Evidence map›Paper›PMID 29192534›Full record

Trial reportNeurorehabilitation and neural repair2017

Intensive Communicative Therapy Reduces Symptoms of Depression in Chronic Nonfluent Aphasia.

Bettina Mohr, Benjamin Stahl, Marcelo L Berthier, Friedemann Pulvermüller

Registry-linked trialOpen access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04134416 (Effects of Combining Donepezil, Intensive Language Rehabilitation and Transcranial Direct Current Stimulation on Language Recovery and Brain Reorganization in Chronic Post-stroke Aphasia), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04134416 phase3completednot on this mapstarted 2019, after this paper: background citation

Effects of Combining Donepezil, Intensive Language Rehabilitation and Transcranial Direct Current Stimulation on Language Recovery and Brain Reorganization in Chronic Post-stroke Aphasia

TypeinterventionalSponsorUniversity of MalagaRan2019 to 2020Enrolled20ConditionsAphasia, StrokeArmsDonepezil, Intensive-Language Action Therapy, Transcranial direct current stimulation
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Neurology of social graces in patients with language deficits.Journal of neurology, neurosurgery, and psychiatry · 2026
    Article
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  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Bettina Mohr1 Charité Universitätsmedizin Berlin, Department of Psychiatry, Berlin, Germany.
Benjamin Stahl2 Charité Universitätsmedizin Berlin, Department of Neurology, Berlin, Germany.
Marcelo L Berthier6 University of Malaga and Instituto de Investigaciones Biomédicas de Málaga (IBIMA), Unit of Cognitive Neurology and Aphasia, Centro de Investigaciones Medico-Sanitarias (CIMES), Malaga, Spain.
Friedemann Pulvermüller5 Freie Universität Berlin, Brain Language Laboratory, Department of Philosophy and Humanities, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEFreie Universität Berlin · DEInstituto de Investigación Biomédica de Málaga · ESMax Planck Institute for Human Cognitive and Brain Sciences · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with brain lesions and resultant chronic aphasia frequently suffer from depression. However, no effective interventions are available to target neuropsychiatric symptoms in patients with aphasia who have severe language and communication deficits.

objectiveThe present study aimed to investigate the efficacy of 2 different methods of speech and language therapy in reducing symptoms of depression in aphasia on the Beck Depression Inventory (BDI) using secondary analysis (BILAT-1 trial).

methodsIn a crossover randomized controlled trial, 18 participants with chronic nonfluent aphasia following left-hemispheric brain lesions were assigned to 2 consecutive treatments: (1) intensive language-action therapy (ILAT), emphasizing communicative language use in social interaction, and (2) intensive naming therapy (INT), an utterance-centered standard method. Patients were randomly assigned to 2 groups, receiving both treatments in counterbalanced order. Both interventions were applied for 3.5 hours daily over a period of 6 consecutive working days. Outcome measures included depression scores on the BDI and a clinical language test (Aachen Aphasia Test).

resultsPatients showed a significant decrease in symptoms of depression after ILAT but not after INT, which paralleled changes on clinical language tests. Treatment-induced decreases in depression scores persisted when controlling for individual changes in language performance.

conclusionsIntensive training of behaviorally relevant verbal communication in social interaction might help reduce symptoms of depression in patients with chronic nonfluent aphasia.

Indexed as

Neurological RehabilitationAdultAgedAphasia, BrocaBrain DiseasesChronic DiseaseCross-Over StudiesDepressionFemaleHumansLanguage TherapyMaleMiddle AgedSpeech TherapyTreatment Outcomeaphasiacommunicationdepressionlanguage therapyneurological rehabilitation

Identifiers

PMID29192534
PMCPMC5784455
OpenAlexW2773301022

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.