THE EFFECTS OF TREATMENT USING THE METHOD SEMANTIC FEATURE ANALYSIS ON THE IMPROVEMENT OF NARRATIVE DISCOURSE IN PERSONS WITH FLUENT APHASIAS
Keywords:
Fluent aphasias; The method semantic feature analysis; Narrative discourse; Stroke
Abstract
Introduction. Patients with a fluent type of aphasia have semantically poor discourse, which is often uninformative for the interlocutor, which has consequences for their daily life. One of the treatment methods used in clinical practice is the Semantic feature analysis. The aim of this study is to determine the impact of this treatment method on the content of discourse in patients with fluent aphasia.
Material and methods. The sample consisted of 30 subjects with fluent aphasia, namely: Wernicke's aphasia (9 subjects), conductive aphasia (6 subjects), transcortical sensory aphasia (8 subjects), and anomic aphasia (7 subjects). To assess the formation of narrative discourse the picture subtest "Cake Theft" from the Boston diagnostic test for aphasia was used. The content of the discourse was assessed by two experienced speech therapists-aphasiologists.
Results. After the treatment Semantic feature analysis an increase in the number of content words was observed in all patients (H = 22.53, df = 3, p < 0.001; H = 23.42, df = 3, p < 0.001; H = 23.10, df = 3, p < 0.001). Patients with Wernicke's and transcortical sensory aphasia had most impairment in the content/informativeness of discourse. Uninformative discourse was had 5 (33.33%) patients with Wernicke's and 4 (26.67%) patients with transcortical sensory aphasia. The type and severity of aphasia have been shown to affect the informativeness of discourse. Conclusion. Treatment method Semantic feature analysis leads to a significant improvement of narrative discourse in patients with milder forms of aphasia, such as anomic and conductive aphasia.
References
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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.
Published
2025/11/20
Section
Originalni rad / Original article