Biomarkers of "Linguistic Anxiety'' in aphasia: A proof-of-concept case study

被引:23
作者
Cahana-Amitay, Dalia [1 ,2 ]
Oveis, Abigail C. [1 ,2 ]
Sayers, Jesse T. [1 ,2 ]
Pineles, Suzanne L. [1 ,3 ,4 ]
Spiro, Avron, III [1 ,4 ,5 ]
Albert, Martin L. [1 ,2 ]
机构
[1] Vet Affairs Boston Healthcare Syst, Boston, MA 02130 USA
[2] Boston Univ, Sch Med, Dept Neurol, Boston, MA 02118 USA
[3] Natl Ctr PTSD, Womens Hlth Sci Div, Boston, MA USA
[4] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02118 USA
[5] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02215 USA
基金
美国国家卫生研究院;
关键词
Anxiety; aphasia; discourse; linguistic tasks; stress; PERCEIVED CONTROL; STRESS; LANGUAGE; INDIVIDUALS; REACTIVITY; CORTISOL; MEMORY; STROKE; TASK;
D O I
10.3109/02699206.2015.1014572
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
This is a proof-of-concept case study designed to evaluate the presence of "Linguistic Anxiety'' in a person with mild aphasia. The participant (aged 68) was tested on linguistic and non-linguistic cognitive tasks administered under conditions that differed in levels of anxiety. A validated anxiety-induction technique rarely used in previous aphasia studies was employed: the participant was instructed to prepare for a public speaking presentation. Measures of linguistic and non-linguistic cognitive performance, and anxiety (self-report and psychophysiologic) were obtained. The participant exhibited increased psychophysiologic stress reactivity (heart rate, skin conductance and self-report ratings) in the high-anxiety condition. In the state of increased anxiety, performance on language tasks, in particular discourse production, declined relative to performance in low-anxiety settings. Even in mild aphasia, language-based anxiety can interfere with language performance. This finding provides a basis for carrying out a study with a larger sample that can open a new path to assessment and treatment of persons with aphasia.
引用
收藏
页码:401 / 413
页数:13
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