Retained Neuropsychological Abilities of Individuals with Alzheimer's Disease

Tammy Hopper; Kathryn A. Bayles; Esther Kim

doi:10.1055/s-2001-17425

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Semin Speech Lang 2001; 22(4): 261-274
DOI: 10.1055/s-2001-17425

Retained Neuropsychological Abilities of Individuals with Alzheimer's Disease

Tammy Hopper¹ , Kathryn A. Bayles¹ ² , Esther Kim²

¹National Center for Neurogenic Communication Disorders, The University of Arizona, Tucson, Arizona
²Department of Speech and Hearing Sciences, The University of Arizona, Tucson, Arizona

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Publication Date:
27 September 2001 (online)

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ABSTRACT

Individuals with Alzheimer's disease (AD) retain certain cognitive abilities over the course of the disease. In this article, we describe retained cognitive-linguistic abilities and the status of activities of daily living (ADLs) of individuals in the early, middle, and late stages of AD. Knowledge of preserved abilities in AD is necessary for clinicians to structure communication-stimulation programs and to train caregivers in the most effective ways to facilitate communication. Using the Global Deterioration Scale (GDS) for staging severity of AD, an outline of preserved abilities by disease stage is provided. Attention, memory, and communication abilities are discussed, and samples of discourse from patients at different stages are included.

KEYWORD

Neuropsychology - Alzheimer's disease - cognition - language - activities of daily living

REFERENCES

1 Reisberg B, Ferris S H, Leon M J, Crook T. The global deterioration scale for assessment of primary degenerative dementia. Am J Psychiatry . 1982; 139 1136-1139

Crossref PubMed Search in Google Scholar
2 Reisberg B, Ferris S H, Franssen E. An ordinal functional assessment tool for Alzheimer's-type dementia. Hosp Commun Psychiatry . 1985; 36 593-595

PubMed Search in Google Scholar
3 National Alzheimer's Association Website. www.alz.org
4 Rogers W A. Attention and aging. In: Park D, Schwarz N, eds. Cognitive Aging Philadelphia: Taylor and Francis; 2000: 55-71

Search in Google Scholar
5 Erickson R J, Goldfinger S D, LaPointe L L. Auditory vigilance in aphasic individuals: detecting nonlinguistic stimuli with full or divided attention. Brain Cogn . 1996; 30 244-253

PubMed Search in Google Scholar
6 Perry R J, Watson P, Hodges J R. The nature and staging of attention dysfunction in early (minimal and mild) Alzheimer's disease: relationship to episodic and semantic memory impairment. Neuropsychologia . 2000; 38 252-271

Crossref PubMed Search in Google Scholar
7 Folstein M F, Folstein S E, McHugh P R. ``Mini-Mental State'': a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res . 1975; 12 189-198

Crossref PubMed Search in Google Scholar
8 Lines C R, Dawson C, Preston G C. Memory and attention in patients with senile dementia of the Alzheimer type and in normal elderly subjects. J Clin Exp Neuropsychol . 1991; 13 691-702

PubMed Search in Google Scholar
9 Bayles K A, Tomoeda C K. Functional Linguistic Communication Inventory. Austin, TX: Pro-Ed; 1994

Search in Google Scholar
10 Baddeley A D, Hitch G. Working memory. In: Bower GH, ed. The Psychology of Learning and Motivation San Diego, CA: Academic Press; 1974

Search in Google Scholar
11 Baddeley A D. Essentials of Human Memory. East Sussex, UK: Psychology Press; 1999

Search in Google Scholar
12 Baddeley A D, Logie R, Bressi S, Della Sala S, Spinnler H. Dementia and working memory. Q J Exp Psychol . 1986; 38A 603-618

PubMed Search in Google Scholar
13 Lafleche G, Albert M S. Executive function deficits in mild Alzheimer's disease. Neuropsychology . 1995; 9 313-320

Crossref PubMed Search in Google Scholar
14 Storandt M, Botwinick J, Danziger W L, Berg L, Hughes C P. Psychometric differentiation of mild senile dementia of the Alzheimer type. Arch Neurol . 1984; 41 497-499

