抽象語理解力検査の開発に関する研究 : 失語症例への適用  [in Japanese] Development of a Test to Assess Comprehension of Abstract Words in Aphasics  [in Japanese]

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Author(s)

    • 宇野 彰 UNO Akira
    • 国立精神・神経センター精神保健研究所知的障害部 Department of Developmental Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry
    • 金子 真人 KANEKO Masato
    • 国立精神・神経センター精神保健研究所知的障害部 Department of Developmental Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry

Abstract

軽度理解力障害の検出を目的に, 失語症者にとって一般的に理解がより困難とされる抽象語を用いた検査法を開発した.445名の健常者のデータに基づいて健常ノルムを作成し, SLTAの「口頭命令に従う」「書字命令に従う」の得点が良好な失語症者32名の結果と比較した.同時に失語症者や家族などから理解力障害に伴う困難さを, また担当の言語聴覚士 (ST) から臨床上の理解力障害の程度について聞き取り調査を行った.その結果, 対象とした失語症例は, 本検査の視覚的な理解については健常者と同程度に可能だったが, 聴覚的な理解については健常者の-2SDを下回る者がいた.また, 失語症者自身や家族などが理解力障害に伴う困難さを感じている群とそうでない群との間, STの臨床的な評価に基づく理解力障害の重症度群間で本検査の得点に相違が見られ, 本検査はこれらを反映しうる可能性が示された.

We developed a new test to assess comprehension of abstract words for the purpose of detecting mild deficits in comprehension in aphasics. The test includes abstract words, which are said to be more difficult for aphasics to understand. We established a standard score using 445 normal individuals. Then we compared the scores of 32 aphasics who performed relatively well on the comprehension tests of SLTA with those of the normal individuals. We also asked the aphasics or their family members if they had any problems in daily life due to deficit of comprehension. In addition, we asked their speech therapists for information on the degree of deficit of comprehension in their patients. We found that the aphasics could understand abstract words as well as the normal controls when the target words were shown visually.Some aphasics had a score of auditory comprehension on this test of below - 2 SD of normal. The results of this test were consistent with the degrees of difficulty in daily life due to deficit in comprehension as rated by the aphasics and/or their family members and as assessed by their speech therapists.

Journal

  • The Japan Journal of Logopedics and Phoniatrics

    The Japan Journal of Logopedics and Phoniatrics 45(2), 99-105, 2004-04-20

    The Japan Society of Logopedics and Phoniatrics

References:  14

Cited by:  1

Codes

  • NII Article ID (NAID)
    10012837678
  • NII NACSIS-CAT ID (NCID)
    AN00034826
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00302813
  • Data Source
    CJP  CJPref  J-STAGE 
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