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Higher Order Cognition and Communication: A Preliminary Study for the Development of Brief Test of Cognitive-Communication Disorders

김보선|이미숙
한국청각언어재활학회 (Korean Academy of Audiology)|2020.07|Audiology and Speech Research|제16권 제3호|pp. 236-244

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참고문헌

키워드

CommunicationCorrelationMild cognitive impairment.의사소통·상관성·알츠하이머형 치매·고차원적 인지·경도인지장애.Dementia of Alzheimer’s typeHigher order cognition

초록

Purpose: Higher order cognition (HOC) is commonly impaired in neurological disease including mild cognitive impairment (MCI) and dementia of Alzheimer’s type (DAT). The impact of this deficit is particularly prominent in communication. The purpose of this preliminary study was to investigate the correlation between HOC and communication in MCI and DAT using Brief test of Cognitive-Communication Disorders (BCCD), and to demonstrate subdomains of communication as predictors of HOC. Methods: Healthy controls (n = 40), persons with MCI (n = 31) and DAT (n = 40) completed the subtests of HOC and communication in BCCD. HOC and communication tests consisted of 9 (organization/reasoning/problem solving/executive function) and 12 (comprehension/expression/reading & writing/pragmatic language) items respectively. Results: The main findings were as follows. Firstly, there was a significant difference among three groups in most subdomains and total scores of HOC and communication. Secondly, HOC was significantly associated with comprehension and total score in MCI. A significant relationship between HOC and all domains of communication was also observed in DAT. Thirdly, expression, pragmatic language, and total score were predictors of HOC in MCI, while only total score of communication predicted HOC for individuals with DAT. Conclusion: This study is expected to present clinically available data in assessment and intervention for cognitive-communication disorders. Specific communication measures as powerful indicators of HOC may contribute to increase the diagnostic and prognostic accuracy in MCI and DAT.

Abstract

Purpose: Higher order cognition (HOC) is commonly impaired in neurological disease including mild cognitive impairment (MCI) and dementia of Alzheimer’s type (DAT). The impact of this deficit is particularly prominent in communication. The purpose of this preliminary study was to investigate the correlation between HOC and communication in MCI and DAT using Brief test of Cognitive-Communication Disorders (BCCD), and to demonstrate subdomains of communication as predictors of HOC. Methods: Healthy controls (n = 40), persons with MCI (n = 31) and DAT (n = 40) completed the subtests of HOC and communication in BCCD. HOC and communication tests consisted of 9 (organization/reasoning/problem solving/executive function) and 12 (comprehension/expression/reading & writing/pragmatic language) items respectively. Results: The main findings were as follows. Firstly, there was a significant difference among three groups in most subdomains and total scores of HOC and communication. Secondly, HOC was significantly associated with comprehension and total score in MCI. A significant relationship between HOC and all domains of communication was also observed in DAT. Thirdly, expression, pragmatic language, and total score were predictors of HOC in MCI, while only total score of communication predicted HOC for individuals with DAT. Conclusion: This study is expected to present clinically available data in assessment and intervention for cognitive-communication disorders. Specific communication measures as powerful indicators of HOC may contribute to increase the diagnostic and prognostic accuracy in MCI and DAT.

참고문헌 (40)

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The Profile of Task Performances for Cognitive-Communicative Intervention in Subjective Cognitive DeclineMi Sook Lee한국청각언어재활학회 · Audiology and Speech Research2023 · 제19권 제2호The Profile of Task Performances for Cognitive-communicative Intervention in the Oldest-Old이미숙한국청각언어재활학회 · Audiology and Speech Research2021 · 제17권 제4호A Preliminary Study for the Development of Informant-Report Scale on Cognitive-Linguistic Abilities of the Elderly: Focused on Mild Cognitive Impairment and Alzheimer’s Disease김보선, 이미숙한국청각언어재활학회 · Audiology and Speech Research2020 · 제16권 제2호인지-의사소통장애 간편검사(BCCD) 개발을 위한 예비연구김보선, 이미숙특수교육재활과학연구소 · 특수교육재활과학연구2019 · 제58권 제4호Cognitive-Communicative Predictors of Mild Cognitive Impairment: A Systematic Review and Meta-Analysis이미숙한국청각언어재활학회 · Audiology and Speech Research2020 · 제16권 제4호인지-의사소통장애 간편검사 개발을 위한 예비연구:연령별 담화 수행과 인지기능의 상관성김보선, 이미숙특수교육재활과학연구소 · 특수교육재활과학연구2020 · 제59권 제4호

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