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Performance on neuropsychological tests related to single photon emission computerised tomography findings in frontotemporal dementia.

BACKGROUND: This study examines relations between regional cerebral blood flow (rCBF) and neuropsychological test results, age at onset and duration of disease in patients with frontotemporal-type dementia (FTD). METHOD: Sixteen patients with a diagnosis of probable FTD were examined using single photon emission computerised tomography (SPECT) with 99mTc-HMPAO as the tracer. The rCBF of 14 regions of interest relative to cerebellar blood flow was calculated. Psychological tests assessing language, verbal fluency, memory and visuospatial constructive ability were given. RESULTS: Correlations were demonstrated between a global impairment score and relative blood flow in lateral frontal, medial frontal and left orbital frontal areas. Verbal fluency scores correlated with left lateral frontal, medial frontal and left anterior inferior temporal blood flow. No relationships between decrease in CBF and age at onset or duration of disease, or between impaired cognitive function and age at onset or duration of disease were found. CONCLUSIONS: The present study demonstrates a close coupling between reduced rCBF and specific neuropsychological deficits in FTD.

Aged↗

Verbal fluency in mania: relationship to number of manic episodes.

OBJECTIVE: The objective of this study was to examine verbal fluency in a group of patients with bipolar disorder (BPD) during an acute episode of mania, and to determine whether performance was related to disease chronicity. We hypothesized that manic patients with BPD would be impaired on verbal fluency, and that this impairment would be greatest in those individuals who had experienced a greater number of manic episodes. METHOD: Forty-five manic inpatients with bipolar disorder, and 30 healthy volunteers completed tests of phonemic and semantic verbal fluency. The patients were dichotomized into those experiencing their first episode of mania (FE) and those who had experienced multiple episodes (ME). RESULTS: On the phonemic fluency task, ME patients produced significantly fewer words than both healthy volunteers and FE patients, and they made a greater number of errors. No significant group differences in overall output were found on the semantic fluency task, although the ME group was more error-prone than were the other groups. CONCLUSIONS: These findings suggest that verbal fluency is more impaired in ME patients than in patients who have experienced only a single manic episode.

Adult↗

Brain activation pattern during a verbal fluency test in healthy male and female volunteers: a functional magnetic resonance imaging study.

Sex differences in executive speech tasks, favoring women, have been noted in behavioral studies and functional imaging studies. In the present study ten female and ten male volunteers underwent functional magnetic resonance imaging in a conventional block design. All subjects were selected on the basis of high performance on the verbal fluency task. Regions of activation were detected after performance of a covert lexical verbal fluency task inside the scanner. Men and women who did not differ significantly in verbal fluency task performance showed a very similar pattern of brain activation. Our data argue against genuine between-sex differences in cerebral activation patterns during lexical verbal fluency activities when confounding factors like performance differences are excluded.

Adult↗

Lexical production in children with Williams syndrome: spontaneous use of gesture in a naming task.

This study investigates lexical organization and lexical retrieval in children with Williams syndrome (WS), by examining both naming accuracy and accompanying use of gestures in a picture-naming task. Ten children with the genetic disorder of Williams syndrome (age range: 9.5-12.9) were compared with 20 typically developing children, 10 matched for chronological age (CA) and 10 for mental-age (MA). Lexical production was measured by administering the Boston Naming test (BNT). Older typically developing children performed significantly better than the other two groups. No differences in accuracy were found between the children with WS and the typically developing children matched for mental-age. The overall distribution of error types displayed by children with WS indicate that the lexical-semantic organization is similar to that of typically developing children. However, compared to controls, the WS group produced more iconic gestures during the task, in patterns that suggest the existence of specific word-finding difficulties in these children. Results are discussed within the framework of recent theories on the role of gesture in speech production.

Adolescent↗

Memory and organization in elderly subjects.

Older adults (ages 67-91) and younger adults (ages 16-30) sorted 100 unrelated words into as many categories as they chose, provided labels for those categories, and were given a surprise recall test with or without the labels as retrieval cues. The older adults recalled fewer words, fewer categories, and fewer items per category than the younger adults. Though generally facilitory, cuing did not reduce the age-related differences in recall performance. Clustering was equivalent for the two age groups. The correlation between number of categories used in sorting and number of words recalled was significant for the young adults only, replicating and extending the results reported by Worden and Meggison (1984). The results were discussed in terms of Hunt and Einstein's (1981) distinction between item-specific and relationship processing, and an alternative interpretation was offered.

