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A Journal on Psychiatry, Psychology and Psychopharmacology

Official Journal of the Italian Society of Social Psychiatry
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Minerva Psichiatrica 2014 June;55(2):45-55

language: English

Assessment of communicative abilities in aphasic patients

Gabbatore I. 1, Angeleri R. 1, Bosco F.M. 1, 2, Cossa F. M. 3, Bara B. G. 1, 2, Sacco K. 1, 2, 4

1 Department of Psychology, Center for Cognitive Science, University of Turin, Turin, Italy;
2 Neuroscience Institute of Turin, Turin, Italy;
3 Department of Neurologic Rehabilitation, Salvatore Maugeri Foundation, Turin, Italy;
4 Brain Imaging Group, Koelliker Hospital, Turin, Italy


AIM: The aim of the present study was to investigate pragmatic skills in a sample of aphasic patients, and to provide an overview of their communicative abilities and impairments. We used the Assessment Battery for Communication (ABaCo).
METHODS: ABaCo consists of five evaluation scales and is able to assess, both in comprehension and in production, the different expressive modalities of communication ‑ linguistic, extralinguistic, paralinguistic – as well as social appropriateness and conversational abilities. The battery was administered to 13 aphasic patients and to a control group.
RESULTS: The results show that patients performed worse than control in the linguistic, extra-linguistic, paralinguistic and conversational scales. Social appropriateness is, instead, relatively preserved. In addition, within each scale, it was possible to identify what specific pragmatic skills were more impaired, both in comprehension and in production.
CONCLUSION: This study provides an overview of the communicative abilities of aphasic patients. The assessment through ABaCo represents an useful starting point for clinicians interested in evaluating the communicative impairment of these patients and in planning specific rehabilitative interventions.

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