Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-22T18:57:20.216Z Has data issue: false hasContentIssue false

Microlinguistic aspects of the oral narrative in patients with Alzheimer's disease

Published online by Cambridge University Press:  11 August 2010

Juliana Onofre de Lira*
Affiliation:
Department of Speech Therapy, São Paulo Federal University, Brazil
Karin Zazo Ortiz
Affiliation:
Department of Speech Therapy, São Paulo Federal University, Brazil
Aline Carvalho Campanha
Affiliation:
Department of Speech Therapy, São Paulo Federal University, Brazil
Paulo Henrique Ferreira Bertolucci
Affiliation:
Section of Behavioral Neurology, Department of Neurology and Neurosurgery, São Paulo Federal University, Brazil
Thaís Soares Cianciarullo Minett
Affiliation:
Department of Preventive Medicine, São Paulo Federal University, Brazil
*
Correspondence should be addressed to: Juliana Onofre de Lira, Department of Speech Therapy, São Paulo Federal University, Euclides Pacheco St, 803/1310. São Paulo, SP, 03321-000, Brazil. Tel/fax: +55 11 3881-7705 Email: [email protected].
Get access

Abstract

Background: Alzheimer's disease (AD) is characterized by memory loss and cognitive impairment. Phonological, syntactic, semantic and discursive aspects of language may also be affected. Analysis of micro- and macrolinguistic abilities of discourse may assist in diagnosing AD. The aim of this study was to identify changes in the discourse (lexical errors and syntactic index) of AD patients.

Methods: 121 elderly subjects narrated a story based on a seven-figure picture description.

Results: Patients with AD presented more word-finding difficulties, revisions and repetitions, and the syntactic index was lower than controls.

Conclusion: Performance in microlinguistics at the lexical and syntactic levels was lower than expected in participants with AD.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

