Meyer Aaron M, Snider Sarah F, Campbell Rachael E, Friedman Rhonda B
Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC, USA.
Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC, USA.
Cortex. 2015 Oct;71:183-9. doi: 10.1016/j.cortex.2015.07.003. Epub 2015 Jul 16.
It has been argued that individuals with logopenic variant primary progressive aphasia (lvPPA) have an impairment of the phonological loop, which is a component of the short-term memory (STM) system. In contrast, this type of impairment is not thought to be present in mild typical Alzheimer's disease (AD). Thus, one would predict that people with lvPPA would score significantly lower than a matched AD group on tasks that require phonological STM. In the current study, an lvPPA group was compared with a mild AD group that was matched on age, education, and general cognitive functioning. For a subset of the tasks that involved pseudowords, the AD and lvPPA groups were compared to a healthy control group that was matched on age and education. The lvPPA group was more impaired than the AD group on all of the tasks that required phonological STM, including the pseudoword tasks, but there were no significant differences between these groups on tasks that required visuospatial STM. Compared to the healthy controls, the lvPPA group performed significantly worse on the repetition and reading of pseudowords, while the AD group did not differ significantly from the controls on these tasks. These findings are consistent with the hypothesis that phonological STM is impaired in lvPPA.
有人认为,患有音韵变异型原发性进行性失语(lvPPA)的个体存在语音回路损伤,而语音回路是短期记忆(STM)系统的一个组成部分。相比之下,轻度典型阿尔茨海默病(AD)被认为不存在这种类型的损伤。因此,可以预测,在需要语音STM的任务上,lvPPA患者的得分会显著低于匹配的AD组。在当前研究中,将一个lvPPA组与一个在年龄、教育程度和一般认知功能方面相匹配的轻度AD组进行了比较。对于涉及假词的部分任务,将AD组和lvPPA组与一个在年龄和教育程度方面相匹配的健康对照组进行了比较。在所有需要语音STM的任务上,包括假词任务,lvPPA组比AD组受损更严重,但在需要视觉空间STM的任务上,这两组之间没有显著差异。与健康对照组相比,lvPPA组在假词的重复和阅读方面表现明显更差,而AD组在这些任务上与对照组没有显著差异。这些发现与lvPPA中语音STM受损的假设一致。