The problem of naming in SDAT: a relative deficit

Research relating to language disorder in senile dementia of the Alzheimer type (SDAT) has focused primarily on naming impairment, formally termed anomia or nominal aphasia/dysphasia. Data resulting from this research have been insufficiently informed by a comparative linguistic framework in which performance on naming tasks is contrasted with performance on other forms of language tasks. The present study involves the comparison of 21 adults with SDAT and 18 demographically controlled normal elderly adults on the Test for Syntactic Complexity and fifteen subtests of the Western Aphasia Battery. Performance on naming is compared with performance on oral language variables of repetition, yes/no response, auditory word recognition, sequential commands, syntactic processing, as well as with performance on reading tasks and non-verbal tasks. Findings relating to oral language tasks show that structured syntactic processing requiring explicit interpretation and sequential commands are significantly more difficult for the SDAT sample than are three of four naming tasks. Further, significant SDAT performance variability is found across naming tasks. The generative categorical naming task is found to be significantly more difficult for the SDAT patient than are the other three naming tasks. It is concluded that the generative categorical naming task should be regarded as a meta-naming task. In sum, it is found that although language dysfunction in SDAT has anomic components, the essential character of the language disorder is not best conceptualized as a problem of naming.     

Language deficits in depression: comparisons with SDAT and normal aging

In order to contribute to the definition of the structure of cognitive deficits in major depression/unipolar, language processing was studied in 20 elderly persons with major depression/unipolar, 23 elderly with SDAT, and 20 normal elderly. Measures administered included the Western Aphasia Battery, Test for Syntactic Complexity, and Chomsky Test of Syntax. Results indicate that depressed elderly performance on structural language variables of repetition, naming, auditory verbal comprehension, syntax, and reading is significantly better than performance of the SDAT sample. In contrast, results suggest that in comparing normal and depressed elderly, the normal elderly have the edge. On three measures of eleven, there are significant differences between depressed and normal elderly language processing. In analyzing the measures of significant difference, it is determined that complexity is an intervening variable. It is concluded that although the reason for language deficits in major depression/unipolar is as yet unknown, it is not justifiable at present to rule out an organic hypothesis.     

Breathe Easy,Speak Easy: Pulmonary Function and Language Performance in Aging

Background: This study explored the association between pulmonary function (PF) and older adults’ language performance accuracy. Study rationale was anchored in aging research reporting PF as a reliable risk factor affecting cognition among the elderly.

Methods: 180 adult English native speakers aged 55 to 84 years participated in the study. PF was measured through forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio (FFR). Language performance was assessed with an action naming test and an object naming test, and two tests of sentence comprehension, one manipulating syntactic complexity and the other, semantic negation. Greater PF was predicted to be positively associated with all tasks.

Results: Unadjusted models revealed FVC and FEV1 effects on language performance among older adults. Participants with higher FVC showed better naming on both tasks and those with higher FEV1 had better object naming only. In covariate-adjusted models, only a positive FVC-object naming association remained.

Conclusion: Findings were discussed in terms of brain oxygenation mechanisms, whereby good PF may implicate efficient oxygenation, supporting neurotransmitter metabolism that protects against neural effects of cerebrovascular risk. Effects on object naming were linked to putative differential oxygenation demands across language tasks.     

Language in dementia of recent referral

Twenty-four recently referred patients with dementia were assessed on a range of language tests and a mental status test. The tasks which appeared to present the most difficulties for the patients were written spelling, pragmatic processing tasks like sentence disambiguation and proverb interpretation. 'Straight' linguistic processing tasks sensitive to aphasia, like oral reading, serial identification of objects, naming and correction of semantically incorrect sentences, appeared to present fewer problems. It is concluded that certain language tasks may be useful and sensitive detectors of developing dementia, and that in early dementia those aspects of language which depend on straight linguistic processing can be relatively preserved.     