PubMed Search in Google Scholar
15 Bayles K A, Tomoeda C K. The Arizona Battery of Communication Disorders of Dementia. Austin, TX: Pro-Ed; 1993

Search in Google Scholar
16 Nebes R D, Martin D C, Horn L C. Sparing of semantic memory in Alzheimer's disease. J Abnorm Psychol . 1984; 93 321-330

Crossref PubMed Search in Google Scholar
17 Nebes R D. Contextual facilitation of lexical processing in Alzheimer's disease: Intralexical priming or sentence-level priming?. J Clin Exp Neuropsychol . 1994; 16 489-497

PubMed Search in Google Scholar
18 Nebes R D, Boller F, Holland A. Use of semantic context by patients with Alzheimer's disease. Psychol Aging . 1986; 1 261-269

PubMed Search in Google Scholar
19 Bondi M W, Troster A I. Parkinson's disease: neurobehavioral consequences of basal ganglia dysfunction. In: Nussbaum PD, ed. Handbook of Neuropsychology and Aging New York: Plenum Press 1997: 216-245

Search in Google Scholar
20 Heindel W C, Butters N, Salmon D P. Impaired learning of a motor skill in patients with Huntington's disease. Behav Neurosci . 1988; 102 141-147

Crossref PubMed Search in Google Scholar
21 Eslinger P J, Damasio A R. Preserved motor learning in Alzheimer's disease: implications for anatomy and behavior. J Neurosci . 1986; 6 3006-3009

PubMed Search in Google Scholar
22 Heindel W C, Salmon D P, Shults C W, Walicke P A, Butters N. Neuropsychological evidence for multiple implicit memory systems: a comparison of Alzheimer's, Huntington's, and Parkinson's disease patients. J Neurosci . 1989; 9 582-587

PubMed Search in Google Scholar
23 Beatty W W, Winn P, Adams R L. Preserved cognitive skills in dementia of the Alzheimer type. Arch Neurol . 1994; 51 1040-1046

PubMed Search in Google Scholar
24 Beatty W W. Preserved cognitive skills in dementia: implications for geriatric medicine. J Okla State Med Assoc . 1999; 92 10-12

PubMed Search in Google Scholar
25 Kempler D, Curtiss S, Jackson C. Syntactic preservation in Alzheimer's disease. J Speech Hear Res . 1987; 30 343-350

PubMed Search in Google Scholar
26 Schwartz M, Marin O, Saffran E. Dissociations of language function in dementia: a case study. Brain Lang . 1979; 7 277-306

Crossref PubMed Search in Google Scholar
27 Kempler D, Almor A, Tyler L K, Andersen E, MacDonald M C. Sentence comprehension deficits in Alzheimer's disease: a comparison of off-line vs. on-line sentence processing. Brain Lang . 1998; 64 297-316

Crossref PubMed Search in Google Scholar
28 Kempler D, Almor A, MacDonald M C. Teasing apart the contribution of memory and language impairments in Alzheimer's disease: an online study of sentence comprehension. Am J Speech Lang Pathol . 1998; 7 61-67

PubMed Search in Google Scholar
29 Patterson K, Graham N, Hodges J R. Reading in dementia of the Alzheimer type: a preserved ability?. Neuropsychology . 1994; 8 395-407

Crossref PubMed Search in Google Scholar
30 Bayles K A, Tomoeda C K, Trosset M W. Relation of linguistic communication abilities of Alzheimer's patients to stage of disease. Brain Lang . 1992; 42 454-472

Crossref PubMed Search in Google Scholar
31 Bayles K A, Tomoeda C K, Caffrey J T, Trosset M W. Confrontation naming and auditory comprehension in Alzheimer's disease. J Speech Lang Pathol Audiol . 1990; 14 15-20

PubMed Search in Google Scholar
32 Fromm D, Holland A L. Functional communication in Alzheimer's disease. J Speech Hear Disord . 1989; 54 535-540

PubMed Search in Google Scholar
33 Orange J B, Purves B. Conversational discourse and cognitive impairment: implications for Alzheimer's disease. J Speech Lang Pathol Audiol . 1996; 20 139-150

PubMed Search in Google Scholar
34 Ripich D, Vertes D, Whitehouse P, Fulton S, Ekelman B. Turn-taking and speech act patterns in the discourse of senile dementia of the Alzheimer's type patients. Brain Lang . 1991; 40 330-343

