Cross-linguistic adaptations of The Comprehensive Aphasia Test: Challenges and solutions
Open accessAbstract
Comparative research on aphasia and aphasia rehabilitation is challenged by the lack of comparable assessment tools across different languages. In English, a large array of tools is available, while in most other languages, the selection is more limited. Importantly, assessment tools are often simple translations and do not take into consideration specific linguistic and psycholinguistic parameters of the target languages. As a first step in meeting the needs for comparable assessment tools, the Comprehensive Aphasia Test is currently being adapted into a number of languages spoken in Europe. In this article, some key challenges encountered in the adaptation process and the solutions to ensure that the resulting assessment tools are linguistically and culturally equivalent, are proposed. Specifically, we focus on challenges and solutions related to the use of imageability, frequency, word length, spelling-to-sound regularity and sentence length and complexity as underlying properties in the selection of the testing material.
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The Comprehensive Aphasia Test is available in Basque, Catalan, Croatian, Cypriot Greek, English, French, Greek, Hungarian, Norwegian, Serbian, Spanish, Swedish and Turkish.
“For example, the Comprehensive Aphasia Test, which spans over 20 subtests of receptive and productive skills, is available in Basque, Catalan, Croatian, Cypriot Greek, English, French, Greek, Hungarian, Norwegian, Serbian, Spanish, Swedish and Turkish. 80,118”
From Speech and language markers of neurodegeneration: a call for global equity (2023) · cites this paper as [118]
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Ezzedine, N., & Martínez‐Ferreiro, S. (2025) · Elsevier eBooks · doi:10.1016/b978-0-323-95504-1.00554-8
Wallace, S. J., Hilari, K., Willmes, K., Meinzer, M., Peñaloza, C., van Ewijk, L., Palmer, R., Zingelman, S., Hula, W. D., & Breitenstein, C. (2025) · Brain Sciences · doi:10.3390/brainsci15111233
Hammad, A. B., Sallam, Y. A. N., Ahmed, S. F., Saber, S. M., & Abdel‐Tawab, H. (2026) · Aphasiology · doi:10.1080/02687038.2026.2614974
Embracing a multilingual approach for assessment in multilingual people with aphasia
Goral, M. (2026) · Logopedics Phoniatrics Vocology · doi:10.1080/14015439.2026.2641477
Broca’s biases in modern aphasiology
Martínez‐Ferreiro, S., & Norvik, M. I. (2026) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2026.1783073
Digital MULTIMAP: a standardization of objects and actions naming task in a french population
Barberis, M., Malewski, A., Tarpin-Bernard, F., Quiñones, I., Carreiras, M., Poisson, I., & Mandonnet, E. (2026) · Acta Neurochirurgica · doi:10.1007/s00701-026-06927-y
Birraud, F., & Masson‐Trottier, M. (2026) · Aphasiology · doi:10.1080/02687038.2026.2691172
The Comprehensive Aphasia Test in Catalan (CAT-CAT): preliminary psychometric properties
Llussa, I. S., & Muntané-Sánchez, H. (2026) · Aphasiology · doi:10.1080/02687038.2026.2729381
Development and standardization of an Aphasia Test battery in the Gujarati language
Kajaliya, Y., & Sharma, M. (2026) · Aphasiology · doi:10.1080/02687038.2026.2743725
- Authors
- Fyndanis, V., Lind, M., Varlokosta, S., Kambanaros, M., Soroli, E., Ceder, K., Grohmann, K. K., Rofes, A., Simonsen, H. G., Bjekić, J., Gavarró, A., Kuvač Kraljević, J., Martínez-Ferreiro, S., Munarriz, A., Pourquie, M., Vuksanović, J., Zakariás, L., & Howard, D.
- Affiliations
- University of Oslo (NO)
- National and Kapodistrian University of Athens (GR)
- Cyprus University of Technology (CY)
- Université de Lille (FR)
- Uppsala University (SE)
- Department of English Studies, University of Cyprus, Nicosia, Cyprus
- Trinity College Dublin (IE)
- University of Belgrade (RS)
- Universitat Autònoma de Barcelona (ES)
- Department of Speech and Language Pathology, University of Zagreb, Zagreb, Croatia
- Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen, Denmark
- Department of Linguistics and Basque Studies, University of the Basque Country, Vitoria-Gasteiz, Spain
- Basque Center on Cognition, Brain and Language, Donostia-San Sebastián, Spain
- State University of Novi Pazar (RS)
- University of Potsdam (DE)
- Newcastle University (GB)
- Corresponding author
- Varlokosta, Spyridoula
- ORCID
- Venue
- Clinical Linguistics & Phonetics
- Publisher
- Informa UK Limited
- Published
- 2017-04-27
- Volume
- 31
- Issue
- 7-9
- Pages
- 697-710
- ISSN
- 0269-9206 (ISSN-L)
- 1464-5076
- OpenAlex
- W2607674204
- Cited by
- 63
- References
- 50
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 13 · 2023: 7 · 2022: 6 · 2021: 9 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 2
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Clinical Linguistics & Phonetics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- UniSA Research Outputs Repository (University of South Australia) (acceptedVersion, other-oa)
- Ktisis at Cyprus University of Technology (Cyprus University of Technology) (submittedVersion, cc-by-nc-nd)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- HAL (submittedVersion, other-oa)
- Communities in ADDI (Universidad del Pais Vasco) (submittedVersion, other-oa)
- Communities in ADDI (University of the Basque Country) (submittedVersion, cc-by-nc-nd)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by-nc-nd)
- Hispana (submittedVersion, cc-by-nc-nd)
- publish.UP (University of Potsdam) (submittedVersion, cc-by-nc-nd)
- RIMI (Institute for Medical Research, University of Belgrade) (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc-nd)
- Funders
- Anadolu University Scientific Research Projects Board (1509S632)
- Croatian Science Foundation (ALP, HRZZ-2421)
- Operational Programme Human Resources Development (HR.3.2.01-0247 EU-ESF)
- Research Council of Norway (Centres of Excellence funding scheme) (223265)
- Ministry for Education, Science and Technological Development of Republic of Serbia (#175012)
- COST Action IS1208 Collaboration of Aphasia Trialists (COST-STSM-ECOST-STSM-IS1208-131116-080878)
- Ministerio de EconomÃa y Competitividad, Spain (FFI2015-68589-C2-1-PÂ &Â FFI2014-61888-EXP)
- MINECO / FEDER (FFI2015-68589-C2-1-P)
- Agence Nationale de la Recherche (#ANR-10- LABX-0087 & #ANR-10-IDEX-0001-02)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Categorization, perception, and language
- Keywords
- aphasia assessment, cross-lingual adaptation, test adaptation, language equivalence, cultural equivalence, aphasia rehabilitation, imageability, word frequency, word length
- MeSH terms
- Aphasia, Cross-Cultural Comparison, Europe, Humans, Language Tests, Linguistics, Surveys and Questionnaires, Multilingualism
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