Temporal dynamics of verbal object comprehension

Knowledge of the stage composition and the temporal dynamics of human cognitive operations is critical for building theories of higher mental activity. This information has been difficult to acquire, even with different combinations of techniques such as refined behavioral testing, electrical recording/interference, and metabolic imaging studies. Verbal object comprehension was studied herein in a single individual, by using three tasks (object naming, auditory word comprehension, and visual word comprehension), two languages (English and Farsi), and four techniques (stimulus manipulation, direct cortical electrical interference, electrocorticography, and a variation of the technique of direct cortical electrical interference to produce time-delimited effects, called timeslicing), in a subject in whom indwelling subdural electrode arrays had been placed for clinical purposes. Electrical interference at a pair of electrodes on the left lateral occipitotemporal gyrus interfered with naming in both languages and with comprehension in the language tested (English). The naming and comprehension deficit resulted from interference with processing of verbal object meaning. Electrocorticography indices of cortical activation at this site during naming started 250–300 msec after visual stimulus presentation. By using the timeslicing technique, which varies the onset of electrical interference relative to the behavioral task, we found that completion of processing for verbal object meaning varied from 450 to 750 msec after current onset. This variability was found to be a function of the subject’s familiarity with the objects.     

Differences between two types of dual tasks according to the educational level in older adults

IntroductionFor dual-task paradigms, the timed up and go (TUG) test along with other cognitive or motor tasks has been used to evaluate and predict the risk of falling in older adults. However, the interference between motor-cognitive tasks can differ by the cognitive task.ObjectiveTo evaluate the performance of the TUG test under a single task condition and two dual-task conditions in older adults and to explore the effect of educational level on task performance.MethodsA total of 418 older adults (328 females) voluntarily participated in this study. The TUG test was administered as a single task and a dual task with one secondary simultaneous task: counting aloud backward from 100 or naming animals. Comparisons were performed to determine the interference caused by each cognitive task on the motor task, and correlation analysis was performed to explore the role of educational level.ResultsThe animal task led to a poorer TUG performance and a higher dual-task cost than did the counting task. Furthermore, the motor task led to a higher percentage of errors and cognitive stops in the animal task. Educational level plays a significant role in the interaction between tasks.ConclusionsBetween-task interference differs by the type of cognitive task performed and the educational level of the participants. The results of the present study should be considered when dual-task assessments are planned for older adults.     

The Role of Executive Functions in Object- and Action-Naming among Older Adults

Background/Study Context: Lexical retrieval abilities and executive function skills decline with age. The extent to which these processes might be interdependent remains unknown. The aim of the current study was to examine whether individual differences in three executive functions (shifting, fluency, and inhibition) predicted naming performance in older adults.

Methods: The sample included 264 adults aged 55–84. Six measures of executive functions were combined to make three executive function composites scores. Lexical retrieval performance was measured by accuracy and response time on two tasks: object naming and action naming. We conducted a series of multiple regressions to test whether executive function performance predicts naming abilities in older adults.

Results: We found that different executive functions predicted naming speed and accuracy. Shifting predicted naming accuracy for both object and action naming while fluency predicted response times on both tests as well as object naming accuracy, after controlling for education, gender, age, working memory span, and speed of processing in all regressions. Interestingly, inhibition did not contribute to naming accuracy or response times on either task.

Conclusion: The findings support the notion that preservation of some executive functions contributes to successful naming in older adults and that different executive functions are associated with naming speed and accuracy.     

The Effect of Plausibility on Sentence Comprehension Among Older Adults and its Relation to Cognitive Functions

Background/Study Context: Older adults show age-related decline in complex-sentence comprehension. This has been attributed to a decrease in cognitive abilities that may support language processing, such as working memory (e.g., Caplan, DeDe, Waters, & Michaud, 2011,Psychology and Aging, 26, 439–450). The authors examined whether older adults have difficulty comprehending semantically implausible sentences and whether specific executive functions contribute to their comprehension performance.

Methods: Forty-two younger adults (aged 18–35) and 42 older adults (aged 55–75) were tested on two experimental tasks: a multiple negative comprehension task and an information processing battery.

Results: Both groups, older and younger adults, showed poorer performance for implausible sentences than for plausible sentences; however, no interaction was found between plausibility and age group. A regression analysis revealed that inhibition efficiency, as measured by a task that required resistance to proactive interference, predicted comprehension of implausible sentences in older adults only. Consistent with the compensation hypothesis, the older adults with better inhibition skills showed better comprehension than those with poor inhibition skills.

Conclusion: The findings suggest that semantic implausibility, along with syntactic complexity, increases linguistic and cognitive processing loads on auditory sentence comprehension. Moreover, the contribution of inhibitory control to the processing of semantic plausibility, particularly among older adults, suggests that the relationship between cognitive ability and language comprehension is strongly influenced by age.     

Towards a deterioration of the structural and perceptive representations of objects in physiological aging?