André, H. A. (1997). Análise sintática: classificação de orações. In André, H. A. (ed.), Gramática Ilustrada (pp. 331374). São Paulo: Moderna.Google Scholar
Bates, E., Harris, C., Marchman, V., Wulfeck, B. and Kritchevsky, M. (1995). Production of complex syntax in normal ageing and Alzheimer's disease. Language and Cognitive Processes, 10, 487539.CrossRefGoogle Scholar
Blanken, G., Dittmann, J., Haas, J. C. and Wallesch, C. W. (1987). Spontaneous speech in senile dementia and aphasia: Implications for a neurolinguistic model of language production. Cognition, 27, 247274.CrossRefGoogle ScholarPubMed
Brucki, S. M. D., Nitrini, R., Caramelli, P., Bertolucci, P. H. F. and Okamoto, I. H. (2003). Suggestions for utilization of the Mini-mental State Examination in Brazil. Arquivos de Neuropsiquiatria, 61, 777781.CrossRefGoogle ScholarPubMed
Bschor, T., Kuhl, K. P. and Reischies, F. M. (2001). Spontaneous speech of patients with dementia of the Alzheimer type and mild cognitive impairment. International Psychogeriatrics, 13, 289–98.CrossRefGoogle ScholarPubMed
Caplan, D. and Waters, G. S. (1995). Aphasic disorders of syntactic comprehension and working memory capacity. Cognitive Neuropsychology, 12, 637649.CrossRefGoogle Scholar
Cardebat, D., Demonet, J. F. and Doyon, B. (1993). Narrative discourse in dementia. In Brownell, H. H. H. and Joanette, Y. (eds.), Narrative Discourse in Neurologically Impaired and Normal Aging Adults (pp. 317322). San Diego: Singular.Google Scholar
Croisile, B. et al. (1996). Comparative study of oral and written picture description in patients with Alzheimer's disease. Brain and Language, 53, 119.CrossRefGoogle ScholarPubMed
Duong, A. and Ska, B. (2001). Production of narratives: picture sequence facilitates organizational but not conceptual processing in less educated subjects. Brain and cognition, 46, 121124.CrossRefGoogle Scholar
Duong, A., Giroux, F., Tardif, A. and Ska, B. (2005). The heterogeneity of picture-supported narratives in Alzheimer's disease. Brain and Language, 93, 173184.CrossRefGoogle ScholarPubMed
Erlich, J. S., Obler, L. K. and Clark, L. (1997). Ideational and semantic contributions to narrative production in adults with dementia of the Alzheimer's type. Journal of Communication Disorders, 30, 7999.CrossRefGoogle Scholar
Fehringer, C. and Fry, C. (2007). Frills, furbelows and activated memory: syntactically optional elements in the spontaneous language production of bilingual speakers. Language Sciences, 29, 497511.CrossRefGoogle Scholar
Forbes-McKay, K. E. and Venneri, A. (2005). Detecting subtle spontaneous language decline in early Alzheimer's disease with a picture description task. Neurological Sciences, 26, 243254.CrossRefGoogle ScholarPubMed
Garrett, M. F. (1975). The analysis of sentence production. In Bower, G. H. (ed.), The Psychology of Learning and Motivation (pp. 133177). New York: Academic Press.Google Scholar
Gibson, E. (1998). Linguistic complexity: locality of syntactic dependencies.Cognition, 68, 176.CrossRefGoogle ScholarPubMed
Glosser, G. and Deser, T. (1990). Patterns of discourse production among neurological patients with fluent language disorders. Brain and Language, 40, 6788.CrossRefGoogle Scholar
Groves-Wright, K., Neils-Strunjas, J., Burnett, R. and O'Neill, M. J. (2004). A comparison of verbal and written language in Alzheimer's disease. Journal of Communication Disorders, 37, 109130.CrossRefGoogle ScholarPubMed
Hier, D. B., Hagenlocker, K. and Shindler, A. G. (1985). Language disintegration in dementia: effects of etiology and severity. Brain and Language, 25, 117133.CrossRefGoogle ScholarPubMed
Hough, M. S. (2007). Incidence of word finding deficits in normal aging. Folia Phoniatrica et Logopaedica, 59, 1019.CrossRefGoogle ScholarPubMed
Jorm, A. F., Korten, A. E. and Henderson, A. S. (1987). The prevalence of dementia: a quantitative integration of the literature. -Acta Psychiatrica Scandinavica, 76, 465479.CrossRefGoogle ScholarPubMed
Kaprinis, S. and Stavrakaki, S. (2007). Morphological and syntactic abilities in patients with Alzheimer's disease. Brain and Language, 103, 5960.CrossRefGoogle Scholar
Kavé, G. and Levy, Y. (2003). Morphology in picture descriptions provided by persons with Alzheimer's Disease. Journal of Speech, Language, and Hearing Research, 46, 341352.CrossRefGoogle ScholarPubMed
Keller, J. and Rech, T. (1998). Towards a modular description of the deficits in spontaneous speech in dementia. Journal of Pragmatics, 29, 313332.CrossRefGoogle Scholar
Kempler, D., Curtiss, S. and Jackson, C. (1987). Syntactic preservation in Alzheimer's disease. Journal of Speech and Hearing Research, 30, 343350.CrossRefGoogle ScholarPubMed
Kintsch, W. and van Dijk, T. A. (1978). Toward a model of text comprehension and production. Psychological Review, 85, 363394.CrossRefGoogle Scholar
Kolk, H. (1995). A timed-based approach to agrammatic production. Brain and Language, 50, 282303.CrossRefGoogle Scholar
Labov, W. and Walestzky, J. (2003). Narrative Analysis: oral versions of personal experience. In Paulston, C. B. and Tucker, G. R. (eds.), Sociolinguistics: The Essential Readings. (pp. 74104). Malden: Blackwell.Google Scholar
Le Boeuf, C. (1976). Raconte – 55 historiettes en images. Paris: L'Ecole.Google Scholar
Levelt, W. J. M., Roelofs, A. and Meyer, A. S. (1999). A theory of lexical access in speech production. Behavioral and Brain Sciences, 22, 175.CrossRefGoogle ScholarPubMed
Marini, A., Boewe, A., Caltagirone, C. and Carlomagno, S. (2005). Age-related differences in the production of textual descriptions. Journal of Psycholinguistic Research, 34, 439462.CrossRefGoogle ScholarPubMed
McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D. and Stadlan, E. M. (1984). Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 34, 939944.CrossRefGoogle ScholarPubMed
Nicholas, M., Obler, L. K., Albert, M. L. and Helm-Estabrooks, N. (1985). Empty speech in Alzheimer's disease and fluent aphasia. Journal of Speech and Hearing Research, 28, 405410.CrossRefGoogle ScholarPubMed
Ortiz, K. Z. and Bertolucci, P. H. F. (2005). Language impairment in the early stages of Alzheimer's disease. Arquivos de Neuropsiquiatria, 63, 311317.CrossRefGoogle ScholarPubMed
Schultz, R. R., Siviero, M. O. and Bertolucci, P. H. F. (2001). The cognitive subscale of the “Alzheimer's Disease Assessment Scale” in a Brazilian sample. Brazilian Journal of Medical and Biological Research, 34, 12951302.CrossRefGoogle Scholar
Shrout, P. E. and Fleiss, J. L. (1979). Intraclass correlations: uses in assessing rater reliability. Psychological Bulletin, 86, 420428.CrossRefGoogle ScholarPubMed
Vigliocco, G. and Hartsuiker, R. J. (2002). The interplay of meaning. sound. and syntax in sentence production. Psychological Bulletin, 128, 442472.CrossRefGoogle ScholarPubMed