Deficiti imenovanja i auditivnog razumevanja pojmova kod osoba sa vaskularnom demencijom
Sažetak
Uvod/Cilj. Mada su deficiti imenovanja i razumevanja imenovanih pojmova karakteristični za demenciju, oni su veoma malo istraživani kod osoba sa vaskularnom demencijom (VaD). Cilj rada bio je da se utvrdi deficit imenovanja predmeta i radnji kod osoba sa VaD, kao i sposobnost razumevanja značenja reči kojima se imenuju predmeti i radnje. Metode. U studiju je bilo uključeno 30 ispitanika sa VaD koji su predstavljali kliničku grupu dok je kontrolnu grupu činilo 30 neurološki zdravih ispitanika. Ispitanici sa VaD su najpre testirani korišćenjem Mini-Mental State Examination upitnika radi utvrđivanja težine demencije. Za procenu imenovanja i auditivnog razumevanja pojmova primenjena je Severozapadna baterija testova za imenovanje. U statističkoj obradi podataka korišćene su metode deskriptivne i inferencijalne statistike. Za poređenje grupa primenjen je Hi-kvadrat (χ2) test nezavisnosti, dok je za bivarijantne frekvencijske nacrte tipa 2 × 2 uračunata korekcija neprekidnosti prema Jejtsu, a koeficijent phi (ϕ) izračunat je kao pokazatelj veličine uticaja. Odnosi između neprekidnih varijabli izraženi su koeficijentom Spirmanove korelacije ranga rho (ρ). Rezultati. Ispitanici sa VaD imali su značajno niža postignuća na subtestu imenovanja i auditivnog razumevanja imenovanih objekata i radnji u poređenju sa neurološki zdravim ispitanicima. Težina demencije značajano je uticala na rezultate na primenjenom testu. Posebno, ispitanici sa umerenim stepenom demencije imali su značajno niža postignuća na svim subtestovima imenovanja i razumevanja imenovanih pojmova u poređenju sa ispitanicima sa lakšim stepenom demencije. Zaključak. Osobe sa VaD imaju izražene deficite u imenovanju i razumevanju imenovanih pojmova. Sposobnost imenovanja kao i razumevanja imenovanih pojmova značajno slabi sa napredovanjem demencije.
Reference
Grinberg LT, Heinsen H. Toward a pathological definition of vascular dementia. J Neurol Sci 2010; 299(1–2): 136–8.
Cummings JL, Benson, DF. Dementia: A clinical approach. 2nd ed. Butterworth: Heinemann; 1992. p. 548.
Jelcic N, Cagnin A, Meneghello F, Turolla A, Ermani M, Dam M. Effects of lexical-semantic treatment on memory in early Alz-heimer disease: an observer-blinded randomized controlled trial. Neurorehabil Neural Repair 2012; 26(8): 949–56.
Miller E. Language impairment in Alzheimer type dementia. Clin Psychol Rev 1989; 9(2): 181–95.
Vuković M. Neurodegenerative disorders of speech and lan-guage. Belgrade: University of Belgrade, Faculty of Special Education and Rehabilitation; 2019. (Serbian)
Vuković M, Jerkić Rajić L. Language disorders in dementia: common and differential characteristics. In: Kaljača S, Isaković Lj, Ćopić S, Jelić M, Drljan B, editors. 12th International Scien-tific Conference “Special Education and Rehabilitation To-day” Belgrade, October, 27–28th, 2023, Proceedings; 2023. p. 267–77. (Serbian)
Duong A, Whitehead V, Hanratty K, Chertkow H. The nature of lexico-semantic processing deficits in mild cognitive impair-ment. Neuropsychologia 2006; 44(10): 1928–35.
Gleichgerrcht E, Fridriksson J, Bonilha L. Neuroanatomical foundations of naming impairments across different neuro-logic conditions. Neurology 2015; 85(3): 284–92.
Hamberger MJ, Seidel WT, McKhann GM 2nd, Goodman RR. Hippocampal removal affects visual but not auditory naming. Neurology 2010; 74(19): 1488–93.
