Neuropsychological evaluation and cognitive evolution of a bilingual Alzheimer patient
- Díaz Mardomingo, Carmen
- Peraita Adrados, Herminia
ISSN: 1136-5420
Year of publication: 2008
Volume: 13
Issue: 3
Pages: 219-228
Type: Article
More publications in: Revista de psicopatología y psicología clínica
Abstract
We present the case of a university-educated bilingual (Italian-Spanish) Alzheimer patient aged 61. After a neuropsychological assessment carried out at the Applied Psychology Service of the Faculty of Psychology at the Universidad Nacional de Educación a Distancia (UNED), an individualized integral cognitive stimulation program was started that lasted three years. The interest of this case lies in the fact that the progress of this patient in the two languages was followed through a series of cognitive tasks (mainly linguistic and categorization). The results show that, as the illness develops, the patient cannot separate both languages and interferences appear. His first language remains intact for a longer period of time, as studies of this type have shown.
Bibliographic References
- Blessed, G., Tomlinson, B.E., and Roth, M. (1968). Theassociation between quantitative measures of dementiaand senile changes in the cerebral grey matter of elder-ly subjects. British Journal of Psychiatry, 114,797-811.
- Byalistock E., Craik, F.I.M., Klein, R., and Viswanathan, M. (2004). Bilingualism, aging and cognitive control: Evidence from the Simon Task. Psychology and Aging, 19,290-303.
- Byalistock E., Craik, F.I.M., and Freedman, M. (2007).Bilingualism as a protection against the onset of symp-toms of dementia. Neuropsychologia, 45,459-464.
- Cacho, L.J., García-García, R., Arcaya, J., Vicente, J.L.,and Lantada, N. (1999). Una propuesta de aplicación ypuntuación del test del reloj en la enfermedad de Alzheimer. Revista de Neurología, 28,7.
- Crawford, J.R., Garthwaite, P.H., Azzalini, A., Howell,D.C., and Laws, K.R. (2006). Testing for a deficit insingle-case studies: effects of departures from nor-mality. Neuropsychologia, 44, 666-677.
- De Vreese, L.P., Motta, M., and Toschi, A. (1988). Com-pulsive and paradoxical translation behaviour in a caseof presenile dementia of the Alzheimer type. Journal ofNeurolinguistics, 3,233-259.
- Díaz, C., and Peraita, H. (2004). Deterioration of seman-tic memory in Alzheimer’s disease: natural and objectcategories. 28th International Congress of Psycholo-gy.Beijing (China).
- Díaz, C., and Peraita, H. (2005). Cognitive interventionfor a bilingual Alzheimer’s disease patient. 1st Inter-national Consensus Conference. Non Pharmacological Therapies for Alzheimer’s. Madrid.
- Fabbro, F. (2001). The bilingual brain: bilingual aphasia.Brain and Language, 79, 201-210.
- Fabbro, F. (2002). The bilingual brain: cerebral represen-tation of languages. Brain and Language, 79, 211-222.
- Filley, C.M., Ramsberger, G., Menn, L., Wu, J., Reid, B.Y.,and Reid, A.L. (2006). Primary progressive aphasia ina bilingual woman. Neurocase, 12, 296-299.
- Geschwind, N., and Nottebohm, E. (1985). Mechanism ofchange after brain lesions. Annals of the New York Acad-emy of Sciences, 457, 1-11.
- Hudges, C.P., Berg, L., Danziger, W.L., Cohen, L.A. andMartin, R.L. (1982). A new clinical for the staging ofdementia. British Journal Psychiatry, 140, 566-72.
- Jorm, A.F., and Korten, A.E. (1988). Assessment of cog-nitive decline in the elderly by informant interview.The British Journal of Psychiatry, 152, 209-213.
- Kavirajan, H.C., and Olazarán, J. (2005). Benefits of motorcognitive intervention in MCI and mild to moder-ate Alzheimer’s disease. Neurology, 65,338-339.
- Lobo A., Ezquerra J., Gómez F., Sala J.M., and Seva A.(1979). El Mini-Examen Cognoscitivo. Un test sencillo, práctico, para detectar alteraciones intelectivas en pacientes médicos. Actas Luso Españolas de Neurolología,Psiquiatría y Ciencias Afines, 3, 189-202.
- Lorch, M. (2007). Bilingualism and memory: Early 19thcentury ideas about the significance of polyglot aphasia. Cortex, 43, 658-666.
- McKhann, G., Drachman, D, Folstein, M., Katzman, R.,Price, D., and Stadlan, E.M. (1984). Clinical diagnosisof Alzheimer’s disease: report of the NINCDS-ADR-DA work group under the auspices of the Departmentof Health and Human Services Task Force onAlzheimer’s disease. Neurology, 34,939-944.
- Morales JM, González-Montalvo JI, Del Ser T., and Berme-jo, F. (1992). Validation del S-IQCODE: the Spanish-informant questionnaire on cognitive decline in the eld-erly. Archives of Neurology, 55,262-266.
- Orrell, M. (2003). Efficacy of an evidence-based Cogni-tive Stimulation Therapy programme for people withdementia: Randomised controlled trial. British Journalof Psychology, 183,248-254.
- Peláez, E., and Fernández, S. (1999). Intervención con pacientes con enfermedad de Alzheimer: un programa pi-loto de neuroestimulación. Paper. First International Congress on Neuropsychology in Internet. Retrievedin October 2006 fromwww.uninet.edu/union99/congress/libs/reh/rh06.html
- Peña-Casanova, J. (1990). Programa Integrado de Exploración Neuropsicológica. Test Barcelona. Manual. Barcelona: Masson.
- Peraita, H., H., González-Labra, M.J., Sánchez Bernardos, M.L., and Galeote, M.A. (2000). Batería de evaluación de la memoria semántica EMSDA, Psicothema, 12,192-200.
- Reisberg, B., Ferris, S.H., de Leon, M.J., and Crook, T.(1982). The Global Deterioration Scale for assessmentof primary degenerative dementia. American Journal ofPsychiatry, 139, 1136-9
- Reitan R. (1958). Validity of the Trail Making Test as anindicator of organic brain damage. Percept Motor Skills,8, 271-6.
- Stroop, JR. (1935). Studies of interference in serial verbalreaction. Journal of Experimental Psychology, 18, 643-662.
- Yesavage, J.A., Brink, T.L., Rose, T.L., Lum O., Huang,V., Adey, M., and Leirer, V.O. (1983). Development andvalidation of a geriatric depression screening scale: Apreliminary report. Journal of Psychiatry Research, 17,37-49