School of Occupational Therapy, Social Work, and Speech Pathology, Curtin University, Perth, Western Australia, Australia.
School of Occupational Therapy, Social Work, and Speech Pathology, Curtin University, Perth, Western Australia, Australia.
Brain Lang. 2019 Jul;194:1-11. doi: 10.1016/j.bandl.2019.03.001. Epub 2019 Apr 3.
The use of sentence repetition tasks to distinguish dementia syndromes, particularly variants of primary progressive aphasia (PPA), is receiving growing attention. Impaired sentence repetition is a core feature of logopenic variant PPA, although the underlying cognitive mechanisms of this impairment and its significance as a diagnostic criterion remain poorly understood. Sentence repetition abilities of 12 people with dementia, using an adapted error classification schema, were analyzed, along with digit span abilities, a measure frequently used to assess working memory capacity, to explore error patterns and correlations. Participants with semantic variant PPA showed the greatest performance on sentence repetition and digit span in comparison to the logopenic variant PPA and Alzheimer's disease participants. Sentence repetition errors were characterized by middle omissions for semantic variant PPA, ending omissions and phonological errors for logopenic variant PPA, and ending omissions and unrelated word substitutions for Alzheimer's disease. Significant correlations were found between sentence repetition and digit span abilities. Findings are discussed in relation to working memory capacity theories, specifically, the dual-component model.
使用句子重复任务来区分痴呆综合征,特别是原发性进行性失语症(PPA)的变体,越来越受到关注。句子重复受损是口齿不清变异型 PPA 的核心特征,尽管这种损伤的潜在认知机制及其作为诊断标准的意义仍未得到很好的理解。使用改编的错误分类方案分析了 12 名痴呆症患者的句子重复能力,以及数字跨度能力,这是一种常用于评估工作记忆容量的测量方法,以探索错误模式和相关性。与语义变异型 PPA 和阿尔茨海默病患者相比,语义变异型 PPA 患者在句子重复和数字跨度方面表现出最大的性能。语义变异型 PPA 的句子重复错误特征为中间遗漏,口齿不清变异型 PPA 的结尾遗漏和语音错误,阿尔茨海默病的结尾遗漏和无关单词替换。句子重复和数字跨度能力之间存在显著相关性。研究结果与工作记忆容量理论,特别是双成分模型有关。