低学历阿尔茨海默病患者连接言语及其与记忆关系的自动评估。

IF 1.1 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Folia Phoniatrica et Logopaedica Pub Date : 2024-01-01 Epub Date: 2023-10-25 DOI:10.1159/000534694
Anderson Dick Smidarle, Maximiliano A Wilson, Sidney Evaldo Leal, Sandra Maria Aluísio, Bárbara Luzia Covatti Malcorra, Lucas Porcello Schilling, Lilian Cristine Hübner
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引用次数: 0

摘要

引言:语篇是阿尔茨海默病(AD)影响的主要语言方面之一,它与记忆的关系需要进一步研究,主要是在低教育和低社会经济地位(SES)群体中。本研究旨在通过使用自动评估,调查轻度AD(AD)参与者与典型老年人(CG)对照组在简短叙述回忆方面的差异。方法:17名被诊断为AD的老年人(平均年龄76.41,平均受教育程度5.82)和34名典型老年人(均值74.26,平均受文化程度7.09)被要求听并复述一个短篇故事。句法、词汇和语义特征通过NILC Metrix软件进行评估,这些特征与情景、工作和语义记忆评估相关。结果:在评估的34个特征中,有7个存在差异。从句法上讲,被诊断为AD的组产生的叙事句子更少,每句话的单词更少,Yngve深度得分更低。在词汇方面,AD组每句话的单词和介词较少。从语义上讲,AD组制作的叙事以平均习得年龄较低、Brunét指数得分较低的单词为特色。CG组的情景记忆表现与连词的比例相关。CG中的语义记忆和工作记忆没有发现其他显著相关性。AD组的记忆表现与语言特征之间没有相关性。讨论:对语言特征的自动评估显示,与语法、词汇和语义层面的健康对照相比,被诊断为AD的参与者的叙事回忆受损。这些发现证实了先前的文献,表明AD患者的认知障碍导致话语产出表现下降。结论:通过叙事回忆任务对语言表现的评估为阿尔茨海默病相关的认知下降提供了有价值的见解。
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Automatic Assessment of Connected Speech and Its Relation to Memory in Alzheimer's Disease in Low Education.

Introduction: Discourse is one of the main linguistic aspects affected by Alzheimer's disease (AD), and its relationship with memory needs to be further studied, mainly in low education and low socioeconomic status groups. The present study aimed to investigate differences in the recall of short narratives between participants with mild AD and a control group (CG) of typical older adults (CG) with the use of automatic assessment.

Methods: Seventeen older adults diagnosed with AD (mean age 76.41, mean education 5.82) and 34 typical older adults (mean age 74.26, mean education 7.09) were asked to listen to and then retell a short story. Syntactic, lexical, and semantic features were assessed via the NILC-Metrix software, and the features were correlated with episodic, working, and semantic memory assessment.

Results: Differences were found in 7 of the 34 features assessed. Syntactically, the group diagnosed with AD produced narratives with fewer sentences, fewer words per sentence, and lower Yngve depth scores. Lexically, the AD group produced narratives with fewer words and prepositions per sentence. Semantically, the narratives produced by the AD group featured words with a lower mean age of acquisition and lower Brunét's index scores. For the CG, episodic memory performance correlated with the ratio of conjunctions. No other significant correlation was found for semantic and working memory in the CG. No correlation was found between memory performance and linguistic features for the AD group.

Discussion: The automatic assessment of linguistic features showed impaired narrative recall in participants diagnosed with AD relative to healthy controls at the syntactic, lexical, and semantic levels of discourse. These findings corroborate previous literature showing a decline in discourse production performance resulting from cognitive impairment in AD.

Conclusion: The assessment of linguistic performance through a narrative recall task provides valuable insights into cognitive decline related to AD.

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来源期刊
Folia Phoniatrica et Logopaedica
Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
2.30
自引率
10.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.
期刊最新文献
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