Vanja Kljajevic’s research while affiliated with University of Oslo and other places

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Publications (39)


Embracing virtual reality in rehabilitation of post-stroke aphasia
  • Article
  • Full-text available

August 2024

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57 Reads

Vanja Kljajevic

About one-third of stroke survivors experience aphasia, i.e., language dysfunction caused by brain damage. Aphasia affects not only a person's ability to communicate, but it often leads to the inability to return to work, loss of close relationships, diminished quality of life, negative self-perception, and depression. Yet persons with aphasia are globally underserved due to limited access to resources, which limits their chance for recovery. Immersive virtual reality (VR) has the potential to solve this problem and deliver efficient, personalized treatments to millions of people worldwide who need access to rehabilitation services or more flexibility in treatment delivery. To reduce the global burden of stroke experts recommend taking bold, pragmatic actions across all four pillars of stroke quadrangle—surveillance, prevention, acute care, and rehabilitation. Embracing immersive VR-based rehabilitation of poststroke aphasia would be one step in that direction.

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Female advantage in verbal learning revisited: a HUNT study

April 2023

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61 Reads

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2 Citations

Memory

Vanja Kljajevic

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The argument for a female advantage in word list learning is often based on partial observations that focus on a single component of the task. Using a large sample (N = 4403) of individuals 13–97 years of age from the general population, we investigated whether this advantage is consistently reflected in learning, recall, and recognition and how other cognitive abilities differentially support word list learning. A robust female advantage was found in all subcomponents of the task. Semantic clustering mediated the effects of short-term and working memory on long-delayed recall and recognition, and serial clustering on short-delayed recall. These indirect effects were moderated by sex, with men benefiting more from reliance on each clustering strategy than women. Auditory attention span mediated the effect of pattern separation on true positives in word recognition, and this effect was stronger in men than in women. Men had better short-term and working memory scores, but lower auditory attention span and were more vulnerable to interference both in delayed recall and recognition. Thus, our data suggest that auditory attention span and interference control (inhibition), rather than short-term or working memory scores, semantic and/or serial clustering on their own, underlie better performance on word list learning in women.


Groups’ scores on word reading, spelling, and numerical operations. Note. ASD, autism spectrum disorder; TYP, typically developing children. **p < .01
Results of mediation analysis. Note. Results of mediation analysis showing a statistically significant indirect effect of diagnostic status (Dx) through verbal IQ on word reading (A), spelling (B), and numerical operations (C) and no significant direct effect. VIQ, verbal IQ; WR, word reading; Spell, spelling; NumOp, numerical operations. ***p < .001
Literacy and Numeracy in Children on Autism Spectrum Disorder

October 2022

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363 Reads

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4 Citations

Advances in Neurodevelopmental Disorders

Objectives The variability in patterns of acquisition of literacy and numeracy skills in young children with autism spectrum disorder (ASD) is currently not well understood. In the present study, we investigated these skills in cognitively able children with ASD ages 7–12 years. Methods Using independent samples t test, we compared autistic children’s scores on word reading, spelling, and numerical operations with those of typically developing children in the same age group. A paired-samples t test was used to assess whether reading, spelling, and numerical operations scores were comparable within the ASD group. Finally, we tested whether verbal IQ mediated the effect of diagnostic status on these scores. Results The main findings of the study are that autistic children had worse scores on numerical operations than the control group ( t (54.112) = − 3.326, p = .002, d = − .314), but the groups’ scores were similar in word reading and spelling. The autistic children had significantly better scores on word reading and spelling than on numerical operations. All scores of autistic children were positively associated with their verbal IQ scores. Verbal IQ mediated the effect of diagnostic status on all outcome variables. Conclusion These findings extend current understanding of patterns of acquisition of literacy and numeracy skills in young children with ASD, suggesting a critical role of verbal abilities in the acquisition of numerical skills.


Older and Wiser: Interpretation of Proverbs in the Face of Age-Related Cortical Atrophy

July 2022

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33 Reads

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3 Citations

Frontiers in Aging Neuroscience

In the present study, we investigated whether interpretation of proverbs differs across the lifespan and if so, whether it is associated with age-related fronto-temporal atrophy. Using a sample of 333 healthy individuals aged 18–89 years, we found a significant effect of age on proverb interpretation [H(2) = 12.001, p = 0.002]: old adults (OA) were better than young adults (YA) (p = 0.002), and so were middle-aged-adults (MA) (p = 0.005). OA and MA had significantly less grey matter (GM) than YA in frontal and temporal lobes bilaterally, and OA less than MA in the right temporal lobe. GM volumes in these regions did not moderate the effect of age on the proverbs scores. The whole-brain analysis of groups’ GM maps revealed that the proverbs scores were associated with more GM in YA relative to OA in the right middle temporal gyrus, which is consistent with evidence on the role of this area in processing of unfamiliar proverbs. Overall, our data suggest that interpretation of proverbs is well preserved in late adulthood, despite considerable age-related cortical atrophy.



