Executive control in bilingual aphasia: a systematic review
Open accessAbstract
Much research has been dedicated to the effects of bilingualism on executive control (EC). For bilinguals with aphasia, the interplay with EC is complex. In this systematic review, we synthesize research on this topic and provide an overview of the current state of the field. First, we examine the evidence for EC deficits in bilingual persons with aphasia (bPWA). We then discuss the domain generality of bilingual language control impairments. Finally, we evaluate the bilingual advantage hypothesis in bPWA. We conclude that (1) EC impairments in bPWA are frequently observed, (2) experimental results on the relationship between linguistic and domain-general control are mixed, (3) bPWA with language control problems in everyday communication have domain-general EC problems, and (4) there are indications for EC advantages in bPWA. We end with directions for experimental work that could provide better insight into the intricate relationship between EC and bilingual aphasia.
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The role of cognitive function in bilingual aphasia recovery may be even more pronounced, given the increased demands on cognitive control and language selection mechanisms in bilingual language processing.
“The role of cognitive function in bilingual aphasia recovery may be even more pronounced, given the increased demands on cognitive control and language selection mechanisms in bilingual language processing56.”
From Machine Learning Predictions of Recovery in Bilingual Poststroke Aphasia: Aligning Insights With Clinical Evidence (2025) · cites this paper as [56]
The Introduction (page unavailable) says that both languages compete for selection and describes inhibitory control as a way to resolve that competition. The functional-communication section (page unavailable) links executive-control deficits to selective language recovery in bilingual aphasia. The review does not establish the comparative claim that cognitive function plays a more pronounced role in bilingual than in monolingual aphasia recovery. (LLM, conf=0.78)
Experimental — accuracy not yet measuredCognitive skills may be even more crucial in bilingual contexts due to the interaction between heightened EC demands and the neural infrastructure supporting bilingual lexical access.
“These skills may be even more crucial in bilingual contexts due to the interaction between heightened EC demands and the neural infrastructure supporting bilingual lexical access56,58–60.”
From Machine Learning Predictions of Recovery in Bilingual Poststroke Aphasia: Aligning Insights With Clinical Evidence (2025) · cites this paper as [56]
The Introduction (page unavailable) says both languages compete for selection and reports evidence that executive control and bilingual language control share neural circuits. The Discussion (page unavailable) suggests that better-preserved executive control could help inhibit the non-intended language and improve communication in bilingual people with aphasia. These passages support the proposed importance of cognitive control, but do not establish that it is more crucial in bilingual contexts specifically because of an interaction with neural infrastructure supporting lexical access. (LLM, conf=0.82)
Experimental — accuracy not yet measuredExecutive control (EC) interacts with language, and impairments in these functions may lead to difficulties in compensating for linguistic deficits in bilingual people with aphasia (bPWA).
“Per a recent systematic review of EC in bPWA, EC interacts with language, and impairments in these functions may lead to difficulties in compensating for linguistic deficits in bPWA56.”
From Machine Learning Predictions of Recovery in Bilingual Poststroke Aphasia: Aligning Insights With Clinical Evidence (2025) · cites this paper as [56]
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Flagged first, then by citations
Research works printed but not linked: 1
- jocn_a_00817 · DOI
Cited by
Sorted by citations
Lee, S., & Faroqi-Shah, Y. (2024) · Journal of Speech, Language, and Hearing Research · doi:10.1044/2024_jslhr-23-00026 · Cited by 16 · see citing works
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“56 Thus, the increased demand for domain-general skills in bPWA could explain the observed interaction between severity-UL and cognitive performance in predicting CLG outcomes, in addition to TLI.”
- Authors
- Mooijman, S., Schoonen, R., Roelofs, A., & Ruiter, M. B.
- Affiliations
- Radboud University Nijmegen (NL)
- Corresponding author
- Mooijman, Saskia
- Venue
- Bilingualism: Language and Cognition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2021-08-18
- Volume
- 25
- Issue
- 1
- Pages
- 13-28
- ISSN
- 1366-7289 (ISSN-L)
- 1469-1841
- OpenAlex
- W3194296596
- Cited by
- 26
- References
- 136
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 10 · 2023: 2 · 2022: 2 · 2021: 1
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Bilingualism Language and Cognition (publishedVersion, cc-by)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hemispheric Asymmetry in Neuroscience
- Keywords
- executive function, bilingual aphasia, bilingualism, domain generality, language control, cognitive control deficits, aphasia
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