Division of Speech Language Pathology, Audiology and Oto Rhino Laryngology, Linköping University , Linköping, Sweden.
Centre for Research and Development (CFUG), Uppsala University, County Council of Gävleborg , Gävle, Sweden.
Clin Linguist Phon. 2020 Jul 2;34(7):652-670. doi: 10.1080/02699206.2019.1687757. Epub 2019 Nov 18.
Assessment of language and cognitive abilities are associated with clinical challenges. The aim of the present study was to learn more about the MMSE test process from a language perspective by looking in detail at the interaction between patient and tester. In addition, we aimed to further explore the relationship between linguistic and cognitive difficulties. The study was based on an analysis of 20 MMSE test dyads, 10 persons with aphasia and 10 persons with dementia, in interaction with speech and language pathologists. All conversations were audio and video recorded and transcribed verbatim according to Conversation Analytical principles. The thorough analysis of the interactions highlighted some main findings that affected the communicative project of the test interactions. Finally, the test results were summarized and analyzed. Through the analysis, some particularly challenging aspects emerged; the understanding of the verbal instructions, the handling of the instructions and the evaluation of the answers. The test results demonstrated that there were no significant differences between the two groups of participants' MMSE results. The results in the 'language' category did not seem to capture the language disorders among many of the participants more than the remaining test items. By qualitative analyses of the interactional aspects of test situations, information about both cognitive and linguistic abilities that otherwise would have been overlooked may be revealed.
语言和认知能力评估与临床挑战相关。本研究的目的是从语言角度详细了解 MMSE 测试过程，观察患者和测试者之间的互动。此外，我们还旨在进一步探讨语言和认知困难之间的关系。该研究基于对 20 对 MMSE 测试者和被试者（10 名失语症患者和 10 名痴呆症患者）的分析，他们与言语和语言病理学家互动。所有对话都进行了录音和录像，并根据会话分析原则逐字记录下来。对互动的深入分析突出了一些主要发现，这些发现影响了测试互动的交际项目。最后，对测试结果进行了总结和分析。通过分析，出现了一些特别具有挑战性的方面；对口头指令的理解、指令的处理和答案的评估。测试结果表明，两组参与者的 MMSE 结果没有显著差异。“语言”类别的结果似乎没有比其余测试项目更能捕捉到许多参与者的语言障碍。通过对测试情境的互动方面进行定性分析，可以揭示否则可能会被忽视的认知和语言能力信息。
