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42 results

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  • Screening for Cognitive Impairment in Bilinguals: What Is the Influence of the Language of Assessment?

  • Rania Kassir, Martine Roussel, Halim Abboud, Olivier Godefroy
  • Journal:
    Canadian Journal of Neurological Sciences / Volume 52 / Issue 2 / March 2025
    Published online by Cambridge University Press:
    03 May 2024, pp. 263-268
  • Background:

    Bilingualism’s impact on cognitive assessment remains underexplored. This study analyzes the efficacy of the Mini-Mental State Examination (MMSE) as a screening tool for bilinguals, specifically examining the influence of language choice on balanced and unbalanced Lebanese bilinguals (Arabic-French) and its implications for diagnosing cognitive impairment.

    Methods:

    Ninety-three bilingual healthy controls (mean age = 67.99 ± 9.3) and 29 Alzheimer’s disease patients (mean age = 77.2 ± 5.9), including 26 with mild and 3 with moderate dementia, underwent MMSE assessments in both Arabic and French. The study aimed to assess language impact on cognitive screening outcomes in different bilingual subtypes.

    Results:

    Sensitivity in screening for cognitive impairment using the MMSE varied based on language and bilingualism subtype. For unbalanced bilinguals, using the prominent language increased sensitivity. Conversely, in balanced bilinguals, employing the societal majority language enhanced sensitivity. This suggests that the conventional use of the non-prominent language in cognitive screening for foreigners/immigrants may result in a subtle loss of MMSE sensitivity.

    Conclusion:

    This study emphasizes the critical role of language choice in cognitive assessment for bilinguals. The MMSE’s sensitivity is influenced by language selection, with clinical implications for screening procedures. Recommendations include using the prominent language for cognitive screening in dominant bilinguals and the societal majority language for balanced bilinguals. This nuanced approach aims to improve the accuracy and cultural sensitivity of cognitive screening in bilingual populations, addressing the gap in current assessment practices.

The Behavioral and Cognitive Neurology of Stroke
  • 2nd edition
  • Edited by Olivier Godefroy
  • Published online:
    05 March 2013
    Print publication:
    28 February 2013
  • The ever-improving emergency care of those who have suffered serious cerebrovascular disease has shifted the treatment objective towards helping sufferers regain independence - meaning that there is an increased need to understand, manage and treat the residual deficits. The Behavioral and Cognitive Neurology of Stroke focuses on the diagnosis and management of behavioral and cognitive problems in patients with cerebrovascular disease. Written to be practical for clinical use, the book contains diagnosis and management strategies for all disorders observed in stroke patients, including acute and later problems, and aiming to minimize long-term disability. All important information related to each disorder is summarized in key-point tables. Fully updated throughout and containing five new chapters, this new edition brings the book up to date with the major advances of the last five years. This book will be of value to all clinicians caring for stroke patients, neuroscientists, neuropsychologists, neurorehabilitationists and a wide range of therapists.

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