노인의 인지능력에 대한 언어적 예측변인 = Linguistic Predictors of Cognition in Aging

다국어 초록 (Multilingual Abstract)

Linguistic and cognitive abilities are critical in predicting aging. They are also the early indicators of mild cognitive impairment or dementia. Linguistic and cognitive changes in the early stage of neuropathological disease are similar to those of normal aging, and therefore it is difficult to discriminate them. It is necessary to examine linguistic and cognitive aspects of aging before diagnosed as neuropathological disease. The aim of this study was to investigate the linguistic and cognitive domains used as a differential function detecting aging. We selected 32 young adults (24.56±2.73 years) and 34 older adults (74.26±5.90 years), and administered the K-BNT-15, K-WAB, CAPTBI in measuring their five linguistic and five cognitive abilities. There were three main findings. Firstly, significant differences in the performance of young and aged adults were detected in both language and cognition like confrontational naming, confrontational naming, memory, and executive function. Secondly, several domains(problem solving, visuoperception, figurative language comprehension, and figurative language expression) had higher group discrimination. Lastly, confrontational naming task significantly predicted attention and executive function, and figurative language comprehension was the sensitive linguistic measure for assessing visuoperception in elderly people. Generative naming detected memory and problem solving of the aging population accurately. The results from the current study suggest that the linguistic and cognitive abilities are very useful as the predictors of aging. This examination also provides clinically informative evidence-based data.

참고문헌 (Reference)

1 김향희, "파라다이스ㆍ한국판-웨스턴 실어증 검사" 파라다이스 복지재단 2001

2 이미숙, "정상 노년층에 대한 인지 - 언어적 중재 프로그램: 체계적 고찰 및 메타분석" 한국노년학회 36 (36): 79-101, 2016

3 이미숙, "일반 노인의 인지-언어 능력과 삶의 질 간 상관성" 특수교육재활과학연구소 55 (55): 143-161, 2016

4 이미숙, "외상성 뇌손상 환자의 인지-화용언어 능력에 대한 평가도구 개발 및 적용" 연세대학교 대학원 2013

5 김향희, "문항반응이론을 적용한한국판 보스톤 이름대기 검사 단축형(K-BNT-15) 개발" 한국콘텐츠학회 13 (13): 321-327, 2013

6 이미숙, "노년층의 인지-화용언어 능력에 관한 종단 연구: 영향 요인들을 중심으로" 한국노년학회 35 (35): 797-811, 2015

7 이미숙, "노년층의 인지-화용언어 능력 평가 : 평가도구 및 내용타당도 연구" 한국콘텐츠학회 12 (12): 280-292, 2012

8 Allaire, J. C., "Well-and ill-defined measures of everyday cognition : relationship to older adults' intellectual ability and functional status" 17 : 101-115, 2002

9 Maseda, A., "Verbal fluency, naming and verbal comprehension : three aspects of language as predictors of cognitive impairment" 18 (18): 1037-1045, 2014

10 Consentino, S., "Verbal fluency predicts mortality in Alzheimer’s Disease" 19 : 123-129, 2006

11 Murphy, K. I., "Verbal fluency patterns in amnestic mild cognitive impairment are characteristic of Alzheimer’s type dementia" 12 : 570-574, 2006

12 Arroyo-Anlló, E. M., "Verbal fluency in Alzheimer’s diseases and aphasia" 11 : 5-18, 2012

13 Gomez, R. G., "Using verbal fluency to detect very mild dementia of the Alzheimer type" 21 : 771-775, 2006

14 McDowd, J., "Understanding verbal fluency in healthy aging, Alzheimer’s disease, and Parkinson’s disease" 25 : 210-225, 2011

15 Sperling, R. A., "Toward defining the preclinical stages of Alzheimer’s disease : recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease" 7 : 280-292, 2011

16 Singh-Manoux, A., "Timing of onset of cognitive decline: results from Whitehall II prospective cohort study" 343 : d7622-, 2012