Crossref PubMed Search in Google Scholar
35 Mohs R C, Schmeidler J, Aryan M. Longitudinal studies of cognitive, functional, and behavioral change in patients with Alzheimer's disease. Stat Med . 2000; 19 1401-1409

Crossref PubMed Search in Google Scholar
36 Schmeidler J, Mohs R C, Aryan M. Relationship of disease severity to decline on specific cognitive and functional measures in Alzheimer disease. Alzheimer Dis Assoc Disord . 1998; 12 146-151

PubMed Search in Google Scholar
37 Haley W E, Wadley V G, West A C, Bestzel B A. How caregiving stressors change with severity of dementia. Semin Speech Lang . 1994; 15 195-205

PubMed Search in Google Scholar
38 Bayles K A, Tomoeda C K. Caregiver report of prevalence and appearance order of linguistic symptoms in Alzheimer's patients. Gerontologist . 1991; 31 210-216

PubMed Search in Google Scholar
39 Hopper T, Bayles K A, Tomoeda C K. Using toys to stimulate communicative function in individuals with AD. J Med Speech Lang Pathol . 1998; 6 73-80

PubMed Search in Google Scholar
40 Bourgeois M S. Enhancing conversation skills in patients with Alzheimer's disease using a prosthetic memory aid. J Appl Behav Anal . 1990; 23 29-42

Crossref PubMed Search in Google Scholar
41 Hopper T, Bayles K A, Harris F P, Holland A. The relation of minimum data set ratings to scores on measures of communication and hearing among nursing home residents with dementia. Am J Speech Lang Pathol . 2001 (in press);

PubMed Search in Google Scholar
42 Holland A L, Boller F, Bourgeois M. Repetition in Alzheimer's disease: a longitudinal study. J Neurolinguistics . 1986; 2 163-177

PubMed Search in Google Scholar
43 Santo Pietro J M, Boczko F. The Breakfast Club: results of a study examining the effectiveness of a multi-modality group communication treatment. Am J Alzheimer's Dis . 1998; 13 146-158

PubMed Search in Google Scholar
44 Hopper T, Bayles K A. Management of neurogenic communication disorders associated with dementia. In: Chapey R, ed. Language Intervention Strategies in Adult Aphasia and Related Neurogenic Communication Disorders, 4th ed Baltimore: Lippincott Williams & Wilkins 2001: 829-846

Search in Google Scholar
45 Brush J A, Camp C J. Using spaced-retrieval as a therapeutic intervention during the rehabilitation process (J Chitwood, director). In: CK Tomoeda (producer), Telerounds Tucson, AZ: The University of Arizona; 1998

Search in Google Scholar
46 Francis G, Baly A. Plush animals-do they make a difference?. Geriatric Nursing . 1986; 74 140-143

PubMed Search in Google Scholar
47 Milton I, MacPhail J. Dolls and toy animals for hospitalized elders: infantilizing or comforting?. Geriatric Nursing . 1985; 6 204-206

PubMed Search in Google Scholar
48 Bayles K A, Tomoeda C K, Cruz R G, Mahendra N. Communication abilities of individuals with late-stage Alzheimer disease. Alzheimer Dis Assoc Disord . 2000; 14 176-181

PubMed Search in Google Scholar
49 Beck C. Behavioral treatments for Alzheimer's disease. Paper presented at the Geriatric Research and Education Clinical Center Conference on Alzheimer's Disease, Little Rock, Arkansas; April 25, 2001
50 Reisberg B, Kenowsky S, Franssen E H, Auer S R, Souren L EM. Towards a science of Alzheimer's disease management: a model based upon current knowledge of retrogenesis. Int Psychogeriatr . 1999; 11 7-23

Crossref PubMed Search in Google Scholar
51 Friedland R P, Krasner B. Managing Alzheimer's patients. Science . 1998; 282 2194-2195

PubMed Search in Google Scholar
52 Bayles K A, Tomoeda C K. Functional communication of middle and late stage Alzheimer's patients. Miniseminar presented at the American Speech-Language-Hearing Association Convention, New Orleans, Louisiana; 1994