Previous data collected in healthy elderly participants by our laboratory suggested impairment of visual and auditory object processing in normal aging. This impairment seemed not to be related to simple perceptual deficits. The aim of the present study was to identify the mechanism of this disorder according to serial models of object recognition, by dissociating the recognition abilities using naming tasks from a visual and from auditory stimuli, perceptual representations (visual and auditory), and semantic knowledge on the same 62 objects. Fifty three healthy participants were divided in three groups according to age (20-30 years, n = 17; 40-50 years, n = 14; 60-95 years, n = 22). They performed a battery assessing visual and auditory naming, judgement on semantic knowledge and perceptual visual properties, and matching of perceptual auditory properties of the same objects. The aged participants had lower performance on the naming tasks in both modalities, and worse perceptual properties performances again for both modalities than the other two groups. However, no significantly statistical difference was found on the semantic task. A significant correlation was found between age and the scores on each of the four tasks on which aged participants had lower scores than the youngest ones. No statistical difference was found between the two younger groups, but a trend was shown for the perceptual properties. Thus a degradation of perceptual representations of objects seems to be present in normal aging, but the nature of this degradation has to be specified.     

A visual recognition memory test for the assessment of cognitive function in aging and dementia

Young, non-demented elderly, and elderly demented subjects were administered a computerized visual recognition memory task. In the task, subjects were instructed to point out the new object from a group of objects whose number was progressively incremented. The test was subject-paced and made use of face-valid stimulus materials; it is closely comparable to tests developed for memory assessment in non-human primates that are sensitive to the effects of hippocampal ablation. The present task was found to elicit significant differences in performance between young and non-demented aged subjects, between the non-demented and demented elderly, and between demented subjects in the early and more advanced stages of senile dementia of the Alzheimer type (SDAT). In a discriminant analysis, the visual recognition memory test scores correctly classified 72.6% of the aged subjects and early SDAT patients. No significant difference in task performance was found between SDAT patients and demented patients with a significant cerebrovascular etiological component. Thus, although the task does not appear to be suitable for diagnostic purposes it would be useful for the assessment of treatment effects upon age-related cognitive dysfunction.     

Effects of attentional focus on upper extremity motor performance in post stroke patients: A randomized pilot study

Introduction:To facilitate the command to the learner, therapist can use verbal cues for guidance: internal focus (own body) and external focus (consequence of movement in the environment).Objective:To examine the effects of different attentional focus on upper limb motor performance in post-stroke.Methods:Randomized controlled trial with 2 groups. Study realized at Integrated Clinic of the Faculty of Health Science at Trairi (Santa Cruz, Rio Grande do Norte, Brazil). Twelve participants allocated into 2 groups. Two motor tasks were used: task 1, reach-point; task 2, reach-grasp-fit, with the paretic extremity, using verbal commands directed by a trained therapist. In the first phase, Group 1 received commands with internal focus, while Group 2 was instructed with commands with external focus. After 1 week, the command type was changed between groups. The variables collected was movement time, velocity and number of peaks velocityResults:Both attentional focus promoted significant differences in movement time and velocity, however, only Internal Focus provided significant results in both tasks of the same variables.Discussion:The benefits of 1 attentional focus on the other are not fully confirmed. However, not receiving any kind of attention guidance compromises motor performance. The results support the hypothesis that the benefits of the External Focus are accentuated when preceded by the Internal Focus.Clinical Trial Registration:Research Ethics Committee of the Faculty of Helth Science at Trairi (Facisa - UFRN)- Number CAAE 2.625.609, approved on April 13, 2018; Brazilian Registry of Clinical Trials - RBR-4995cr approved on July 4, 2019 retrospectively registered (http://www.ensaiosclinicos.gov.br/rg/RBR-4995cr/).     

Recognizing and naming tunes: memory impairment in the elderly

Subjects over the age of 50 listened to theme tunes of remote, recent, and frequent television programs. If they recognized the tune, they were asked for the name of the program and for as much information about the program as possible. From the responses to a subsequent questionnaire, it was possible to divide the data according to whether or not the subjects watched the programs. There was no effect of age on the recognition and naming of programs subjects never watched. For programs they watched (a true test of memory), older subjects recognized fewer tunes as familiar and were less able than younger subjects to name the programs with familiar tunes. Neither the amount of exposure nor the delay since exposure had a significant influence on the recognition and naming impairments with age. Older subjects reported less information about programs they watched than younger subjects. In multiple regression analyses, age was a better predictor of performance than measures of current cognitive ability. The results are compared with the effects of age on the recognition and naming of famous faces (Maylor, 1990a). It is argued that the studies together support the view that the information processing rate decreases with age; therefore the elderly are poor at speeded tasks, the most dramatic effects appearing for later components of sequential processes.     