Spatial Cognition in Virtual Reality

July 2021

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250 Reads

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36 Citations

Cognitive Systems Monographs

This chapter explores perception and conceptualization of space in virtual reality. Some basic notions, such as frames of reference, spatial memory and cognitive map are reviewed and discussed with regard to findings from virtual reality studies. Completing spatial tasks in virtual environments may require more time and cognitive resources than comparable tasks in the physical world, which suggests the use of different strategies and may implicate different neural substrates. Although virtual proxemic patterns largely resemble the proxemic patterns observed in the physical world, they do not quite match them. Some important aspects of experiencing space set apart virtual environments and the physical world, and the main issue remains the extent to which spatial skills acquired in virtual environments are transferable to settings in the physical world.


Self and the Virtual Other

July 2021

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21 Reads

Cognitive Systems Monographs

Successful social interaction requires adherence to social norms, awareness of one’s own behavior and flexibility to adjust it as a social situation unfolds. It also requires the ability to track mental states of others. Since virtual environments afford endless possibilities for interventions in own self, the interplay between such possibilities and our cognitive milieu, biological and sociocultural inheritance may result in virtual selves that are much different from who we generally are, and that relate to others differently, as reflected in use of different relational models in the two types of environments. Furthermore, collaborative virtual environments require virtual togetherness and shared intentionality.


Virtual Embodiment and Action

July 2021

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18 Reads

Cognitive Systems Monographs

Virtual environments may afford bodies and actions that are not afforded by the physical world, which raises some issues related to virtual-to-real body mapping. In this chapter we discuss the concept of agency and action possibilities, the dual-stream model of visual processing, and the role of the dorsal stream and egocentric coordinates in vision for action. We also discuss the concepts such as hierarchies of the action system, action representation, and intentional action. Since avatars are not cognitive agents, participant’s intention to act, decision when to act, and whether to act or inhibit the action may be compromised by technology-related issues. Finally, we address the concept of joint action and effects of synchronization on dyads and groups, noting similarities and differences in action processing in virtual environments relative to the physical world.


A New Kind of Extension

July 2021

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24 Reads

Cognitive Systems Monographs

The field of virtual reality research is relatively young and quickly evolving. Proposals on what virtual reality is and how the mind deals with it are continually being refined. In this chapter, we outline a view according to which virtual reality is a tool enabling a unique kind of extension: it extends not only the space in which participants can act, but also their sense of corporeality and more generally the sense of who they are. The illusory transformations in virtual reality may lead, at least temporarily, to changes in participants’ attitudes and behaviors, and sometimes such changes may continue in real life situations. Participants may or may not be aware of such changes. The power of virtual reality is in evoking such responses, despite limitations of current virtual reality technology.


Citations (20)


... On the other hand, adults who self-reported having no memory problems were less likely to participate, which again could indicate that worrying about one's health increases participation odds. It should be noted that subjective memory complaints in this cohort were connected with lower scores on the verbal list learning test 46 , indicating correspondence between subjective and objective measures of cognition. The dichotomy in participation between teenagers and adults with self-reported cognitive issues indicates that different strategies might be needed when recruiting different age groups to cognitive testing. ...

Reference:

Participation and engagement in online cognitive testing
Female advantage in verbal learning revisited: a HUNT study

Memory

... Αυτό μπορεί να οφείλεται στο γεγονός ότι οι μελέτες διέφεραν μεταξύ τους ως προς το εύρος ηλικίας των συμμετεχόντων, το φύλο, το γλωσσικό επίπεδο και την κοινωνικοοικονομική τους κατάσταση, μεταξύ άλλων πιθανώς σημαντικών παραγόντων. Ως εκ τούτου είναι δύσκολο να εξαχθούν συμπεράσματα σχετικά με την ικανότητα ορθογραφίας των παιδιών με ΔΑΦ, αν και είναι σαφές ότι υπάρχει μεγάλη ετερογένεια στην ακρίβεια της ορθογραφίας, με μερικά παιδιά στο φάσμα να αντιμετωπίζουν σημαντικές δυσκολίες (Kljajevic, 2023). ...

Literacy and Numeracy in Children on Autism Spectrum Disorder

Advances in Neurodevelopmental Disorders

... Perhaps such tests would challenge recent findings that cognitively healthy elderly people comprehend proverbs as well as young people in certain circumstances, 9 or even better, despite significant atrophy in the relevant brain areas. 10 Whether tests of figurative language will in the future have more clinical applicability in early diagnosis and monitoring of cognitive decline in dementia depends critically on improving their sensitivity, which in the case of proverb tests means taking into consideration their internal features, such as semantic class. ...