Adolescent↗

Evidence for the selective preservation of spatial selective attention in old age.

Younger and older adults were tested in 2 versions of the Stroop color-word task: a color-block version in which the color word was adjacent to a color block and a color-word version in which the word was printed in color. An advance cue preceded the stimulus by 100 to 300 ms, indicating where it would appear. Age differences were small on the color-block version and large on the color-word version. These results are consistent with the speculation that posterior brain attention systems responsible for selecting a spatial location are relatively well preserved with advancing age but that anterior brain attention systems responsible for selecting a line of processing are compromised.

Adolescent↗

Unilateral pallidotomy in PD: a controlled study of cognitive and behavioral effects. The Netherlands Pallidotomy Study (NEPAS) group.

OBJECTIVE: To investigate whether unilateral pallidotomy affects cognitive and behavioral functioning. METHODS: At baseline and after 6 months we assessed neuropsychological functioning in 35 patients with advanced PD. After baseline examination, patients were randomized to pallidotomy within 1 month (6 left-sided, 13 right-sided) or to pallidotomy after follow-up assessment 6 months later (n = 16; control group). We performed neuropsychological tests of language, visuospatial function, memory, attention, and executive functions. Self ratings and proxy ratings of memory problems and dysexecutive symptoms were also collected. RESULTS: No significant differences over time were found between pallidotomy and control groups, with the exception of a decrease of verbal fluency in the left-sided pallidotomy group. CONCLUSIONS: Unilateral pallidotomy is relatively safe with respect to cognition and behavior. Left-sided pallidotomy may lead to minor deterioration in verbal fluency. The sample size of this study is too small, however, to rule out the possibility of infrequent but clinically important side effects.

Aged↗

When raters disagree, then what: examining a third-rating discrepancy resolution procedure and its utility for identifying unusual patterns of ratings.

The purpose of this study was to examine a procedure for identifying and resolving discrepancies in ratings. We sought to determine to what extent the third-rater adjudication procedure employed in scoring the Test of Spoken English (TSE) successfully identified all anomalous ratings. We analyzed data from the April 1997 TSE scoring session using FACETS, a rating scale analysis computer program. The results suggest that, while it is important for an assessment program to identify cases in which there is obvious disagreement in the ratings assigned and have a policy to resolve those disagreements, implementing a discrepancy resolution procedure is not sufficient in and of itself for quality control monitoring. Often times, there are other anomalous ratings that discrepancy resolution procedures may miss. Fit analysis can provide a valuable adjunct to a discrepancy resolution procedure, flagging suspect rating profiles in need of expert review before a final score report is issued.

Adult↗

Processes leading to confidence and accuracy in sentence recognition: a metamemory approach.

We propose that memory confidence is based on the processes and products of the just-completed memory task, along with the participants' metamemory beliefs about the relation of these processes and products to memory accuracy. We tested this metamemory approach to confidence by having participants carry out a simple recognition memory task with deceptive and nondeceptive items. The deceptive items were sentences that contained a possible synonym substitution, thus allowing errors based on gist memory. For nondeceptive items, high confidence was associated with high accuracy. For deceptive items the relationship reversed; high confidence was associated with low accuracy. A memory process questionnaire was developed that provided more differentiated phenomenal reports than the traditional know/remember distinction. For nondeceptive items, metamemory beliefs tended to be valid indicators of accuracy, but for deceptive items involving unconscious reconstructive memory processes, they tended to be invalid indicators of memory accuracy. The overall results lend strong support for our metamemory approach to memory confidence.

Cues↗

Who's in control? Proficiency and L1 influence on L2 processing.

