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Introduction: In patients with aphasia, aside from impairments in language functions, deficits in non-linguistic cognitive skills may also affect their potential success in aphasia treatment. Therefore, the current study was conducted to determine the relationship between executive functions of the brain and language performances in patients suffering from aphasia.

Method: The research method employed was descriptive correlation. The Statistical population consisted of patients with aphasia referred to the Speech Therapy Unit at Razi Educational, Research, and Treatment Center in Tabriz in the year 2023. A sample of 50 participants was selected using purposive sampling method. In order to collect data, the Delis-Kaplan Executive Function System (2001) questionnaire and the Persian Aphasia Battery Test developed by Nilipour et al. (2016) were employed. Data analysis was conducted using the Pearson correlation coefficient method with SPSS version 24.

Findings: The findings revealed a significant and positive correlation between executive functions of the brain, including mental flexibility, problem-solving, verbal fluency, working memory, reasoning, and inhibitory control, with language performances such as oral expression, listening comprehension, reading, and writing (p < 0.05). Furthermore, the highest correlation was found between inhibitory control function and listening comprehension skill (r = 0.51), while the lowest correlation was observed between working memory function and writing skill (r = 0.24).

Conclusion: Based on the findings of the study, it appears that executive functions are involved in linguistic representations, suggesting that attention to cognition alongside language is recommended in the process of aphasia patient treatment.

Article Details

Author Biography



Postgraduate student at the Department of medical psychology, Lomonosov Moscow State University, Corresponding author,  ORCID 0000-0001-5802-3385


Adams, R. D., Victor, M., Ropper, A. H., Samuels, M. A., & Klein, J. (2001). Principles of neurology (Vol. 198, No. 1). New York: McGraw-Hill.

Arizmendi GD, Alt M, Gray S, Hogan TP, Green S, Cowan N. (2018). Do bilingual children have an executive function advantage? Results from inhibition, shifting, and updating tasks. Language, Speech, and Hearing Services in Schools, 49(3), 356-378.

Baldo, J. V., Dronkers, N. F., Wilkins, D., Ludy, C., Raskin, P., & Kim, J. (2005). Is problem solving dependent on language?. Brain and language, 92(3), 240-250.

Best JR, Miller PH. (2010). A developmental perspective on executive function. Child development, 81(6), 1641-1660.

Bialystok E. (2017). The bilingual adaptation: How minds accommodate experience. Psychological bulletin, 143(3), 233.

Bonilha, L., Rorden, C., Roth, R., Sen, S., George, M. S., & Fridriksson, J. (2024). Improved naming in patients with Broca’s aphasia with tDCS. Journal of Neurology, Neurosurgery & Psychiatry, 95(3), 273-276.

Bullier, B., Cassoudesalle, H., Villain, M., Cogné, M., Mollo, C., De Gabory, I., ... & Glize, B. (2020). New factors that affect quality of life in patients with aphasia. Annals of physical and rehabilitation medicine, 63(1), 33-37.

Cahana-Amitay, D., & Albert, M. (2015). Redefining recovery from aphasia. Oxford University Press.

Cavanaugh, R., & Haley, K. L. (2020). Subjective communication difficulties in very mild aphasia. American Journal of Speech-Language Pathology, 29(1S), 437-448.

Del Maschio N, Sulpizio S, Fedeli D, Ramanujan K, Ding G, Weekes BS, ... Abutalebi J. (2019). ACC sulcal patterns and their modulation on cognitive control efficiency across lifespan: a neuroanatomical study on bilinguals and monolinguals. Cerebral Cortex, 29(7), 3091-3101.

Delis DC, Kaplan E, Kramer JH. (2001). Delis-Kaplan executive function system. Assessment.

Dogil, G., Wildgruber, D., Riecker, A., Ackermann, H., & Grodd, W. (2014). Prosody in speech production: An fMRI study. Retrieved November, 19, 2015.

Fromm, D., Greenhouse, J., Pudil, M., Shi, Y., & MacWhinney, B. (2022). Enhancing the classification of aphasia: a statistical analysis using connected speech. Aphasiology, 36(12), 1492-1519.

Fucetola, R., & Tabor Connor, L. (2015). Family ratings of communication largely reflect expressive language and conversation-level ability in people with aphasia. American journal of speech-language pathology, 24(4), S790-S797.

