The comprehensive aphasia test in Hungárián

Abstract

Background and purpose - In this paper we present the Comprehensive Aphasia Test-Hungarian (CAT-H; Zakariás and Lukács, in preparation), an assessment tool newly adapted to Hungárián, currently under standardisation. The test is suitable for the assessment of an acquired lan-guage disorder, post-stroke aphasia. The aims of this paper are to present 1) the main characteristics of the test, its areas of application, and the process of the Hungárián adaptation and standardisation, 2) the first results from a sample of Hungárián people with aphasia and healthy controls. Methods - Ninety-nine people with aphasia, mostly with unilateral, left hemisphere stroke, and 19 neurologi-cally intact control participants were administered the CAT-H. In addition, we developed a questionnaire assess-ing demographic and clinical information. The CAT-H consists of two parts, a Cognitive Screening Test and a Language Test. Results - People with aphasia performed significantly worse than the control group in all language and almost all cognitive subtests of the CAT-H. Consistent with our expectations, the control group performed close to ceiling in all subtests, whereas people with aphasia exhibited great individual variability both in the language and the cognitive subtests. In addition, we found that age, time post-onset, and type of stroke were associated with cognitive and linguistic abilities measured by the CAT-H. Conclusions - Our results and our experiences clearly show that the CAT-H provides a comprehensive profilé of a person's impaired and intact language abilities and can be used to monitor language recovery as well as to screen for basic cognitive deficits in aphasia. We hope that the CAT-H will be a unique resource for rehabilitation professionals and aphasia researchers in aphasia assess-ment and diagnostics in Hungary.