Boston Diagnostic Aphasia Examination
Encyclopedia
The Boston Diagnostic Aphasia Examination or BDAE is a test used to evaluate adults suspected of having aphasia
, and is currently in its third edition. It was created by Harold Goodglass and Edith Kaplan
. The BDAE evaluates language skills based on perceptual modalities (auditory, visual, and gestural), processing functions (comprehension, analysis, problem-solving), and response modalities (writing, articulation, and manipulation). Administration time ranges from 35 to 45 minutes. Many other tests are sometimes used by neurologists
and speech language pathologists on a case-by-case basis, and other comprehensive tests exist like the Western Aphasia Battery
.
Boston Diagnostic Aphasia Examination
Purpose: Designed as a comprehensive measure of aphasia.
Population: Adults.
Score: Percentiles or standard scores for the subtests.
Time: (180) minutes.
Authors: Harold Goodglass and Edith Kaplan.
Publisher: The Psychological Corporation.
Description: The Boston Diagnostic Aphasia Examination is a comprehensive, multifactorial battery designed to evaluate a broad range of language impairments that often arise as a consequence of organic brain dysfunction. The Examination is designed to go beyond simple functional definitions of aphasia into the components of language dysfunctions (symptoms) that have been shown to underlie the various aphasic syndromes. Thus, this test evaluates various perceptual modalities (e.g., auditory, visual, and gestural), processing functions (e.g., comprehension, analysis, problem-solving), and response modalities (e.g., writing, articulation, and manipulation). This approach allows for the neuropsychological analysis and measurement of language-related skills and abilities from both ideographic and nomothetic bases, as well as a comprehensive approach to the symptom configurations that relate to neuropathologic conditions.
Scoring: The manual provides clear statements and rules for scoring protocols.
Reliability: Reliability of the subtests was studied by selecting protocols of 34 patients with a degree of severity of aphasia ranging from slight to severe. Kuder-Richardson reliability coefficients for subtests ranged from .68 to .98, with about two-thirds of the coefficients reported ranging from .90 upwards. Since test-retest reliability is difficult if not impossible to attain with patients suffering from aphasic symptoms, the current reliability coefficients demonstrate very good internal consistency in terms of what the items within the subtests are measuring.
Validity: A discriminant analysis comparing "unambiguous exemplars of a single syndrome" was carried out. Thus, unambiguous cases of Broca’s aphasia, Wernicke’s aphasia, conduction aphasia
, and anomic aphasia were selected. Ten variables were selected on the assumption of providing the most useful data. From these, five variables were selected for the discriminant analysis (body part identification, repetition of high probability sentences, verbal paraphasias, articulatory agility rating, and automated sentence rating). This classification yielded no misclassifications.
Norms: Standardization of the revised Boston Diagnostic Aphasia Examination is based on a normative sample of 242 patients with aphasic symptoms tested at the Boston VA Medical Center between 1976-1982. It is important to consider that this sample includes only male, presumably English-speaking patients and is thus highly selected.
Suggested Uses: Designed for the assessment of aphasia for inpatient or outpatient populations.
Aphasia
Aphasia is an impairment of language ability. This class of language disorder ranges from having difficulty remembering words to being completely unable to speak, read, or write....
, and is currently in its third edition. It was created by Harold Goodglass and Edith Kaplan
Edith Kaplan
Edith F. Kaplan was an American psychologist. She was a pioneer of neuropsychological tests and did most of her work at the Boston VA Hospital....
. The BDAE evaluates language skills based on perceptual modalities (auditory, visual, and gestural), processing functions (comprehension, analysis, problem-solving), and response modalities (writing, articulation, and manipulation). Administration time ranges from 35 to 45 minutes. Many other tests are sometimes used by neurologists
Neurology
Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue,...
and speech language pathologists on a case-by-case basis, and other comprehensive tests exist like the Western Aphasia Battery
Western Aphasia Battery
The Western Aphasia Battery or WAB is an instrument for assessing the language function of adults, able to discern the presence, degree, and type of aphasia. Another such test is the Boston Diagnostic Aphasia Examination...
.
Boston Diagnostic Aphasia Examination
Purpose: Designed as a comprehensive measure of aphasia.
Population: Adults.
Score: Percentiles or standard scores for the subtests.
Time: (180) minutes.
Authors: Harold Goodglass and Edith Kaplan.
Publisher: The Psychological Corporation.
Description: The Boston Diagnostic Aphasia Examination is a comprehensive, multifactorial battery designed to evaluate a broad range of language impairments that often arise as a consequence of organic brain dysfunction. The Examination is designed to go beyond simple functional definitions of aphasia into the components of language dysfunctions (symptoms) that have been shown to underlie the various aphasic syndromes. Thus, this test evaluates various perceptual modalities (e.g., auditory, visual, and gestural), processing functions (e.g., comprehension, analysis, problem-solving), and response modalities (e.g., writing, articulation, and manipulation). This approach allows for the neuropsychological analysis and measurement of language-related skills and abilities from both ideographic and nomothetic bases, as well as a comprehensive approach to the symptom configurations that relate to neuropathologic conditions.
Scoring: The manual provides clear statements and rules for scoring protocols.
Reliability: Reliability of the subtests was studied by selecting protocols of 34 patients with a degree of severity of aphasia ranging from slight to severe. Kuder-Richardson reliability coefficients for subtests ranged from .68 to .98, with about two-thirds of the coefficients reported ranging from .90 upwards. Since test-retest reliability is difficult if not impossible to attain with patients suffering from aphasic symptoms, the current reliability coefficients demonstrate very good internal consistency in terms of what the items within the subtests are measuring.
Validity: A discriminant analysis comparing "unambiguous exemplars of a single syndrome" was carried out. Thus, unambiguous cases of Broca’s aphasia, Wernicke’s aphasia, conduction aphasia
Conduction aphasia
Conduction aphasia, also called associative aphasia, is a relatively rare form of aphasia. An acquired language disorder, it is characterized by intact auditory comprehension, fluent speech production, but poor speech repetition. Patients will display frequent errors during spontaneous speech,...
, and anomic aphasia were selected. Ten variables were selected on the assumption of providing the most useful data. From these, five variables were selected for the discriminant analysis (body part identification, repetition of high probability sentences, verbal paraphasias, articulatory agility rating, and automated sentence rating). This classification yielded no misclassifications.
Norms: Standardization of the revised Boston Diagnostic Aphasia Examination is based on a normative sample of 242 patients with aphasic symptoms tested at the Boston VA Medical Center between 1976-1982. It is important to consider that this sample includes only male, presumably English-speaking patients and is thus highly selected.
Suggested Uses: Designed for the assessment of aphasia for inpatient or outpatient populations.