We report three reaction time (RT)/event-related brain potential (ERP) semantic priming lexical decision experiments that explore the following in relation to L1 activation during L2 processing: (1) the role of L2 proficiency, (2) the role of sentence context, and (3) the locus of L1 activations (orthographic vs. semantic). All experiments used German (L1) homonyms translated into English (L2) to form prime-target pairs (pine-jaw for Kiefer) to test whether the L1 caused interference in an all-L2 experiment. Both RTs and ERPs were measured on targets. Experiment 1 revealed reversed priming in the N200 component and RTs for low-proficiency learners, but only RT interference for high-proficiency participants. Experiment 2 showed that once the words were processed in sentence context, the low-proficiency participants still showed reversed N200 and RT priming, whereas the high-proficiency group showed no effects. Experiment 3 tested native English speakers with the words in sentence context and showed a null result comparable to the high-proficiency group. Based on these results, we argue that cognitive control relating to translational activation is modulated by (1) L2 proficiency, as the early interference in the N200 was observed only for low-proficiency learners, and (2) sentence context, as it helps high-proficiency learners control L1 activation. As reversed priming was observed in the N200 and not the N400 component, we argue that (3) the locus of the L1 activations was orthographic. Implications in terms of bilingual word recognition and the functional role of the N200 ERP component are discussed.

Adult↗

Comprehension and imitation of syntax following early hemisphere damage.

Twenty-five children with early left (LL = 16) or right (RL = 9) hemisphere damage and 25 age-matched controls were tested on their comprehension and imitation of complex coordinate, passive, and relative clause structures using a matched experimental design. The predominant deficit exhibited by left-injured children was one of significantly impaired imitation coupled with relatively preserved comprehension. For RL subjects the deficit was less pronounced in either comprehension or imitation. Manipulation of surface and configurational features of sentence structure revealed task differences in the pattern of correct performance; however, error strategies observed across the two methodologies were shown to converge in a number of critical ways, as well as to replicate those previously obtained with adult aphasics. The results are interpreted as consistent with an early and continuous left hemisphere specialization for expressive syntax.

Adolescent↗

Right anterior superior temporal activation predicts auditory sentence comprehension following aphasic stroke.

Previous studies have suggested that recovery of speech comprehension after left hemisphere infarction may depend on a mechanism in the right hemisphere. However, the role that distinct right hemisphere regions play in speech comprehension following left hemisphere stroke has not been established. Here, we used functional magnetic resonance imaging (fMRI) to investigate narrative speech activation in 18 neurologically normal subjects and 17 patients with left hemisphere stroke and a history of aphasia. Activation for listening to meaningful stories relative to meaningless reversed speech was identified in the normal subjects and in each patient. Second level analyses were then used to investigate how story activation changed with the patients' auditory sentence comprehension skills and surprise story recognition memory tests post-scanning. Irrespective of lesion site, performance on tests of auditory sentence comprehension was positively correlated with activation in the right lateral superior temporal region, anterior to primary auditory cortex. In addition, when the stroke spared the left temporal cortex, good performance on tests of auditory sentence comprehension was also correlated with the left posterior superior temporal cortex (Wernicke's area). In distinct contrast to this, good story recognition memory predicted left inferior frontal and right cerebellar activation. The implication of this double dissociation in the effects of auditory sentence comprehension and story recognition memory is that left frontal and left temporal activations are dissociable. Our findings strongly support the role of the right temporal lobe in processing narrative speech and, in particular, auditory sentence comprehension following left hemisphere aphasic stroke. In addition, they highlight the importance of the right anterior superior temporal cortex where the response was dissociated from that in the left posterior temporal lobe.

Adult↗

Lost in semantic space: a multi-modal, non-verbal assessment of feature knowledge in semantic dementia.

A novel, non-verbal test of semantic feature knowledge is introduced, enabling subordinate knowledge of four important concept attributes--colour, sound, environmental context and motion--to be individually probed. This methodology provides more specific information than existing non-verbal semantic tests about the status of attribute knowledge relating to individual concept representations. Performance on this test of a group of 12 patients with semantic dementia (10 male, mean age: 64.4 years) correlated strongly with their scores on more conventional tests of semantic memory, such as naming and word-to-picture matching. The test's overlapping structure, in which individual concepts were probed in two, three or all four modalities, provided evidence of performance consistency on individual items between feature conditions. Group and individual analyses revealed little evidence for differential performance across the four feature conditions, though sound and colour correlated most strongly, and motion least strongly, with other semantic tasks, and patients were less accurate on the motion features of living than non-living concepts (with no such conceptual domain differences in the other conditions). The results are discussed in the context of their implications for the place of semantic dementia within the classification of progressive aphasic syndromes, and for contemporary models of semantic representation and organization.

Aged↗

Priming the meaning of homographs in typically developing children and children with autism.

