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Older adults can find verbal communication in noisy environments challenging, but the underlying cognitive phenomena and the specific mechanisms contributing to age-related decline remain unclear. Using a newly designed propositional speech production paradigm, we examined how semantic distractors of varying levels of relatedness affect propositional speech performance in healthy adults. In the paradigm, participants were assessed on their ability to formulate verbal responses while distracted by semantically related or unrelated words, simulating real-world scenarios with meaningful auditory distractions (e.g., sounds from radio programs). We also examined the cognitive processes associated with task performance. We recruited 30 younger participants (mean age: 22.23 years) and 27 older participants (mean age: 75.31 years) matched for sex, handedness, and intelligence. All participants were screened using the Montreal Cognitive Assessment (MoCA) and neuropsychological assessments. Older adults performed better than younger adults on a semantic memory task, but performed poorer on tasks assessing executive functions, including interference control, verbal response initiation and suppression, and semantic verbal fluency. In the novel propositional speech production task, older adults exhibited a pronounced semantic interference effect (F = 4.67, p = .018, ηp = .08; with MoCA as a covariate), particularly for concrete distractors, resulting in longer response latencies compared to associative and unrelated distractors (Bonferroni-corrected P-values <.01). Exploratory correlation analyses revealed that longer response latencies in the propositional speech production task were associated with a poorer performance on neuropsychological tests tapping verbal response suppression (false discovery rate-corrected p < .05). Our findings suggest that verbal communication difficulties in the context of environmental distractions experienced by older adults could be due to the semantic interference effect. Cognitive interventions aimed at enhancing inhibitory control could be beneficial to older adults in maintaining their social engagement in the later life.
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http://dx.doi.org/10.1016/j.cortex.2025.02.010 | DOI Listing |
J Speech Lang Hear Res
September 2025
Griffith Institute for Educational Research, Griffith University, Gold Coast, Queensland, Australia.
Purpose: Personal narrative production, or the ability to talk about past events that have been personally experienced, relies on a wide range of linguistic skills and is influenced by memory and socio-emotional traits. This study investigated the predictive role of memory mechanisms and socio-emotional functioning on personal narrative production in children with developmental language disorder (DLD) compared to children with typical language development (TLD).
Method: Fifty 9- to 11-year-old Croatian-speaking children with DLD and 50 gender-matched peers with TLD narrated personal narratives elicited through emotion-based prompts using the Global TALES (Talking About Lived Experiences in Stories) protocol.
Lang Speech Hear Serv Sch
July 2025
Griffith Institute for Educational Research, Griffith University, Gold Coast, Queensland, Australia.
Purpose: Although it is known that children with developmental language disorder (DLD) have difficulty composing personal narratives, previous studies have not employed a wide range of measures that reflect functioning at the different levels of discourse processing, as proposed in the Linguistic Underpinnings of Narrative in Aphasia (LUNA) framework. Because children evoke pleasant or unpleasant events through personal narratives, this study examines whether the emotional valence of the event influences the narrative production of Croatian-speaking children with DLD and those with typical language development (TLD) at the linguistic, propositional, and macrostructure levels.
Method: Fifty 10-year-old Croatian-speaking children with DLD and 50 gender-matched peers with TLD told personal narratives elicited through emotion-based prompts using the Global TALES protocol.
Cortex
April 2025
Queensland Brain Institute, The University of Queensland, Brisbane, Australia.
Older adults can find verbal communication in noisy environments challenging, but the underlying cognitive phenomena and the specific mechanisms contributing to age-related decline remain unclear. Using a newly designed propositional speech production paradigm, we examined how semantic distractors of varying levels of relatedness affect propositional speech performance in healthy adults. In the paradigm, participants were assessed on their ability to formulate verbal responses while distracted by semantically related or unrelated words, simulating real-world scenarios with meaningful auditory distractions (e.
View Article and Find Full Text PDFJ Med Internet Res
March 2025
School of Computer Science, Hubei University of Technology, Wuhan, China.
Background: Effective shared decision-making between patients and physicians is crucial for enhancing health care quality and reducing medical errors. The literature shows that the absence of effective methods to facilitate shared decision-making can result in poor patient engagement and unfavorable decision outcomes.
Objective: In this paper, we propose a Collaborative Decision Description Language (CoDeL) to model shared decision-making between patients and physicians, offering a theoretical foundation for studying various shared decision scenarios.
Neurology
February 2025
From the Temple University College of Public Health (I.L.H.); Thomas Jefferson University (G.G.); and Department of Neurology (T.D.H.-P.), Lewis Katz School of Medicine at Temple University, Philadelphia, PA.
Background And Objectives: Clinical care for people living with amyotrophic lateral sclerosis (PLWALS) is directed at slowing disease progression and symptom management. The American Academy of Neurology recommends a multidisciplinary approach to providing ALS health care because observational studies show that multidisciplinary clinics (MDCs) extend survival and improve quality of life. However, providing multidisciplinary care is a challenging financial proposition.
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