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Microlinguistic aspects of the oral narrative in patients with Alzheimer's disease

  • Juliana Onofre de Lira (a1), Karin Zazo Ortiz (a1), Aline Carvalho Campanha (a1), Paulo Henrique Ferreira Bertolucci (a2) and Thaís Soares Cianciarullo Minett (a3)...

Background: Alzheimer's disease (AD) is characterized by memory loss and cognitive impairment. Phonological, syntactic, semantic and discursive aspects of language may also be affected. Analysis of micro- and macrolinguistic abilities of discourse may assist in diagnosing AD. The aim of this study was to identify changes in the discourse (lexical errors and syntactic index) of AD patients.

Methods: 121 elderly subjects narrated a story based on a seven-figure picture description.

Results: Patients with AD presented more word-finding difficulties, revisions and repetitions, and the syntactic index was lower than controls.

Conclusion: Performance in microlinguistics at the lexical and syntactic levels was lower than expected in participants with AD.

Corresponding author
Correspondence should be addressed to: Juliana Onofre de Lira, Department of Speech Therapy, São Paulo Federal University, Euclides Pacheco St, 803/1310. São Paulo, SP, 03321-000, Brazil. Tel/fax: +55 11 3881-7705 Email:
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André H. A. (1997). Análise sintática: classificação de orações. In André H. A. (ed.), Gramática Ilustrada (pp. 331374). São Paulo: Moderna.
Bates E., Harris C., Marchman V., Wulfeck B. and Kritchevsky M. (1995). Production of complex syntax in normal ageing and Alzheimer's disease. Language and Cognitive Processes, 10, 487539.
Blanken G., Dittmann J., Haas J. C. and Wallesch C. W. (1987). Spontaneous speech in senile dementia and aphasia: Implications for a neurolinguistic model of language production. Cognition, 27, 247274.
Brucki S. M. D., Nitrini R., Caramelli P., Bertolucci P. H. F. and Okamoto I. H. (2003). Suggestions for utilization of the Mini-mental State Examination in Brazil. Arquivos de Neuropsiquiatria, 61, 777781.
Bschor T., Kuhl K. P. and Reischies F. M. (2001). Spontaneous speech of patients with dementia of the Alzheimer type and mild cognitive impairment. International Psychogeriatrics, 13, 289–98.
Caplan D. and Waters G. S. (1995). Aphasic disorders of syntactic comprehension and working memory capacity. Cognitive Neuropsychology, 12, 637649.
Cardebat D., Demonet J. F. and Doyon B. (1993). Narrative discourse in dementia. In Brownell H. H. H. and Joanette Y. (eds.), Narrative Discourse in Neurologically Impaired and Normal Aging Adults (pp. 317322). San Diego: Singular.
Croisile B. et al. (1996). Comparative study of oral and written picture description in patients with Alzheimer's disease. Brain and Language, 53, 119.
Duong A. and Ska B. (2001). Production of narratives: picture sequence facilitates organizational but not conceptual processing in less educated subjects. Brain and cognition, 46, 121124.
Duong A., Giroux F., Tardif A. and Ska B. (2005). The heterogeneity of picture-supported narratives in Alzheimer's disease. Brain and Language, 93, 173184.
Erlich J. S., Obler L. K. and Clark L. (1997). Ideational and semantic contributions to narrative production in adults with dementia of the Alzheimer's type. Journal of Communication Disorders, 30, 7999.
Fehringer C. and Fry C. (2007). Frills, furbelows and activated memory: syntactically optional elements in the spontaneous language production of bilingual speakers. Language Sciences, 29, 497511.
Forbes-McKay K. E. and Venneri A. (2005). Detecting subtle spontaneous language decline in early Alzheimer's disease with a picture description task. Neurological Sciences, 26, 243254.
Garrett M. F. (1975). The analysis of sentence production. In Bower G. H. (ed.), The Psychology of Learning and Motivation (pp. 133177). New York: Academic Press.
Gibson E. (1998). Linguistic complexity: locality of syntactic dependencies.Cognition, 68, 176.
Glosser G. and Deser T. (1990). Patterns of discourse production among neurological patients with fluent language disorders. Brain and Language, 40, 6788.
Groves-Wright K., Neils-Strunjas J., Burnett R. and O'Neill M. J. (2004). A comparison of verbal and written language in Alzheimer's disease. Journal of Communication Disorders, 37, 109130.
Hier D. B., Hagenlocker K. and Shindler A. G. (1985). Language disintegration in dementia: effects of etiology and severity. Brain and Language, 25, 117133.
Hough M. S. (2007). Incidence of word finding deficits in normal aging. Folia Phoniatrica et Logopaedica, 59, 1019.
Jorm A. F., Korten A. E. and Henderson A. S. (1987). The prevalence of dementia: a quantitative integration of the literature. -Acta Psychiatrica Scandinavica, 76, 465479.
Kaprinis S. and Stavrakaki S. (2007). Morphological and syntactic abilities in patients with Alzheimer's disease. Brain and Language, 103, 5960.
Kavé G. and Levy Y. (2003). Morphology in picture descriptions provided by persons with Alzheimer's Disease. Journal of Speech, Language, and Hearing Research, 46, 341352.
Keller J. and Rech T. (1998). Towards a modular description of the deficits in spontaneous speech in dementia. Journal of Pragmatics, 29, 313332.
Kempler D., Curtiss S. and Jackson C. (1987). Syntactic preservation in Alzheimer's disease. Journal of Speech and Hearing Research, 30, 343350.
Kintsch W. and van Dijk T. A. (1978). Toward a model of text comprehension and production. Psychological Review, 85, 363394.
Kolk H. (1995). A timed-based approach to agrammatic production. Brain and Language, 50, 282303.
Labov W. and Walestzky J. (2003). Narrative Analysis: oral versions of personal experience. In Paulston C. B. and Tucker G. R. (eds.), Sociolinguistics: The Essential Readings. (pp. 74104). Malden: Blackwell.
Le Boeuf C. (1976). Raconte – 55 historiettes en images. Paris: L'Ecole.
Levelt W. J. M., Roelofs A. and Meyer A. S. (1999). A theory of lexical access in speech production. Behavioral and Brain Sciences, 22, 175.
Marini A., Boewe A., Caltagirone C. and Carlomagno S. (2005). Age-related differences in the production of textual descriptions. Journal of Psycholinguistic Research, 34, 439462.
McKhann G., Drachman D., Folstein M., Katzman R., Price D. and Stadlan E. M. (1984). Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 34, 939944.
Nicholas M., Obler L. K., Albert M. L. and Helm-Estabrooks N. (1985). Empty speech in Alzheimer's disease and fluent aphasia. Journal of Speech and Hearing Research, 28, 405410.
Ortiz K. Z. and Bertolucci P. H. F. (2005). Language impairment in the early stages of Alzheimer's disease. Arquivos de Neuropsiquiatria, 63, 311317.
Schultz R. R., Siviero M. O. and Bertolucci P. H. F. (2001). The cognitive subscale of the “Alzheimer's Disease Assessment Scale” in a Brazilian sample. Brazilian Journal of Medical and Biological Research, 34, 12951302.
Shrout P. E. and Fleiss J. L. (1979). Intraclass correlations: uses in assessing rater reliability. Psychological Bulletin, 86, 420428.
Vigliocco G. and Hartsuiker R. J. (2002). The interplay of meaning. sound. and syntax in sentence production. Psychological Bulletin, 128, 442472.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
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