Stilwell Becca L, Dow Rebecca M, Lamers Carolien, Woods Robert T
North Wales Clinical Psychology Programme, School of Psychology, Bangor University, Bangor, UK.
Hywel Dda Local Health Board, Hafan Hedd, Adpar, Ceredigion, UK.
Int J Lang Commun Disord. 2016 Mar;51(2):113-27. doi: 10.1111/1460-6984.12190. Epub 2015 Oct 18.
Alzheimer's disease (AD) in those who are bilingual is becoming increasingly prevalent in modern society, yet little is known about the impact of AD on the bilingual's two languages.
To gather information from the available literature on AD and bilingual individuals.
METHODS & PROCEDURES: The first author searched three electronic databases for relevant articles and retrieved 186 articles. Nine articles met the inclusion criteria and were selected for this review. Various research methods employed in assessing language changes in bilingual individuals with AD were captured.
Preliminary findings suggest that both controls and bilingual individuals with Alzheimer's disease (BIAD) were more able on language-related tasks in their dominant language compared with their non-dominant language. The current literature would suggest that both languages in bilingual individuals are equally affected by AD; however, there is room to explore preliminary data on the fact that the non-dominant language, and indeed the dominant language, is more sensitive to AD.
CONCLUSIONS & IMPLICATIONS: More robust, clinically relevant research designs that test current theoretical frameworks are needed to inform the development of appropriate assessments, diagnosis and person-centred care for bilingual individuals with AD.
在现代社会中,患阿尔茨海默病(AD)的双语者越来越普遍,但关于AD对双语者两种语言的影响却知之甚少。
从现有关于AD和双语者的文献中收集信息。
第一作者在三个电子数据库中搜索相关文章,共检索到186篇文章。九篇文章符合纳入标准,被选入本综述。记录了评估患AD的双语者语言变化所采用的各种研究方法。
初步研究结果表明,与非优势语言相比,对照组和患阿尔茨海默病的双语者(BIAD)在使用其优势语言进行语言相关任务时表现更佳。目前的文献表明,双语者的两种语言受AD的影响程度相同;然而,关于非优势语言以及实际上优势语言对AD更敏感这一事实的初步数据仍有待进一步探究。
需要更有力、与临床相关的研究设计来检验当前的理论框架,以便为患AD的双语者制定合适的评估、诊断和以患者为中心的护理方案提供依据。