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Language and Cognition01:27

Language and Cognition

Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
Negative and Cognitive Symptoms of Schizophrenia01:30

Negative and Cognitive Symptoms of Schizophrenia

Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Cognitive Development During Adulthood01:30

Cognitive Development During Adulthood

Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

Role of Communication in the Nursing Process I: Assessment and Diagnosis

The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.
Intellectual Disability01:29

Intellectual Disability

Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
Higher Mental Functions of the Brain: Language01:10

Higher Mental Functions of the Brain: Language

Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...

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Related Experiment Video

Updated: Jun 14, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
11:05

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Patient-reported cognitive and communicative functioning: 1 construct or 2?

William D Hula1, Patrick J Doyle, Shannon N Austermann Hula

  • 1Geriatric Research Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15206, USA. William.Hula@va.gov

Archives of Physical Medicine and Rehabilitation
|March 20, 2010
PubMed
Summary
This summary is machine-generated.

Patient-reported scales for stroke survivors may not be unidimensional. Separately measuring cognitive and communication functions improves accuracy and responsiveness, highlighting the need for distinct assessments.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Psychometrics

Background:

  • Patient-reported outcome measures (PROMs) are crucial for assessing functioning after stroke.
  • Existing scales often combine cognitive and communication domains, potentially oversimplifying patient experiences.

Purpose of the Study:

  • To investigate the dimensionality of scales measuring cognitive and communicative functioning in stroke survivors.
  • To assess the impact of treating these functions as a single construct versus separate entities.

Main Methods:

  • Secondary analysis of cross-sectional data from 316 unilateral stroke survivors.
  • Utilized confirmatory factor analysis, Rasch analysis, and differential item functioning (DIF) tests.
  • Compared scores derived from combined versus separately estimated cognition and communication items.

Main Results:

  • While some analyses supported unidimensionality, DIF analyses indicated multidimensionality based on stroke laterality.
  • Separate scoring of cognition and communication yielded different patient scores and enhanced group-difference responsiveness.

Conclusions:

  • Patient-reported scales for cognitive and communicative functioning may have an internal structure inconsistent with unidimensionality.
  • Treating these as a single construct may negatively impact measurement accuracy and clinical interpretation.