알츠하이머병 환자의 양식(Modality)에 따른 이름대기 수행능력의 비교
A Comparison on the Naming Abilities by Modality in Patients with Alzheimer’s Disease
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Background: Impairments of language function represent patients with Alzheimer’s disease (AD) from the early stage and as the disease progresses the damage spreads over a much broader range of cognition and communicative functions. And, performances of the naming tasks in AD patients may reveal the gradual deterioration of their naming ability. Methods: In this study, naming ability was studied in patients with questionable AD (CDR 0.5, n=10), mild AD (CDR 1, n=10), moderate AD (CDR 2, n=10) and 10 healthy controls matched for age, gender and educational level using confrontation naming and naming by verbal definition tasks. The purpose of present study was 1) to investigate whether the confrontation naming and naming by verbal definition in Alzheimer’s disease is different depending on the severity, 2) to examine the effects of the syllabic cue on the two naming ability for the errors questions. Results: The results from this study are as follow: 1) The two naming performances of the all AD groups were lower than those of normal people and showed significant difference. 2) There were differences between the two naming tasks, significantly lower performance on confrontation naming task than naming by verbal definition. 3) The effects of syllabic cue decreased gradually as severity progressed. 4) The effects of syllabic cue were no significant differences between the two naming tasks. Conclusions: The results suggest that anomia in patients with AD is due to various impairment including to lexico-semantic system, visual processing, phonological processing and auditory comprehension.
Abstract
Background: Impairments of language function represent patients with Alzheimer’s disease (AD) from the early stage and as the disease progresses the damage spreads over a much broader range of cognition and communicative functions. And, performances of the naming tasks in AD patients may reveal the gradual deterioration of their naming ability. Methods: In this study, naming ability was studied in patients with questionable AD (CDR 0.5, n=10), mild AD (CDR 1, n=10), moderate AD (CDR 2, n=10) and 10 healthy controls matched for age, gender and educational level using confrontation naming and naming by verbal definition tasks. The purpose of present study was 1) to investigate whether the confrontation naming and naming by verbal definition in Alzheimer’s disease is different depending on the severity, 2) to examine the effects of the syllabic cue on the two naming ability for the errors questions. Results: The results from this study are as follow: 1) The two naming performances of the all AD groups were lower than those of normal people and showed significant difference. 2) There were differences between the two naming tasks, significantly lower performance on confrontation naming task than naming by verbal definition. 3) The effects of syllabic cue decreased gradually as severity progressed. 4) The effects of syllabic cue were no significant differences between the two naming tasks. Conclusions: The results suggest that anomia in patients with AD is due to various impairment including to lexico-semantic system, visual processing, phonological processing and auditory comprehension.
참고문헌 (37)
- Balyes KA, "Naming and categorical knowledge in Alzheimer’s disease: The process of semantic memory deterioration", Brain Lang, 39, pp.498~510 (1990)
- Adlam A, "Semantic knowledge in mild cognitive impairment", Cortex, 42, pp.675~684 (2006)
- Kim H, "Naming deficits in patients with dementia of the Alzheimer type: Error analysis of Korean version-Boston Naming Test", J Korean Neurol Associ, 15, pp.1012~1021 (1997)
- Bayles K, "Confrontation naming test impairment in dementia", Brain Lang, 19, pp.98~114 (1983)
- Ellis A, "Human Cognitive Neuropsychology" (1988), LEA
- Burke D, "On the tip of tongue: What causes word finding failures in young and older adults?", J Mem Lang, 30, pp.542~579 (1991)