Ghawami H, Raghibi M, Tamini BK, Dolatshahi B, Rahimi-Movaghar V. (2016). Cross-Cultural adaptation of executive function tests for assessments of traumatic brain injury patients in Southeast Iran. Behavioral Psychology/Psicologia Conductual, 24(3), 513-554.

Helm-Estabrooks, N. (2002). Cognition and aphasia: a discussion and a study. Journal of communication disorders, 35(2), 171-186.

Karr JE, Garcia-Barrera MA, Holdnack JA, Iverson GL. (2018). Advanced clinical interpretation of the Delis-Kaplan Executive Function System: Multivariate base rates of low scores. The Clinical Neuropsychologist, 32(1), 42-53.

Kopp, B., Lange, F., & Steinke, A. (2021). The reliability of the Wisconsin card sorting test in clinical practice. Assessment, 28(1), 248-263.

Kuzmina, E., & Weekes, B. S. (2017). Role of cognitive control in language deficits in different types of aphasia. Aphasiology, 31(7), 765-792.

Lahiri, D., Dubey, S., Ardila, A., Sawale, V. M., Roy, B. K., Sen, S., & Gangopadhyay, G. (2020). Incidence and types of aphasia after first-ever acute stroke in Bengali speakers: Age, gender, and educational effect on the type of aphasia. Aphasiology, 34(6), 709-722.

Lowe CJ, Cho I, Goldsmith SF, Morton JB. (2021). The bilingual advantage in children’s executive functioning is not related to language status: A meta-analytic review. Psychological science, 32(7), 1115-1146.

Mikola, J. M. (2010). Communicative competence in persons with aphasia: The impact of executive function. Wayne State University, Michigan.

Mischel W, Shoda Y, Rodriguez ML. (1989). Delay of gratification in children. Science, 244(4907), 933-938.

Nilipour, R., Pour Shahbaz, A., Ghoreishi, Z. S., & Yousefi, A. (2016). Reliability and validity of Persian aphasia battery test. Iranian Journal of Ageing, 10(4), 182-191.

Olsson, C., Arvidsson, P., & Blom Johansson, M. (2019). Relations between executive function, language, and functional communication in severe aphasia. Aphasiology, 33(7), 821-845.

Raithel, V. (2005). The perception of intonation contours and focus by aphasic and healthy individuals (Vol. 31). Gunter Narr Verlag, Tübigen.

Rashed Chitgar, E., Saadat, P., Maddahiyan, M., Amirifar, P., Hojjati, S. M. M., & Dehghan, M. (2022). Correlation between Brain Lesion Site and Fluent/Non-Fluent Aphasia. Journal of Mazandaran University of Medical Sciences, 32(215), 157-162.

Seniów, J., Litwin, M., & Leśniak, M. (2009). The relationship between non-linguistic cognitive deficits and language recovery in patients with aphasia. Journal of the neurological sciences, 283(1-2), 91-94.

Simic, T., Rochon, E., Greco, E., & Martino, R. (2019). Baseline executive control ability and its relationship to language therapy improvements in post-stroke aphasia: a systematic review. Neuropsychological rehabilitation, 29(3), 395-439.

Spitzer, L., Binkofski, F., Willmes, K., & Bruehl, S. (2020). Executive functions in aphasia: a novel aphasia screening for cognitive flexibility in everyday communication. Neuropsychological rehabilitation, 30(9), 1701-1719.

Tessaro, B., Hameau, S., Salis, C., & Nickels, L. (2023). Semantic impairment in aphasia: A problem of control?. International Journal of Speech-Language Pathology, 25(6), 903-914.

Thompson, H. E., Almaghyuli, A., Noonan, K. A., Barak, O., Lambon Ralph, M. A., & Jefferies, E. (2018). The contribution of executive control to semantic cognition: Convergent evidence from semantic aphasia and executive dysfunction. Journal of neuropsychology, 12(2), 312-340.

Wang, G., Ge, L., Zheng, Q., Huang, P., & Xiang, J. (2020). Constraint-induced aphasia therapy for patients with aphasia: a systematic review. International journal of nursing sciences, 7(3), 349-358.