Attention in individuals with aphasia: Performance on the Conners' Continuous Performance Test - 2nd edition.
Jaime B Lee, Masha Kocherginsky, Leora R Cherney
PMID 29669447WHAT IT FOUND
About half of 114 adults with chronic aphasia missed target letters on a computer attention test, and 65.8% showed a profile consistent with neurological impairment.
Attention was worse with more severe aphasia and did not differ by fluent versus non-fluent type.
Key findings
01In 114 adults with chronic aphasia, 48.2% had impaired omissions on the CPT-II and 65.8% had a profile consistent with neurological impairment.
02Analyses found worse attention performance in more severe aphasia than less severe aphasia, but no difference between fluent and non-fluent groups.
03Better language scores were associated with better attention scores: each 1-point increase in a WAB-R quotient was linked with a 0.38 to 0.58 point decrease in the CPT-II Confidence Index, which indicates less confidence in a neurological impairment profile.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The sample was drawn from people selected for four aphasia intervention studies, with criteria such as right-handedness, native English, education level and stroke type, so it may not represent all people with aphasia. Attention was measured at only one time point, and a second baseline CPT-II was not completed, so learning or fatigue effects could have influenced performance. The study did not include lesion size or location data, which prior research has identified as relevant to aphasia severity and recovery. The CPT-II primarily measures sustained attention, vigilance, response inhibition and executive control, so it does not cover every aspect of attention. Fluent aphasia was treated as one group, including anomic, Wernicke and conduction aphasia, which could hide differences between language profiles. The study found associations between attention and language scores, but it did not test whether attention problems cause language problems or whether attention treatment changes communication.
The easy way to misread this
Do not conclude that attention training will improve aphasia. This study assessed attention and language at one time point and found associations, but it did not test treatment effects or causality.