Self-guided strategy-adaption training for older adults: Transfer effects to everyday tasks

ObjectivesThe goal of the present research was to examine the potential of a learner-oriented approach to improving older adults’ performance in tasks that are similar to real-life situations that require strategic deployment of cognitive resources. A crucial element of this approach involves encouraging older adults to explicitly analyze tasks to consider how to adapt trained skills to a new task context. In an earlier study, a specialist-directed intervention produced training gains and transfer to some untrained memory tasks.MethodIn the present study, older adults received a manual instructing them about principles of task analysis, two memory strategies, and strategy adaptation. Self-guided strategy-adaption training involved practicing some memory tasks as well as instructions on how the trained skills could be applied to new tasks that were not practiced. The criterion tasks involved practice tasks, non-practiced tasks that were discussed in the manual, and transfer tasks that were never mentioned in the manual. Two of the tests were from the Everyday Cognition Battery (inductive reasoning and working memory).ResultsAs compared to a waiting-list control group, older adults assigned to self-guided strategy-adaption training showed memory improvements on tasks that were practiced or discussed during training. Most important, the learner-oriented approach produced transfer to the everyday tasks.ConclusionOur findings show the potential of instructing task appraisal processes as a basis for fostering transfer, including improving older adults’ performance in simulated everyday tasks.     

Task specificity in age-related slowing: word production versus conceptual comparison

We analyzed age-related slowing in 29 younger (M = 22 years) and 30 older adults (M = 70 years) who performed a conceptual comparison task, a naming task, and a simple reaction time task. Both vocal and manual responses were elicited in all except the naming task. Results did not support the hypothesis that there is greater age-related slowing in comparison tasks than in production tasks. In contrast, we found an interaction between age and response modality in the conceptual comparison task. Response latencies of younger participants were shorter in the manual modality whereas those of older participants were shorter in the vocal modality. In the simple reaction time task manual responses were faster in the two age groups. These findings are discussed in relation to models assuming task-specific slowing factors.     

From the Cover: Brain signatures of artificial language processing: Evidence challenging the critical period hypothesis

Adult second language learning seems to be more difficult and less efficient than first language acquisition during childhood. By using event-related brain potentials, we show that adults who learned a miniature artificial language display a similar real-time pattern of brain activation when processing this language as native speakers do when processing natural languages. Participants trained in the artificial language showed two event-related brain potential components taken to reflect early automatic and late controlled syntactic processes, whereas untrained participants did not. This result challenges the common view that late second language learners process language in a principally different way from native speakers. Our findings demonstrate that a small system of grammatical rules can be syntactically instantiated by the adult speaker in a way that strongly resembles native-speaker sentence processing.     

Fast, but error-prone, responses during acute alcohol intoxication: effects of stimulus-response mapping complexity

BACKGROUND: Although moderate doses of alcohol can impair performance on tasks that require information processing, little is known about the locus of the alcohol effects within the processing stream. This study used a psychological refractory period paradigm to investigate the effect of alcohol on the central, cognitive stage of information processing when task complexity is manipulated by altering stimulus-response compatibility. METHODS: Thirty-four healthy male social drinkers were assigned to one of two groups (n = 17) that performed two tasks. Each trial consisted of a task 1 stimulus (tone) followed by a task 2 stimulus (letter) that was presented after one of four stimulus onset asynchronies (50, 200, 500, or 1100 msec). A baseline test of performance was obtained before the groups received a beverage containing either 0.0 g/kg (placebo) or 0.65 g/kg alcohol. Both groups were retested when blood alcohol concentration (BAC) was increasing and was decreasing. RESULTS: The alcohol group made significantly more errors in task 1 compared with their drug-free baseline measure during the ascending phase of the BAC curve, and error rates increased to a greater extent for the more complex arbitrary stimulus-response mapping condition. Moreover, this increase in errors continued unabated during the descending phase of the BAC curve. Increasing BACs also slowed performance (longer reaction time), but unlike errors, reaction time returned to drug-free baseline levels when BAC was decreasing. CONCLUSIONS: The results provide evidence that an acute dose of alcohol can impair one aspect of the central, cognitive stages of information processing. The possibility that errors in information processing remain during decreasing BACs even after processing speed has returned to drug-free levels has important practical implications relating to the detrimental consequences of acute alcohol intoxication.     

