Testing different metrics for syntactic and morphological complexity in aphasic discourse: A cross-genre comparison...

The aim of this study is to determine which of four tasks testing different discourse genres (descriptive, procedural, conversational, and narrative) is the most sensitive in detecting syntactic and morphological complexity deficits in Spanish aphasia. Additionally, we compare two approaches for measuring syntax in discourse to identify the most accurate set of metrics for discriminating group membership.

In this comparative cross-sectional study, we analyzed the discourse of an aphasia group (N = 20) and a non-brain-damaged group (N = 14). Data was preprocessed using manual and automated procedures. We measured syntactic complexity through proxies (mean length of utterance, noun-verb ratio, and verbs per utterance), in addition to a competing 'syntactic structures' metric. The latter includes variables of subordination, left branching, relative clauses, and word integration, while morphological complexity was measured through an inflectional index.

The descriptive and narrative tasks highlighted the most significant differences across syntactic complexity metrics between the groups. Additionally, nested binomial logistic regression models showed that the 'syntactic structures' metric predicted groups better than the proxies alone.

A comprehensive assessment of syntactic complexity can be obtained through the administration of both descriptive and narrative tasks. The measurement of 'syntactic structures' in discourse proved a fitter and finer-grained approach for group discrimination than the incorporation of syntactic proxies alone. These findings provide guidance for a precise discourse assessment in Spanish aphasia.