Listy klinické logopedie 2024, 8(1):4-10 | DOI: 10.36833/lkl.2024.0011026

Discourse Informativeness in Alzheimer's Disease and Mild Cognitive Impairment

Viktória Čiernik Kevická, Petra Brandoburová, Jana Marková1
Mgr. Viktória Čiernik Kevická, Ph.D., Doc. PaedDr. Jana Marková, Ph.D., Katedra logopédie, Pedagogická fakulta Univerzity Komenského v Bratislave, Pedagogická fakulta, Račianska 59, 813 34 Bratislava, Slovenská republika. E-mail: kevicka@fedu.uniba.sk.
Ústav informatiky Slovenskej akadémie vied v. v. i., Dúbravská cesta 9, 845 07 Bratislava, Slovenská republika.
Mgr. Petra Brandoburová, Ph.D., Centrum MEMORY, n. o., Mlynarovičova 2571/21, 851 03 Bratislava, Slovenská republika.
Katedra psychológie, Filozofická fakulta Univerzity Komenského v Bratislave, Gondova ulica 2, 811 02 Bratislava, Slovenská republika. , ,
II. Neurologická klinika LFUK a UNB, Nemocnica akad. L. Dérera, Limbová 5, 833 05 Bratislava, Slovenská republika.

In recent years, the assessment of the language abilities of persons with cognitive deficits has focused on discourse assessment. Specifically, the assessment of informativeness proves to be an effective diagnostic tool. This is an evaluation that combines a structuralist and functionalist approach to discourse analysis. The aim of this study is to evaluate discourse informativeness of persons with Alzheimer's dementia (AD) and mild cognitive impairment (MCI). The research sample consists of 25 persons with AD, 25 persons with MCI and 25 healthy controls. Discourse samples are elicited using picture description. Main concept analysis is used to evaluate informativeness. The results show significant differences in the performance of the three groups of the research sample, with the most concepts being expressed by people from the control sample, followed by the MCI group, and the least concepts being expressed by the AD group. According to the results of the post-hoc test, there are significant differences in informativeness between AD and healthy controls, between MCI and healthy controls, and also between AD and MCI. Based on the results of the study, main concept analysis and thus the evaluation of informativeness appears to be a suitable method for capturing language difficulties in AD and MCI. The goal of further research should be a detailed elaboration of main concept analysis and its application to other elicitation materials commonly used in Slovak practice.

Keywords: informatívnosť, opis obrázka, diskurz, Alzheimerova choroba, mierna kognitívna porucha

Received: November 18, 2023; Revised: February 1, 2024; Accepted: March 3, 2024; Published: June 14, 2024  Show citation

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Čiernik Kevická V, Brandoburová P, Marková J. Discourse Informativeness in Alzheimer's Disease and Mild Cognitive Impairment. Listy klinické logopedie. 2024;8(1):4-10. doi: 10.36833/lkl.2024.001.
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    References