Two explanations for deficits underlying autism were tested: weak central coherence (WCC) and executive dysfunction. Consistent with WCC, Happé (British Journal of Developmental Psychology 15 (1997) 1) found that children with autism failed to use sentence context in pronouncing homographs. In an alternate approach, we investigated whether children with autism can use meanings of related word primes. We presented children with autism and controls with primes for homographs, semantically related, and unrelated targets. Children with autism used primes to correctly pronounce homographs upon first presentation but showed difficulty inhibiting prior responses upon later presentation of the homographs with different primes. Children with autism also showed semantic priming effects. We conclude that children with autism do not show an absolute deficit in ability to use contextual information.

Autistic Disorder↗

Causal conditional reasoning and semantic memory retrieval: a test of the semantic memory framework.

This study tested and refined a framework that proposes a mechanism for retrieving alternative causes and disabling conditions (Cummins, 1995) during reasoning. Experiment 1 examined the relation between different factors affecting retrieval. The test revealed high correlations between the number of possible alternative causes or disabling conditions and their strength of association and plausibility. Experiment 2 explored the hypothesis that due to a more extended search process, conditional inferences would last longer when many alternative causes or disabling conditions were available. Affirmation of the consequent (AC) and modus ponens (MP) latencies showed the hypothesized pattern. Denial of the antecedent (DA) and modus tollens (MT) inferences did not show latency effects. The experiment also identified an effect of the number of disabling conditions on AC and DA acceptance. Experiment 3 measured efficiency of disabler retrieval by a limited time, disabler generation task. As predicted, better disabler retrieval was related to lower acceptance of the MP and MT inferences.

Humans↗

Some etiologic factors of speech comprehension disturbances.

Disturbances of speech comprehension were analyzed in a prospective study of 97 children, aged from 23 to 77 months. Pregnancy, birth and early psychomotor development were normal for all the children and no focus of neurological deficit was found. A tonal audiometer did not detect any auditory disturbances, and psychological testing with non-verbal tests showed normal mental functioning for the age. In this group of selected subjects, family and personal case histories were taken. In addition, a detailed neurological physical examination, standard EEG and auditory evoked potentials, and a psychiatric examination were performed during several appointments. The results showed that disturbances in speech comprehension were more frequent in boys, and that in 13.4% of cases it was caused by pervasive developmental disturbances and in 41.24% of cases by external stimulating factors of speech development (pedagogy, social and emotional stimulation and growing up in a multilingual community). The study emphasizes the importance of non-verbal methods for the study of speech and the use of auditory evoked potentials.

Child↗

Long-term effect of prefrontal lobotomy on verbal fluency in patients with schizophrenia.

OBJECTIVE: This study investigated the long-term effects of bilateral prefrontal leukotomy on lexical abilities in schizophrenia subjects. METHOD: we compared performances of leukotomized (LSP), non-leukotomized schizophrenia patients (NLSP) and normal controls, using a test of verbal fluency. Multiple case and triple comparison design were implemented. i.e., the performance of each LSP was compared to that of NLSP and that of a normal control. The sample consisted of four LSP, four NLSP, and four normal subjects. Subjects were matched in sex, age, handedness, and schooling. In Addition, schizophrenia groups were matched in diagnosis and years of hospitalization. Quantitative and qualitative analyses of generated words and errors produced by subjects were carried out. RESULTS: A deficiency in both groups of schizophrenia was observed, although a better performance in LSP patients was detected. CONCLUSION: Intact Lexical ability in LSP indicates its poor relation to the frontal lobe.

Aged↗

Form equivalence of the Selective Auditory Attention Test administered to 6-year-old children.

The form equivalence of the Selective Auditory Attention Test (SAAT) was examined. Forty normal-hearing 6-year-old boys and girls were assigned randomly in equal numbers to one of two groups. Each group listened to four lists of words at 70 dB SPL sound field in one of two orders. Equal mean difficulty and significant correlations between lists in quiet and between lists presented with competing speech substantiate the form equivalence of the SAAT. Form equivalence analyzed for individual subjects confirmed conclusions derived from analysis of group data. A learning effect seen as improved mean performance for the second of the two lists presented in competing speech resulted from the repeated measures experimental design of the study and does not undermine the clinical viability of the SAAT.

Attention↗