{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:02:42Z","timestamp":1781658162479,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In dementia with Lewy bodies (DLB), limitations in linguistic and cognitive abilities may lead to difficulties in participating in conversations. The conversational outcome is also dependent on how the conversation partner adjusts to potential communicative challenges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study explored resources and barriers in communication in DLB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Linguistic and cognitive function was explored through standard clinical testing. The dyad's perception of function in daily life was explored through semi\u2010structured interviews analysed with content analysis. Interactional patterns and participation in casual conversation was analysed with conversation analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome &amp; Results<\/jats:title><jats:p>The results show how the husband diagnosed with DLB performed with high scores across most cognitive and linguistic test tasks. The interview data, however, revealed how both he and his wife experienced significant challenges regarding, for example, conversational tempo, as well as negative feelings relating to adjusting to these conversational changes. The interactional data from the casual conversation revealed, among other patterns, how the wife engaged in most of the storytelling in the conversation. The husband contributed details when his wife asked for help, or he acknowledged a faulty or missing detail in his wife's storyline. Thus, they both oriented to the husband's competence in monitoring and keeping track of the conversational content, despite challenges in taking the floor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>A holistic picture of communication in DLB necessitates the use of different evaluation approaches. Both monological (e.g., test tasks revealing cognitive and linguistic resources) and dialogical information sources (e.g., observations of conversations revealing adjustments in conversations), as well as the perceptions of those engaging in everyday conversations (i.e., people with DLB and their conversation partner(s)), need to be evaluated when assessing resources and barriers in communication.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>It is well\u2010known that dementia with Lewy bodies (DLB) affects language and cognition. In conversations, persons with DLB experience difficulties in turn\u2010taking, topic initiation, entering conversations and keeping up with the conversational tempo.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this study adds<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study sheds light on conversations in one dyad where the husband has been diagnosed with DLB. The results from three different information sources (testing of language and cognition, interviews and a video\u2010recorded conversation) reveal patterns of resources and barriers that at first appear to contradict each other. However, the contradictions can be resolved when these discrepancies are examined in light of the differences in task structure, in terms of, for example, predetermined topics and how turn\u2010taking is managed.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>In order to gather a holistic picture of a person's conversational abilities, clinicians need to include information from both monological tasks (e.g., linguistic testing) as well as dialogical tasks (e.g., video recordings from conversation). The results also need to be evaluated in light of all conversation partners\u2019 perspectives on function in daily life. Furthermore, it is important to consider the nature of assessment tasks (particularly their interactional structure) when interpreting assessment results.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12799","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T08:15:23Z","timestamp":1671524123000},"page":"419-432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Conversations in dementia with Lewy bodies: Resources and barriers in communication"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8243-1298","authenticated-orcid":false,"given":"Sophia","family":"Lindeberg","sequence":"first","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology Division of Speech and Language Pathology Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Sciences University College Cork  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Samuelsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology Division of Speech and Language Pathology Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bandl.2011.09.004"},{"key":"e_1_2_7_3_1","unstructured":"American Speech\u2013Language\u2013Hearing Association(ASHA) (n.d.).Dementia(Practice Portal). Retrieved March 25 2022 fromwww.asha.org\/Practice\u2010Portal\/Clinical\u2010Topics\/Dementia\/."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12738"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12485"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103956(75)90026\u20106"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1558\/jircd.33377"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-682X.1980.tb00023.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-6984.2011.00012.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118584194.ch33"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_7_12_1","volume-title":"Entangled narratives: collaborative storytelling and the re\u2010imagining of dementia","author":"Hyd\u00e9n L.\u2010C.","year":"2018"},{"key":"e_1_2_7_13_1","first-page":"71","volume-title":"Conversation analysis","author":"Jefferson G.","year":"2006"},{"key":"e_1_2_7_14_1","volume-title":"The Boston naming test","author":"Kaplan E.","year":"1983"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12298"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-024983"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301220945832"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2019.1701168"},{"key":"e_1_2_7_19_1","volume-title":"A\u2010ning\u2014Neurolingvistisk Afasiunders\u00f6kning. Ersta h\u00f6gskola\u2014Ersta utbildningsinstitut","author":"Lindstr\u00f6m E.","year":"1995"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004058"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.47.6.140"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pragma.2014.04.004"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699200400027213"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119606987.ch26"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1558\/jircd.20366"},{"key":"e_1_2_7_26_1","unstructured":"Palmqvist S. Terzis B. Strobel C.&Wallin A.(2012)Mini mental state examination\u2014Swedish revised version manual."},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0911-6044(98)00004-9"},{"key":"e_1_2_7_28_1","unstructured":"Royal College of Speech and Language Therapists (RCSLT)(n.d.).Supporting people with dementia. Retrieved March 25 2022 from rcslt\u2010dementia\u2010factsheet.pdf"},{"key":"e_1_2_7_29_1","first-page":"147","volume-title":"Pragmatics in dementia discourse","author":"Roberts A.","year":"2014"},{"key":"e_1_2_7_30_1","volume-title":"The experience of Alzheimer's disease: life through a tangled veil","author":"Sabat S. R.","year":"2001"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.2307\/412243"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0047404500001019"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/14417040109003708"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860600963364"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bandl.2004.11.004"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9450.2008.00653.x"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12495"},{"key":"e_1_2_7_38_1","unstructured":"Werner C.&Lindstr\u00f6m E.(1995).A\u2010ning. Neurolingvistisk afasiunders\u00f6kning. [A\u2010ning. Neurolinguistic assessment of aphasia]. Ersta utbildningsinstitut."},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/026870399402154"},{"key":"e_1_2_7_40_1","volume-title":"Handbook of qualitative research in communication disorders","author":"Wilkinson R.","year":"2014"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acn.2007.06.008"},{"key":"e_1_2_7_42_1","volume-title":"Mini mental state examination\u2014Swedish revised version manual","author":"Palmqvist S.","year":"2012"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12799","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1460-6984.12799","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T06:55:20Z","timestamp":1698476120000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,20]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/1460-6984.12799"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12799","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,20]]},"assertion":[{"value":"2021-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}