    1. ARMSTRONG, E., 2000. Aphasic discourse analysis: The story so far. Aphasiology. [online]. 14(9), s. 875-892. DOI: https://doi.org/10.1080/02687030050127685. Dostupné z: Aphasic discourse analysis: The story so far: Aphasiology: Vol 14, No 9 (tandfonline.com). Go to original source...
    2. BÄCKMAN, L. et al., 2005. Cognitive impairment in preclinical Alzheimer's disease: A meta-analysis. Neuropsychology. [online]. 19(4), s. 520-531. DOI: 10.1037/0894-4105.19.4.520. Dostupné z: Cognitive impairment in preclinical Alzheimer>s disease: A meta-analysis. (apa.org). Go to original source... Go to PubMed...
    3. BOSCHI, V. et al., 2017. Connected speech in neurodegenerative language disorders: A review. Frontiers in Psychology. [online]. 8. DOI: 10.3389/fpsyg.2017.00269. Dostupné z: Frontiers | Connected Speech in Neurodegenerative Language Disorders: A Review (frontiersin.org). Go to original source...
    4. BROOKSHIRE, R. H., NICHOLAS, L. E., 1995. Performance deviations in the connected speech of adults with no brain damage and adults with aphasia. American Journal of Speech-Language Pathology. [online]. 4(4), s. 118-123. DOI: 10.1044/1058-0360.0404.118. Dostupné z: Performance Deviations in the Connected Speech of Adults With No Brain Damage and Adults With Aphasia | American Journal of Speech-Language Pathology (asha.org). Go to original source...
    5. CARLOMANGO, S. et al., 2005. Referential communication on Alzheimer's type dementia. Cortex. [online]. 41(4), s. 520-534. DOI: 10.1016/s0010-9452(08)70192-8. Dostupné z: Referential Communication in Alzheimer's Type Dementia - ScienceDirect. Go to original source... Go to PubMed...
    6. DALTON, S. G. H., RICHARDSON, J. D., 2019. A large-scale comparison of main concept production between persons with aphasia and persons without brain injury. American Journal of Speech and Language Pathology. [online]. 28(1S), s. 293-320. DOI: 10.1044/2018_AJSLP-17-0166. Dostupné z: A Large-Scale Comparison of Main Concept Production Between Persons With Aphasia and Persons Without Brain Injury | American Journal of Speech-Language Pathology (asha.org). Go to original source... Go to PubMed...
    7. DETOLEDO-MORELL, L. et al., 2007. Hippocampal atrophy and disconnection in incipient and mild Alzheimer's disease. Progress in Brain Research. [online]. 163, s. 741-753. DOI: 10.1016/S0079-6123(07)63040-4. Dostupné z: Hippocampal atrophy and disconnection in incipient and mild Alzheimer's disease - ScienceDirect. Go to original source... Go to PubMed...
    8. DRUMMOND, C. et al., 2015. Deficits in narrative discourse elicited by visual stimuli are already present in patients with mild cognitive impairment. Frontiers in Aging Neuroscience. [online]. 7. DOI: 10.3389/fnagi.2015.00096. Dostupné z: Frontiers | Deficits in narrative discourse elicited by visual stimuli are already present in patients with mild cognitive impairment (frontiersin.org). Go to original source...
    9. FORBES, K. E. et al., 2002. Distinct patterns of spontaneous speech deterioration: An early predictor of Alzheimer's disease. Brain and Cognition. [online]. 48(2-3), s. 356-361. DOI: https://doi.org/10.1006/brcg.2001.1377. Dostupné z: Distinct patterns of spontaneous speech deterioration: an early predictor of Alzheimer>s disease. - Abstract - Europe PMC. Go to original source...
    10. KIM, B. S. et al., 2019. Discourse measures to differentiate between mild cognitive impairment and healthy aging. Frontiers in Aging Neuroscience. [online]. 11. DOI: 10.3389/fnagi.2019.00221. Dostupné z: Frontiers | Discourse Measures to Differentiate Between Mild Cognitive Impairment and Healthy Aging (frontiersin.org). Go to original source...
    11. KEVICKÁ, V. et al., 2021. Analýza spontánnej reči a jej využitie v logopedickej praxi. Bratislava: UK. ISBN: 9788022350976.
    12. KONG, A. P., 2009. The use of main concept analysis to measure discourse production on Cantonese-speaking persons with aphasia: A preliminary report. Journal of Communication Disorders. [online]. 42(6), s. 442-464. DOI: 0.1016/j.jcomdis.2009.06.002. Dostupné z: The use of main concept analysis to measure discourse production in Cantonese-speaking persons with aphasia: A preliminary report - ScienceDirect-. Go to original source... Go to PubMed...
    13. KONG, A. P. et al., 2015. The main concept analysis: Validation and sensitivity in differentiating discourse produced by unimpaired English speakers from individuals with aphasia and dementia of Alzheimer type. Logopedics Phoniatrics Vocology. [online]. 41(3), s. 129-141. DOI: 10.3109/14015439.2015.1041551. Dostupné z: The Main Concept Analysis: Validation and sensitivity in differentiating discourse produced by unimpaired English speakers from individuals with aphasia and dementia of Alzheimer type: Logopedics Phoniatrics Vocology: Vol 41 , No 3 - Get Access (tandfonline.com). Go to original source... Go to PubMed...
    14. KONG, A. P. et al., 2023. Spoken discourse in episodic autobiographical and verbal short-term memory in Chinese people with dementia: The roles of global coherence and informativeness. Frontiers in Psychology. [online]. 14. DOI: https://doi.org/10.3389/fpsyg.2023.1124477. Dostupné z: Frontiers | Spoken discourse in episodic autobiographical and verbal short-term memory in Chinese people with dementia: the roles of global coherence and informativeness (frontiersin.org). Go to original source...