Newly trained lexical categories produce lateralized categorical perception of color

Linguistic categories have been shown to influence perceptual discrimination, to do so preferentially in the right visual field, to fail to do so when competing demands are made on verbal memory, and to vary with the color-term boundaries of different languages. However, because there are strong commonalities across languages in the placement of color-term boundaries, the question remains open whether observed categorical perception for color can be entirely a result of learned categories or may rely to some degree on innate ones. We show here that lateralized color categorical perception can be entirely the result of learned categories. In a visual search task, reaction times to targets were faster in the right than the left visual field when the target and distractor colors, initially sharing the same linguistic term (e.g., “blue”), became between-category colors after training (i.e., when two different shades of blue had each acquired a new name). A control group, whose conditions exactly matched those of the experimental group except that no new categories were introduced, did not show this effect, establishing that the effect was not dependent on increased familiarity with either the color stimuli or the task. The present results show beyond question that lateralized categorical perception of color can reflect strictly learned color categories, even artificially learned categories that violate both universal tendencies in color naming and the categorization pattern of the language of the subject.     

The interacting effects of treadmill walking and different types of visuospatial cognitive task: Discriminating dual task and age effects

ObjectiveThe objective of this study is to examine the influence that visuospatial cognitive tasks have on gait function during DT treadmill walking, and as a function of age. Conversely, to examine the influence that walking has on executive functions involving visuospatial processing.MethodsTwenty-five young (26 ± 6.1 years) and 25 older adults (76 ± 3.9) performed different types of computerized visuomotor (VM) tracking and visuospatial cognitive tasks (VCG) while standing and treadmill walking. Spatiotemporal gait variables, average values and co-efficient of variation (COV) were obtained from 40 consecutive steps during single- and dual-task walk trials. Performance-based measures of the VM and VCG task were obtained during standing and walking.ResultsVM dual-task walking had a significant effect on gait measures in the young age group (YG), but no DT effect was observed in the old age group (OG). Visuomotor tracking performance, however, was significantly reduced in the OG as compared to the YG when tested in both standing and walking. The opposite was true for VCG; a significant DT effect on gait performance was observed in the OG, but no DT effect was observed in the YG. Success rate of the VCG task decreased during walking, but only for OG.ConclusionControlling gait speed and objective evaluation of the visuospatial cognitive tasks helps to determine the level of engagement in the DT tasks. This is important in order to determine the strategies used during the DT test protocols, i.e. cross-domain interference.     

The influence of physical fitness on automatic and effortful memory changes in aging.

A cross-sectional study was carried out in order to determine the influence of cardiovascular fitness on age-related declines in cognitive performance. Forty-eight volunteers were divided into Young (n = 13, 18-27 years), Middle-Aged (n = 22, 60-65 years) and Old (n = 13, 65-88 years) groups and tested on a battery of cardiovascular, pulmonary, hemodynamic, and biochemical tests in order to assess physical fitness. Cognitive performance was evaluated by a variety of memory tasks distributed along an automatic-to-effortful processing continuum. Memory for location and frequency of occurrence were selected as representative of automatic processing, whereas, an auditory free-recall task was selected as representative of effortful processing. Age-related performance declines were observed for the free-recall task, but no such age-dependent association was observed for frequency and location memory. With regard to the influence of physical fitness; the Middle-Aged and Older participants were divided into High and Low Fitness groups and significant differences were observed between these groups for the effortful but not the automatic memory tasks. These data suggest that the relationship between physical fitness and cognitive performance in old age is task dependent. Furthermore, the apparent prophylactic effects of physical fitness on effortful memory, do not appear to extend to cognitive tasks requiring less effortful processing.     

Age and planning tasks: the influence of ecological validity

Planning ability is important in many everyday tasks, such as cooking and shopping. Previous studies have investigated aging effects on planning, looking at either widely used laboratory-based neuropsychological tasks such as the Tower of London (TOL) or more naturalistic planning tasks, such as organizing shopping errands. In the current study, we compare the effects of normal adult aging on both the TOL and a more ecologically valid planning task, the Plan-a-Day (PAD) task. There was a reliable decline in TOL planning performance with age, but no significant correlation between age and PAD planning performance. Age-related variance was partly explained by variance in information processing speed and education. It is proposed that in more ecologically valid planning tasks, age changes in processing speed can be compensated for by task-related knowledge. Implications for everyday planning performance by older adults are considered.