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Disruption of the serial position effect as an early marker of Alzheimer’s disease in Spanish–English bilinguals

Published online by Cambridge University Press:  21 June 2023

Reina Mizrahi*
Affiliation:
Department of Cognitive Science, University of California, San Diego, CA, USA
Oona Cromheecke
Affiliation:
Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium
David P. Salmon
Affiliation:
Department of Neurosciences, University of California, San Diego, CA, USA
Tamar H. Gollan
Affiliation:
Department of Psychiatry, University of California, San Diego, CA, USA
*
Corresponding author: Reina Mizrahi; Email: rmizrahi@ucsd.edu

Abstract

Objectives:

The present study examined if disruption of serial position effects in list recall could serve as an early marker of Alzheimer’s disease (AD) in Spanish–English bilinguals.

Methods:

We tested 20 participants initially diagnosed as cognitively normal or with mild cognitive impairment who declined and eventually received a diagnosis of AD (decliners), and 37 who remained cognitively stable (controls) over at least 2 years. Participants were tested on the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) Word List Learning Test in English or Spanish as part of an annual neuropsychological evaluation.

Results:

Compared to controls, decliners exhibited significantly reduced recall including reduced primacy scores (i.e., items recalled from the first three list items on Trial 1), whereas recency scores (i.e., items recalled from the last 3 list items on Trial 1) were equivalent in decliners and controls. Further analyses suggested that the sensitivity of the primacy effect to preclinical AD was initially stronger in participants tested in Spanish, a surprising finding given that the CERAD was developed for English speakers. However, in the subsequent year of testing, primacy scores declined to the same level regardless of language of testing.

Conclusions:

Several list learning measures may facilitate early diagnosis of AD in Spanish–English bilinguals, possibly including the relatively understudied primacy effect. Additional studies are needed to investigate the possibility that linguistic or demographic variables might modulate sensitivity of list learning tests to preclinical AD, which could lead to broader improvements in their utility for early diagnosis of AD in all populations.

Type
Research Article
Copyright
Copyright © INS. Published by Cambridge University Press 2023

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