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P3‐107: Within‐person across‐neuropsychological test variability in very old age and in questionable dementia
Author(s) -
Beeri Michal Schnaider,
Schmeidler James,
Wysocki Michael,
Silverman Jeremy M.,
Hall Charles B.,
Ritacco Jonathan,
Carrion-Baralt Jose,
Haroutunian Vahram
Publication year - 2010
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2010.05.1604
Subject(s) - dementia , neuropsychology , clinical dementia rating , psychology , medicine , gerontology , clinical psychology , demography , psychiatry , cognition , disease , sociology
Abelson, 1977) and storytelling. We choose a well-known story (Little Red Riding Hood) and both groups were asked to tell it without visual support. The analysis of the structural components was made using the model of story schema proposed by Stein and Glenn (1979), with the modifications of Ska and Guénard (1993). Pragmatic components of the discourse were also analyzed. ADP were stratified according the GDS status in 2 groups, GDS III/IV (ADP1) and GDS V/VI (ADP2). Results: The comparison of the productions, considering the macro and microstructure, between ADP and CS showed: 1) Marked reduction in the number of components of the narrative schema; 2) Reduced explicit and implicit information and increased of irrelevant information, 3) Semantic cohesion disruption, 4) Discourse coherence alterations 5) Repetitions and reformulations were more frequent among patients in both tasks. The earliest change is the loss of temporal coherence leading to the lost of referential coherence with disease progression. Conclusions: Narrative discourse desintegration provide a model of studying language in Alzheimer’s disease patients