Older and Wiser: Interpretation of Proverbs in the Face of Age-Related Cortical Atrophy

Frontiers in Aging Neuroscience

... 10 One of the basic organizing principles of human cognition is hemispheric lateralization, i.e., which means asymmetries in the functional organization of the cerebral hemispheres. 11 "Directional biases" in hemispheric functional organization are manifested, for instance, as left-lateralized language in the majority of right-handed people. 12 Thus, in righthanded people, a stroke in the left cerebral hemisphere may cause aphasia, in left-handed peoplea right hemisphere stroke, while in rare cases of crossed aphasia, right-handed people may experience aphasia after a righthemisphere stroke. ...

Verbal Learning and Hemispheric Asymmetry

... Visualization skills are seen as part of what is broadly defined as spatial cognition, which refers to how people acquire and use knowledge about spatial environments. More specifically, studies in psychology provide guidance on visual perception and spatial cognition and their purpose to identify, estimate, or otherwise give meaning to perceived objects and spaces (Palmer, 2003) by storing, recalling, creating, and communicating spatial images (Osberg, 1997). ...

Spatial Cognition in Virtual Reality
  • Citing Chapter
  • July 2021

Cognitive Systems Monographs

... 4,5 Here we focus on one aspect of stroke rehabilitation: recovery of language after stroke based on virtual reality (VR) treatment and whether such use of this technology has the potential to reduce the burden of stroke. More specifically, considering the remarkable human brain potential for recovery, 6 effectiveness of speech-language therapy (SLT), 7,8 and recent advancements in and increasing availability of immersive VR, 9 we discuss the idea that innovative use of this technology in recovery of language after stroke may improve access to rehabilitation, thereby reducing the burden of stroke. ...

Consensual Illusion: The Mind in Virtual Reality
  • Citing Book
  • January 2021

Cognitive Systems Monographs

... Abuom, Shah, & Bastiaanse, 2013;Shankweiler, Palumbo, Fulbright, Mencl, Van Dyke, Kollia, Thornton, Crain, & Harris, 2010) and null pronouns/pronoun dropping (e.g. de Roo, 2003;Garraffa, 2009Garraffa, , 2011Peristeri & Tsimpli, 2013). Finally, there are also volumes of studies on the interpretation of interrogative-pronouns during sentence processing (including, Arslan, Gür, & Felser, 2017;Bos, Dragoy, Avrutin, Iskra, & Bastiaanse, 2014;Fyndanis, Varlokosta, & Tsapkini, 2010;Hanne, Burchert, & Vasishth, 2016;Hickok & Avrutin, 1996;Kljajevic, Gómez, López, & Bandeira, 2019;Kljajevic & Murasugi, 2010;Neuhaus & Penke, 2008;Nyvad, Christensen, & Vikner, 2014;Salis & Edwards, 2008;Thompson, Tait, Ballard, & Fix, 1999;van der Meulen, Bastiaanse, & Rooryck, 2005). There is a consensus among authors that aphasia adversely impacts pronoun processing; however, there is only a little agreement on what causes it. ...

In search for common patterns in aphasia: The case of Spanish wh-dependencies
  • Citing Article
  • August 2019

Journal of Communication Disorders

... Similarly, Krieger-Redwood et al. (2019) highlighted that increased within-DMN connectivity between the right anterior temporal lobe (ATL) and medial prefrontal cortex (mPFC) might translate to inefficient semantic retrieval, reflecting older adults' reduced ability to access the semantic store goal-directedly. At a structural or neuroanatomical level, our understanding of the white matter integrity that accompanies these midlife functional changes remains largely unexplored despite recent research highlighting white matter degradation as an explanation for the onset of lexical production deficits (Kljajevic and Erramuzpe, 2019;Sánchez et al., 2023;Troutman et al., 2022;Yeske et al., 2021). Within the language network (Shekari and Nozari, 2023), microstructural integrity assessed via diffusion tensor-based metrics (e.g., fractional anisotropy, radial diffusivity) is associated with higher-order aspects of naming, such as lexico-semantic selection, notably along the left superior fasciculus (SLF III; Troutman and Diaz, 2020) and inferior longitudinal fasciculus (ILF; Kantarci et al., 2011;Stamatakis et al., 2011;Troutman and Diaz, 2020). ...

Dorsal White Matter Integrity and Name Retrieval in Midlife

Current Aging Science

... Proper names play a central role in day-to-day language, and are critical for social functioning. Linguistic, neuropsychological, and philosophical theories often argue that proper names have a special status in language (Kljajevic and Erramuzpe 2018). While common names and verbs refer to categories of objects and events/states respectively, proper nouns refer to unique entities. ...

Proper name retrieval and structural integrity of cerebral cortex in midlife: A cross-sectional study

Brain and Cognition

... They found a lack of correlation between the results of the rating scale and the phonological retrieval and manipulation tasks. Similarly, Kljajevic et al. (2017) report findings that for eight participants with aphasia, group performance on phonological manipulation tasks including picture-based rhyme judgment, was impaired, yet responses to a questionnaire showed presence of some types of inner speech in daily life. ...

Inner speech in post-stroke motor aphasia