Narrative analysis in Alzheimer’s disease

Background. Alzheimer’s Disease (AD) is a neurodegenerative illness, which occurs with increasing frequency as people age. While progressive memory impairment is the upfront element associated with the disease, other neurocognitive troubles are also associated with it, such as language impairment w...

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Main Authors: Philippe Tomas, Remy Billon, Cyril Hazif-Tomas
Format: Article
Language:English
Published: M.V. Lomonosov Moscow State University 2018-09-01
Series:Psychology in Russia: State of Art
Subjects:
Online Access:http://psychologyinrussia.com/volumes/pdf/2018_3/psych_3_2018_10_Thomas.pdf
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author Philippe Tomas
Remy Billon
Cyril Hazif-Tomas
author_facet Philippe Tomas
Remy Billon
Cyril Hazif-Tomas
author_sort Philippe Tomas
collection DOAJ
description Background. Alzheimer’s Disease (AD) is a neurodegenerative illness, which occurs with increasing frequency as people age. While progressive memory impairment is the upfront element associated with the disease, other neurocognitive troubles are also associated with it, such as language impairment which can degenerate into aphasia. Language disorders interfere and worsen the functioning of memory. Aim of the study. To evaluate semantic and textual impairment in AD patients. Methods. Te current study involved 151 AD patients undergong consultation at Brest University Hospital. Certain sociodemographic data (sex, age, cultural levels) were collected, as well as results from the following neuropsychological tests: Folstein (MMSE); Dubois’s 5-word test; Dubois’s frontal assessment test battery (fuencies); Cornell’s scale for depression; and Barbizet’s test ( “Te Lion’s tale”). All were subject to textual analysis. Our sample of demented patients included 102 females and 49 males of average age 80.3±6.91. Results. All the tests, including the number of items recalled much later in the Barbizet’s test, showed impairment, all the more by Folstein’s test being altered. Te demented patients’ formal fuency was less impaired than their semantical lexical fuency (scored respectively 5.74±1.09 versus 4.41± 2.19; t = 5.60, p<0.01). Te demented cohort exhibited more intrusions (n=36) than inversions in the delayed recollection of the Lion’s Tale, both for items and the episodes in which they occurred (n=19). Te regressive PLS analysis showed that, to explain the overall scores relating to “Te Lion’s Tale”, calculated later, only attainment of lexical fuency had any notable infuence (Regression coefcient CR=0.224) or, more accessorily, the cultural level (CR=0.12). Conclusion. AD patients’ profciency in tests of category fuency and their cultural levels have efects on narrativity.
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spelling doaj.art-7fcfe46a656244e682bf3ffbf7ad77e42022-12-22T03:11:23ZengM.V. Lomonosov Moscow State UniversityPsychology in Russia: State of Art2074-68572307-22022018-09-0111314515110.11621/pir.2018.0310Narrative analysis in Alzheimer’s diseasePhilippe Tomas0Remy Billon1Cyril Hazif-Tomas2Semiotics Research Center, University of Limoges, Limoges, FranceHospital St Louis, La Rochelle, Francec Department of Psychiatry for the Elderly, CHRU de Brest, Bohars, FranceBackground. Alzheimer’s Disease (AD) is a neurodegenerative illness, which occurs with increasing frequency as people age. While progressive memory impairment is the upfront element associated with the disease, other neurocognitive troubles are also associated with it, such as language impairment which can degenerate into aphasia. Language disorders interfere and worsen the functioning of memory. Aim of the study. To evaluate semantic and textual impairment in AD patients. Methods. Te current study involved 151 AD patients undergong consultation at Brest University Hospital. Certain sociodemographic data (sex, age, cultural levels) were collected, as well as results from the following neuropsychological tests: Folstein (MMSE); Dubois’s 5-word test; Dubois’s frontal assessment test battery (fuencies); Cornell’s scale for depression; and Barbizet’s test ( “Te Lion’s tale”). All were subject to textual analysis. Our sample of demented patients included 102 females and 49 males of average age 80.3±6.91. Results. All the tests, including the number of items recalled much later in the Barbizet’s test, showed impairment, all the more by Folstein’s test being altered. Te demented patients’ formal fuency was less impaired than their semantical lexical fuency (scored respectively 5.74±1.09 versus 4.41± 2.19; t = 5.60, p<0.01). Te demented cohort exhibited more intrusions (n=36) than inversions in the delayed recollection of the Lion’s Tale, both for items and the episodes in which they occurred (n=19). Te regressive PLS analysis showed that, to explain the overall scores relating to “Te Lion’s Tale”, calculated later, only attainment of lexical fuency had any notable infuence (Regression coefcient CR=0.224) or, more accessorily, the cultural level (CR=0.12). Conclusion. AD patients’ profciency in tests of category fuency and their cultural levels have efects on narrativity.http://psychologyinrussia.com/volumes/pdf/2018_3/psych_3_2018_10_Thomas.pdfAlzheimer’s Diseasesemioticssemanticstextuality
spellingShingle Philippe Tomas
Remy Billon
Cyril Hazif-Tomas
Narrative analysis in Alzheimer’s disease
Psychology in Russia: State of Art
Alzheimer’s Disease
semiotics
semantics
textuality
title Narrative analysis in Alzheimer’s disease
title_full Narrative analysis in Alzheimer’s disease
title_fullStr Narrative analysis in Alzheimer’s disease
title_full_unstemmed Narrative analysis in Alzheimer’s disease
title_short Narrative analysis in Alzheimer’s disease
title_sort narrative analysis in alzheimer s disease
topic Alzheimer’s Disease
semiotics
semantics
textuality
url http://psychologyinrussia.com/volumes/pdf/2018_3/psych_3_2018_10_Thomas.pdf
work_keys_str_mv AT philippetomas narrativeanalysisinalzheimersdisease
AT remybillon narrativeanalysisinalzheimersdisease
AT cyrilhaziftomas narrativeanalysisinalzheimersdisease