- Huff J, "Semantic impairment and anomia in Alzheimer’s disease", Brain Lang, 23, pp.235~249 (1986)
- Hodges J, "Semantic memory impairment in Al-zheimer’s disease: Failure of access of degraded knowledge?", Neuropsychologia, 30, pp.301~314 (1992)
- Kirshner HS, "Language disturbance: An initial symptom of cortical degeneration and dementia", Arch Neurol, 41, pp.491~496 (1984)
- Rochford MJ, "A case of integrative visual agnosia", Brain, 110, pp.1431~1462 (1987)
- Lee GJ, "Naming deficits in patients with dementia of the Alzheimer Type", 석사, pp.2002
- Lambon Ralph MA, "No right to speak? The relationship between object naming and semantic impairment: Neuropsychological evidence and a computational model", J Cogn Neurosci, 13, pp.341~356 (2000)
- Cummings J, "Aphasia in dementia of the Alzheimer type", Neurology, 35, pp.394~397 (1985)
- Lambon Ralph MA, "Gogi aphasia or semantic dementia? Simulating and assessing poor verbal comprehension in a case of progressive fluent aphasia", Cogn Neuropsychol, 17, pp.437~465 (2001)
- McKhann G, "Clinical diagnosis of Alzheimer’s disease: Report of the NINCDS-ADRDA Work Group under the auspices of department of health and human service task force on Alzheimer’s disease", Neurology, 34, pp.939~944 (1984)
- Morris JC, "The Clinical Dementia Rating(CDR): Current version and scoring rules", Neurology, 43, pp.2412~2414 (1993)
- Kang YW, "A validity study on the Korean Mini-Mental State Examination (K-MMSE)", J Korean Neurol Associ, 15, pp.300~308 (1997)
- 김광해, "등급별 국어교육용 어휘" (2003), 박이정
- 연세대학교 언어정보개발연구원, "연세 초등국어사전" (2011), 두산동아
- 두산동아 사서편집국, "동아 새국어사전" (2005), 두산동아
- Balyes K, "Alzheimer’s disease effects on semantic memory: Loss of structure or impaired processing?", J Cogn Neurosci, 3, pp.166~182 (1991)
- Astell AJ, "Accessing semantic knowledge in demantia: Evidence from a word definition task", Brain Lang, 82, pp.312~327 (2002)
- Bayles K, "Cognitive-Communication Disorders of Dementia" (2007), Plural Publishing
- Huff J, "Semantic impairment and anomia in Alzheimer’s disease", Brain Lang, 23, pp.235~249 (1986)
- Snyder L, "Lexical decisions in patients with Alzheimer’s disease: Some notes on automatic versus controlled processing", J Commun Disord, 3, pp.70~98 (1997)
- Testa JA, "Confrontation naming dose not incremental diagnostic utility in MCI and Alzheimer’s disease", J Int Neuropsychol Soc, 10, pp.504~512 (2004)
- Chereney H, "Conribution of perceptual and lexical-semantic errors to the naming impairments in Alzheimer’s dementia as a function of disease severity", Aphasia, 5, pp.423~441 (1991)
- Henry JD, "Verbal fluency performance in dementia of the Alzheimer’s type: A meta-analysis", J Neuropsychol, 42, pp.1212~1222 (2004)
- Kilada S, "Brief screening tests for the diagnosis of dementia: Comparison with the Mini-Mental State Exam", Alzheimer Dis Assoc Disord, 19, pp.8~16 (2005)
- Duong A, "The heterogenity of pictrue-supported narratives in Alzheimer’s disease", Brain Lang, 93, pp.173~184 (2004)
- Hyunjoo Choi, "Performances in a Picture Description Task in Japanese Patients with Alzheimer’s Disease and with Mild Cognitive Impairment", Communication Sciences and Disorders, 14(3), pp.326~337 (2009), 한국언어청각임상학회
- Lee E, "A neurocognitive assessment: Mild dementia of the Alzheimer type, questionable dementia, and non-demented elderly", J Korean Neuropsychi Associ, 39, pp.167~181 (2000)
- 허민정, "초기 알츠하이머형 치매 환자의 음운인식", 지체.중복.건강장애연구, 51(4), pp.177~199 (2008), 한국지체.중복.건강장애교육학회
- Rochon E, "The relationship between measures of working memory and sentence comprehension in patients with Alzheimer’s disease", J Speech Lang Hear Res, 43, pp.395~413 (2000)
- Paek EJ, "The effect of visual perception on confrontation naming performance: Alzheimer’s disease versus Parkinson’s disease with dementia", 석사, pp.2009
- Kim MJ, "Famous people naming and identification ability depeding on severeity in Alzheimer disease", 석사, pp.2009
- Delazer M, "Anomia for people names in DAT evident for semantic and post-semantic impairment", Neuropsychologia, 41, pp.1593~1598 (2003)
