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Time reference in aphasia: are there differences between tenses and aphasia fluency type? A systematic review and individual participant data meta-analysis

2024-02-08, Cordonier, Natacha, Schaffner, Evodie, Zeroual Lana, Fossard, Marion

Time reference is used to build the temporal framework of discourse and is essential in ensuring efficient communication. Several studies have reported time reference deficits in fluent and non-fluent aphasia and have shown that tenses (past, present, future) are not all impaired to the same extent. However, there is little consensus on the dissociations between tenses, and the question of the influence of the type of aphasia (fluent vs. non-fluent) on time reference remains open. Therefore, a systematic review and an individual participant data meta-analysis (or mega-analysis) were conducted to determine (1) whether one tense is more impaired than another in fluent and non-fluent aphasia and, if so, (2) which task and speaker-related factors moderate tense effects. The systematic review resulted in 35 studies reporting the performance in time reference of 392 participants. The mega-analysis was then performed on 23 studies for a total of 232 participants and showed an alteration of past tense compared to present and future tenses in both types of aphasia. The analysis also showed a task and an age effect on time reference but no gender effect, independently of tenses. These results add to our knowledge of time reference in aphasia and have implications for future therapies.

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Evaluation des troubles du langage dans le vieillissement normal et pathologique

2023-08-21, Joël Macoir, Fossard, Marion, Antoine Renard

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The contribution of discursive and cognitive factors in referential choices made by elderly people during a narrative task

2023-1-5, Sandoz, Mélanie, Iglesias, Katia, Achim, Amélie, Fossard, Marion

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The other side of the social interaction: theory of mind impairments in people with schizophrenia are linked to other people's dificulties in understanding them

2022-7-27, Achim, Amélie, Roy, Marc-André, Fossard, Marion

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Improved comprehension of irony and indirect requests following a severe traumatic brain injury: two case studies

2023-11-16, Cordonier, Natacha, Maud Champagne-Lavau, Fossard, Marion

Background: Following a traumatic brain injury (TBI), people frequently have difficulty understanding nonliteral language, including irony and indirect requests. Despite the handicap that these disorders can represent in daily life, they are rarely treated clinically, and remediation studies are scarce. Aims: The present study thus aimed to evaluate the effectiveness of an explicit metapragmatic therapy targeting nonliteral language comprehension and taking into account cognitive processes likely to underlie this comprehension (i.e., contextual processing, theory of mind, and executive functions). Methods & Procedure: This study was registered on the ClinicalTrials.gov system (ID: NCT04708561) before participant recruitment. Two adults with severe TBI took part in the study. An ABA design with multiple baselines was used to assess the evolution of treated and non-treated written literal and nonliteral story comprehension, as well as ecological tasks and tasks assessing the cognitive processes of interest (theory of mind and executive functions). An interview was also conducted at the end of treatment to assess participant satisfaction. Outcomes & results: Therapy resulted in significant improvement in treated items, with one-month maintenance of gains and generalisation to untreated items in both participants. The generalisation to a working memory task was also observed in one participant. Finally, participant satisfaction with the treatment was high. Conclusions & implications: Our study demonstrated for the first time the potential of a therapy targeting irony and indirect request comprehension in TBI individuals. Clinically, it offers concrete therapeutic avenues and fills a critical gap in the TBI population’s evidence for the remediation of nonliteral language comprehension.

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Direct and indirect linguistic measures of common ground in dialogue studies involving a matching task: A systematic review

2023-08-15, Bovet, Vincent, Dominique Knutsen, Fossard, Marion

During dialogue, speakers attempt to adapt messages to their addressee appropriately by taking into consideration their common ground (i.e., all the information mutually known by the conversational partners) to ensure successful communication. Knowing and remembering what information is part of the common ground shared with a given partner and using it during dialogue are crucial skills for social interaction. It is therefore important to better understand how we can measure the use of common ground and to identify the potential associated psychological processes. In this context, a systematic review of the literature was performed to list the linguistic measures of common ground found in dialogue studies involving a matching task and to explore any evidence of cognitive and social mechanisms underlying common ground use in this specific experimental setting, particularly in normal aging and in neuropsychological studies. Out of the 23 articles included in this review, we found seven different linguistic measures of common ground that were classified as either a direct measure of common ground (i.e., measures directly performed on the referential content) or an indirect measure of common ground (i.e., measures assessing the general form of the discourse). This review supports the idea that both types of measures should systematically be used while assessing common ground because they may reflect different concepts underpinned by distinct psychological processes. Given the lack of evidence for the implication of other cognitive and social functions in common ground use in studies involving matching tasks, future research is warranted, particularly in the clinical field.

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Efficacité d'un traitement ciblant la mémoire de travail verbale pour améliorer la compréhension orale de phrases chez une personne avec aphasie de conduction: Etude de cas unique

2022-9-27, Schaffner, Evodie, Schneider, Laurence, Fossard, Marion

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Exploring Cognitive-Pragmatic Heterogeneity following acquired brain injury: a cluster analysis of Hint comprehension

2023-09, Cordonier, Natacha, Fossard, Marion, Tillé, Yves, Maud Champagne-lavau

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La prise en charge des troubles du marquage grammatical du temps dans l'aphasie: une revue systématique

2023-2-7, Ericson, Célia, Schaffner, Evodie, Fossard, Marion

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Referential communication in people with recent-onset schizophrenia-spetrum disorders

2022-9-9, Achim, Amélie, Achim, André, Fossard, Marion