.2017.1293158
25. Vuković M. Tretman afazija, treće dopunjeno izdanje. Planeta print.2019.
26. Andreetta S, Cantagallo A, Marini A. Narrative discourse in anomic aphasia. Neuropsychologia. 2012 Jul;50(8):1787-93. doi: 10.1016/j.neuropsychologia.2012.04.003. Epub 2012 May 5. PMID: 22564448.
27. Sorin-Peters R. The evaluation of a learner-centred training programme for spouses of adults with chronic aphasia using qualitative case study methodology. Aphasiology. 2004;18(10):951-975. DOI:10.1080/02687030444000453
28. Alyahya RSW, Lambon Ralph MA, Halai A, Hoffman P. The cognitive and neural underpinnings of discourse coherence in post-stroke aphasia. Brain Commun. 2022 Jun 14;4(3):fcac147. doi: 10.1093/braincomms/fcac147. PMID: 35774183; PMCID: PMC9240415.
29. Pritchard M, Hilari K, Cocks N, Dipper L. Psychometric properties of discourse measures in aphasia: acceptability, reliability, and validity. Int J Lang Commun Disord. 2018 Nov;53(6):1078-1093. doi: 10.1111/1460-6984.12420. Epub 2018 Aug 28. PMID: 30155970.
30. Christiansen JA. Coherence violations and propositional usage in the narratives of fluent aphasics. Brain Lang. 1995 Nov;51(2):291-317. doi: 10.1006/brln.1995.1062. PMID: 8564473.
31. Salis C, DeDe G. Sentence Production in a Discourse Context in Latent Aphasia: A Real-Time Study. Am J Speech Lang Pathol. 2022 May 10;31(3):1284-1296. doi: 10.1044/2022_AJSLP-21-00232. Epub 2022 Apr 1. PMID: 35363996.
32. Armstrong E. Aphasic discourse analysis: The story so far. Aphasiology. 2000;14(9): 875-892. Doi: 10.1080/02687030050127685
33. Boyle M. Semantic feature analysis treatment for anomia in two fluent aphasia syndromes. Am J Speech Lang Pathol. 2004 Aug;13(3):236-49. doi: 10.1044/1058-0360(2004/025). PMID: 15339233.
34. Boyle M. Semantic feature analysis treatment for aphasic word retrieval impairments: what's in a name? Top Stroke Rehabil. 2010 Nov-Dec;17(6):411-22. doi: 10.1310/tsr1706-411. PMID: 21239365.
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2025/11/20
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Originalni rad / Original article