Graduate Program in Speech and Language Pathology, Yonsei University, Seoul, Korea.
Eur Neurol. 2011;66(4):195-9. doi: 10.1159/000331172. Epub 2011 Sep 9.
We investigated confrontation naming performance of patients with Alzheimer's disease (AD) and normal children (NC) to see if the nature of naming performance of AD patients is the reversal of that in normal development. Sixty items of the Boston Naming Test were given to 78 AD patients (and 40 age- and education-matched normal elderly) and 1,080 NC (3- to 14-year-olds). The analyses revealed that, firstly, the naming abilities of the AD patients demonstrated an inverse relationship with those of the NC. Secondly, from the clinical point of view, AD patients tended to lose vocabulary acquired later first while maintaining those acquired in earlier stages of development. Based on the findings, we claimed that this phenomenon was 'a nominal retrogenesis' in which 'retrogenesis' is 'the process by which degenerative mechanisms reverse the order of acquisition in normal development' as defined by Reisberg and colleagues.
我们研究了阿尔茨海默病(AD)患者和正常儿童(NC)的命名表现,以观察 AD 患者命名表现的性质是否与正常发育相反。我们对 78 名 AD 患者(和 40 名年龄和教育程度相匹配的正常老年人)和 1080 名 NC(3 至 14 岁)进行了 60 项波士顿命名测试。分析表明,首先,AD 患者的命名能力与 NC 的命名能力呈反比关系。其次,从临床角度来看,AD 患者倾向于首先失去较晚获得的词汇,而保持较早阶段获得的词汇。基于这些发现,我们声称这种现象是“命名性退行性变”,正如 Reisberg 等人所定义的,“退行性变”是“退化机制使正常发育中获得的顺序逆转的过程”。