    15. LAMPTEY, R. N. L. et al., 2022. A review of the common neurodegenerative disorders: Current therapeutic approaches and the potential role of nanotherapeutics. International Journal of Molecular Sciences. [online]. 23(3). DOI: 10.3390/ijms23031851. Dostupné z: IJMS | Free Full-Text | A Review of the Common Neurodegenerative Disorders: Current Therapeutic Approaches and the Potential Role of Nanotherapeutics (mdpi.com). Go to original source... Go to PubMed...
    16. MARINI, A., URGESI, C., 2012. Please get to the point! A cortical correlate of linguistic informativeness. Journal of Cognitive Neuroscience. [online]. 24(11), s. 2211-2212. DOI: 10.1162/jocn_a_00283. Dostupné z: Please Get to the Point! A Cortical Correlate of Linguistic Informativeness | Journal of Cognitive Neuroscience | MIT Press. Go to original source... Go to PubMed...
    17. MAZZON, G. et al., 2019. Connected speech deficit as an early hallmark of CSF-defined Alzheimer's disease and correlation with cerebral hypoperfusion pattern. Current Alzheimer Research. [online]. 16(6), s. 483-494. DOI: 10.2174/1567205016666190506141733. Dostupné z: Connected Speech Deficit as an Early Hallmark of CSF-defined Alzheimer's Disease and Correlation with Cerebral Hypoperfusion Pattern | Bentham Science (eurekaselect.com). Go to original source... Go to PubMed...
    18. MUELLER, K. D. et al., 2016. Connected language in late middle-aged adults at risk for Alzheimer's disease. Journal of Alzheimer's Disease. [online]. 54(4), s. 1539-1550. DOI: 10.3233/JAD-160252. Dostupné z: Connected Language in Late Middle-Aged Adults at Risk for Alzheimer's Disease - IOS Press. Go to original source... Go to PubMed...
    19. MURRAY, L., 2010. Distinguishing clinical depression from early Alzheimer's disease in elderly people: Can narrative analysis help? Aphasiology. [online]. 24(6-8), s. 928-939. DOI: 10.1080/02687030903422460. Dostupné z: Distinguishing clinical depression from early Alzheimer's disease in elderly people: Can narrative analysis help?: Aphasiology: Vol 24 , No 6-8 - Get Access (tandfonline.com). Go to original source...
    20. NEMCOVÁ, M., 2020. Model rozprávania a prerozprávania príbehu. In: Varia XXVIII. Zborník príspevkov z XXVIII. kolokvia mladých jazykovedcov. Nitra: Univerzita Konštantína Filozofa v Nitre, 2020, s. 154-160. ISBN 978-80-558-1632-6. Dostupné z: varia_XXVIII_a.pdf (savba.sk).
    21. NICHOLAS, L. D., BROOKSHIRE, R. H., 1993. A system for quantifying the informativeness and efficiency of the connected speech of adults with aphasia. Journal of Speech and Hearing Research. [online]. 36(2), s. 338-350. DOI: 10.1044/jshr.3602.338. Dostupné z: A System for Quantifying the Informativeness and Efficiency of the Connected Speech of Adults With Aphasia | Journal of Speech, Language, and Hearing Research (asha.org). Go to original source... Go to PubMed...
    22. NICHOLAS, L. D., BROOKSHIRE, R. H., 1995. Presence, completeness, and accuracy of main concepts in the connected speech of non-brain-damaged adults and adults with aphasia. Journal of Speech and Hearing Research. [online]. 38, s. 145-156. DOI: https://doi.org/10.1044/jshr.3801.145. Dostupné z: Presence, Completeness, and Accuracy of Main Concepts in the Connected Speech of Non-Brain-Damaged Adults and Adults With Aphasia | Journal of Speech, Language, and Hearing Research (asha.org). Go to original source...
    23. PERRY, R. J., HODGES, J. R., 1999. Attention and executive deficits in Alzheimer's disease: A critical review. Brain. [online]. 122(3), s. 383-404. DOI: 10.1093/brain/122.3.383. Dostupné z: Attention and executive deficits in Alzheimer>s disease | Brain | Oxford Academic (oup.com). Go to original source... Go to PubMed...
    24. PISTONO, A. et al., 2019. Discourse macrolinguistic impairment as a marker of linguistic and extralinguistic functions decline in early Alzheimer's disease. International Journal of Language and Communication Disorders. [online]. 54(3), s. 390-400. DOI: 10.1111/1460-6984.12444. Dostupné z: Discourse macrolinguistic impairment as a marker of linguistic and extralinguistic functions decline in early Alzheimer>s disease - Pistono - 2019 - International Journal of Language & Communication Disorders - Wiley Online Library. Go to original source... Go to PubMed...
    25. PRITCHARD, M. et al., 2017. Reviewing the quality of discourse information measures in aphasia. International Journal of Language and Communication Disorders. [online]. 52(6), s. 689-732. DOI: https://doi.org/10.1111/1460-6984.12318. Dostupné z: Reviewing the quality of discourse information measures in aphasia - Pritchard - 2017 - International Journal of Language & Communication Disorders - Wiley Online Library. Go to original source...
    26. RICHARDSON, J. D. et al., 2021. Main concept, sequencing, and story grammar analyses of Cinderella narratives in a large sample of persons with aphasia. Brain Sciences. [online]. 11(1). DOI: 10.3390/brainsci11010110. Dostupné z: Brain Sciences | Free Full-Text | Main Concept, Sequencing, and Story Grammar Analyses of Cinderella Narratives in a Large Sample of Persons with Aphasia (mdpi.com). Go to original source... Go to PubMed...

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