A prevalent feature of typical spontaneous speech are speech pauses. Longer speech pauses, known as cognitive pauses, occur in typical speech and are indicative of higher-level cognitive processes. Atypical cognitive pauses, however, are prevalent in the speech of people with aphasia consequent to their communication disorder. Research has shown that these atypical pauses may contribute to negative listener perceptions. This study aimed to determine the influence of atypical speech pause on listener perceptions of communicative effectiveness and speaker likeability. Specifically, this study evaluated the relationship between listener ratings of communicative effectiveness and likeability and acoustic measures of between-utterance pause duration, within-utterance pause duration, and the location of within-utterance pauses. This study also examined the relationship between listener ratings of communicative effectiveness and likeability. Target stimuli included 30-second samples of speech from two individuals with mild aphasia and four with moderate aphasia. Using a visual analog scale, 40 adult listeners listened to these speech samples and rated each sample according to the speaker's communicative effectiveness and likeability. Overall, listeners were not as sensitive to between-utterance pauses. While listeners were more sensitive to within-utterance pauses greater than one second, they were similarly impacted by within-utterance pauses between 250-999 milliseconds. Listeners were also more affected by pauses at the beginning of an utterance than at the end of an utterance. Results also demonstrated a strong positive correlation between listener ratings of communicative effectiveness and likeability. In general, results suggest that the location and length of pauses in the speech of people with aphasia have an impact on listeners' perceptions. In combination with future research, the results of this study will provide a deeper understanding of the impact of cognitive pause in people with aphasia, thus improving future clinical assessment and treatment of aphasia.

Previous studies have examined the effect of atypical speech pause on conversational fluency and how the conversational listener perceives the speaker. The present study investigated the effect of pause duration of increasing length and in differing sentential locations on listener perceptions of communicative effectiveness and speaker likability. One neurotypical male and one neurotypical female speaker recorded three sentences from the Quick Aphasia Battery, and artificial pauses of varying lengths (250 ms, 400 ms, 550 ms, 700 ms, 850 ms, and 1 sec) were inserted before the subject, verb, and object of each sentence. The six baseline (unmodified) sentences were also included among the stimuli. These samples were randomly interspersed among foil samples that consisted of 30-second recordings of six people with fluent and nonfluent aphasia of mild to moderate severity. Forty adult participants (24 females and 16 males) listened to and rated the modified and foil samples for communicative effectiveness and the perception of likability of the speaker. A review of the data revealed that pause location may negatively impact speaker likability depending on the gender of the speaker. However, due to the small sample size of speakers (one male and one female) and factors that were not controlled for in this study (e.g., speaker pitch, speech rate, resonance, articulation patterns), these results require validation through further research that utilizes a larger sample. As pause duration increased, both speaker likability and communicative effectiveness ratings decreased. These findings suggest that monitoring pause duration and location in preliminary fluency samples could be beneficial to assess fluency severity and determine appropriate treatment goals. Wordfinding treatment may want to focus on vocabulary words that serve the function of subjects and objects in sentences. Although there are limitations in the methodology and results of this preliminary study, it is hoped that this study combined with future research can help to inform assessment and treatment of people with aphasia and other neurophysiological disorders that lead to atypical pause.