Different language profiles on neuropsychological tests in dementia with Lewy bodies and Alzheimer's disease.

IF 1.5 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology-Adult Pub Date : 2025-07-01 Epub Date: 2023-08-18 DOI:10.1080/23279095.2023.2247112
Asmus Vogel, Clara Mellergaard, Kristian Steen Frederiksen
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Abstract

Dementia with Lewy bodies (DLB) and Alzheimer's disease (AD) may lead to different cognitive profiles. The performance on single language tests have been investigated in these patient-groups, but few studies have compared DLB and AD patients' language performances on different types of tests. The aim was to compare performances for patients with DLB, AD and healthy controls on different aspects of language function. Boston Naming Test, Naming of famous faces and verbal fluency (both semantic and lexical) were investigated in 90 DLB patients, 77 matched AD patients (MMSE score ≥ 21), and in a control group (N = 61). The patients had significantly lower scores on all tests compared to controls. The AD patients scored significantly lower than DLB patients on naming measures whereas the lexical fluency score was significantly lower in DLB. No significant differences were found for the semantic fluency. The frequency of impairment on the Boston Naming Test was higher in AD as compared to DLB, whereas the frequency of impairment on the lexical fluency test was significantly higher in DLB. In conclusion, DLB may lead to a different language profile than AD, and performance on language-based tests may help to differentiate patients with AD and DLB.

路易体痴呆和阿尔茨海默病神经心理测试的不同语言特征。
路易体痴呆(DLB)和阿尔茨海默病(AD)可能导致不同的认知特征。对这些患者组的单一语言测试表现进行了调查,但很少有研究比较DLB和AD患者在不同类型测试中的语言表现。目的是比较DLB患者、AD患者和健康对照者在语言功能不同方面的表现。研究了90例DLB患者、77例匹配的AD患者(MMSE评分≥21)和对照组(N = 61)的Boston Naming Test、名人面孔的命名和语言流畅性(语义和词汇)。与对照组相比,这些患者在所有测试中的得分都明显较低。AD患者在命名方面的得分显著低于DLB患者,而DLB患者的词汇流畅性得分显著低于DLB患者。语义流畅性差异无统计学意义。AD患者在波士顿命名测试中出现障碍的频率高于DLB,而在词汇流畅性测试中出现障碍的频率显著高于DLB。总之,DLB可能导致与AD不同的语言特征,基于语言测试的表现可能有助于区分AD和DLB患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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