Vuković M. Aphasiology. 2nd ed. Belgrade: Arhipelag; 2010. p. 452. (Serbian)
Vuković M. Aphasiology. 5th ed. Belgrade: M. Vuković; 2019. (Serbian)
Vuković MG, Kovač AM, Sukur ŽM. Grammatical deficits of Serbian speakers with Broca's aphasia: A preliminary investiga-tion. Spec Edukac Rehabil 2020; 19(4): 247–61. (Serbian)
Georgiou EE, Prapiadou S, Thomopoulos V, Skondra M, Char-alampopoulou M, Pachi A, et al. Naming ability assessment in neurocognitive disorders: a clinician’s perspective. BMC Psy-chiatry 2022; 22(1): 837.
Verhaegen C, Poncelet M. Changes in naming and semantic abili-ties with aging from 50 to 90 years. J Int Neuropsychol Soc 2012; 19(2): 119–26.
Klimova B, Kuca K. Speech and language impairments in demen-tia. J Appl Biomed 2016; 14(2): 97–103.
Lukatela K, Malloy P, Jenkins M, Cohen RC. The naming deficit in early Alzheimer’s and vascular dementia. Neuropsychology 1998; 12(4): 565–72.
Yochim BP, Beaudreau SA, Kaci Fairchild J, Yutsis MV, Raymond N, Friedman L, et al. Verbal naming test for use with older adults: development and initial validation. J Int Neuropsychol Soc 2015; 21(3): 239–48.
Vuković M. Dissociation of lexical-semantic disorders in Bro-ca’s and Wernicke’s aphasia. Belgrade School of Special Edu-cation and Rehabilitation 1997; 3: 79–83. (Serbian)
Li R, Kiran S. Noun and Verb Impairment in Single-Word Naming and Discourse Production in Mandarin-English Bilin-gual Adults with Aphasia. Aphasiology 2024; 38(2): 337–65.
Lukic S, Borghesani V, Weis E, Welch A, Bogley R, Neuhaus J, et al. Dissociating nouns and verbs in temporal and perisylvian networks: Evidence from neurodegenerative diseases. Cortex 2021; 142: 47–61.
Suh S, DeLuque E, Kelly C, Lee X, Mace RF, Ruch K, et al. Word picture verification performance reveals auditory com-prehension deficits in primary progressive aphasia. J Neurol 2023; 65: 101116.
Silveri MC, Brita AC, Liperoti R, Piludu F, Colosimo C. What is semantic in semantic dementia? The decay of knowledge of physical entities but not of verbs, numbers and body parts. Aphasiology 2018; 32(9): 989–1009.
World Health Organization. International statistical classification of diseases (MKB - 10) 10th revision. Belgrade: Ars Medica; 1997. p. 137. (Serbian)
Pohjasvaara T, Mäntylä R, Ylikoski R, Kaste M, Erkinjuntti T. Comparison of different clinical criteria (DSM-III, ADDTC, ICD-10, NINDS-AIREN, DSM-IV) for the diagnosis of vas-cular dementia. National Institute of Neurological Disorders and Stroke-Association Internationale pour la Recherche et l'Enseignement en Neurosciences. Stroke 2000; 31(12): 2952–7.
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12(3): 189–98.
Thompson CK, Lukic S, King MC, Mesulam MM, Weintraub S. Verb and noun deficits in stroke-induced and primary progres-sive aphasia: The Northwestern Naming Battery(). Aphasiolo-gy 2012; 26(5): 632–55.
Hirsch JA, Cuesta GM, Jordan BD, Fonzetti P, Levin L. The Au-ditory Naming Test Improves Diagnosis of Naming Deficits in Dementia. SAGE Open 2016; 6(3): 215824401666569.
Lafosse JM, Reed BR, Mungas D, Sterling SB, Wahbeh H, Jagust WJ. Fluency and memory differences between ischemic vascu-lar dementia and Alzheimer’s disease. Neuropsychology 1997; 11(4): 514–22.
Tsantali E, Lekka S, Tsolaki M, Kazi E, Kazis A. Presentation and adaptation of Boston Naming Test to the Greek popula-tion and its reliability and validity according to the MMSE scale. Encephalos 2003; 40(4): 190–200.