17 Humphrey, H. E., "The time course of metonymic language text processing by older and younger adults" 30 : 75-94, 2004

18 Kemper, S., "The structure of verbal abilities in young and older adults" 16 : 312-322, 2001

19 Yogev-Seligmann, G., "The role of executive function and attention in gait" 23 : 329-342, 2008

20 Burton, C. L., "The relationship between everyday problem solving and inconsistency in reaction time in older adults" 16 (16): 607-632, 2009

21 Yonelinas, A. P., "The nature of recollection and familiarity : a review of 30 years of research" 46 : 441-517, 2002

22 Di Giacomo, D., "The loss of conceptual associations in mild Alzheimer’s dementia" 34 : 643-653, 2012

23 Federmeier, K. D., "The impact of semantic memory organization and sentence context information on spoken language processing by younger and older adults : an ERP study" 39 (39): 133-146, 2002

24 Kahokehr, A., "The frequency of executive cognitive impairment in elderly rehabilitation inpatients" 17 : 68-72, 2004

25 Vranić, A., "The efficacy of a multifactorial memory training in older adults living in residential care settings" 25 (25): 1885-1897, 2013

26 Hogan, M. J., "The effects of attention switching on encoding and retrieval of words in younger and older adults" 32 : 153-183, 2006

27 Verhaeghen, P., "The Handbook of Cognitive Aging: Interdisciplinary Perspectives" Sage Publications 134-150, 2008

28 Phillips, L. H., "The Cognitive Psychology of Planning" Psychology Press 2005

29 Gibbs, R. W., "The Cambridge Handbook of Psycholinguistics" Cambridge University Press 465-484, 2012

30 Tisserand, D. J., "Special issue on the involvement of prefrontal networks in cognitive ageing" 39 : 1107-1128, 2003

31 Russell, R. L., "Social communication impairments : pragmatics" 54 : 483-506, 2007

32 Pushkar, D., "Social behavior and off-target verbosity in elderly people" 15 : 361-374, 2000

33 McCarrey, A. C., "Sex differences in cognitive trajectories in clinically normal older adults" 31 (31): 166-175, 2016

34 Raz, N., "Regional brain changes in aging healthy adults : general trends, individual differences and modifiers" 15 (15): 1676-1689, 2005

35 Tierney, M. C., "Recognition memory and verbal fluency differentiate probable Alzheimer disease from subcortical ischemic vascular dementia" 58 : 1654-1659, 2001

36 Gilhooly, M. L., "Real-world problem solving and quality of life in older people" 12 : 587-600, 2007

37 Uekermann, J., "Proverb interpretation changes in aging" 67 (67): 51-57, 2008

38 Smith, G., "Prospective and retrospective memory in normal ageing and dementia : a questionnaire study" 8 : 311-321, 2000

39 López Pérez-Díaz, A., "Prediction of cognitive impairment in the elderly by analysing the performance of verbal fluency and sustained attention" 56 : 1-7, 2013

40 De Jager, C., "Predicting cognitive decline in healthy adults" 13 : 735-740, 2005

41 Duff, K., "Predicting change with the RBANS in a community dwelling elderly sample" 10 : 828-834, 2004

42 Crum, R. M., "Population-based norms for the mini-mental state examination by age and educational level" 269 (269): 2386-2391, 1993

43 Rabbitt, P., "Patterns of cognitive ageing" 63 : 308-316, 2000

44 Newsome, M. R., "Older adults filter irrelevant information during metaphor comprehension" 28 : 253-267, 2002

45 Mackay, A., "Noun and verb retrieval in healthy aging" 8 : 764-770, 2002

46 Shaymaa, E., "Normative visuospatial performance in Australian midlife women" 41 (41): 43-47, 2006

47 De Luca, C. R., "Normative data from the CANTAB. I : development of executive function over the lifespan" 25 : 242-254, 2003

48 Blacker, D., "Neuropsychological measures in normal individuals that predict subsequent cognitive decline" 64 : 862-871, 2007

49 Lezak, M. D., "Neuropsychological Assessment" Oxford University Press 2004

50 Bennett, D., "Neuropathology of older persons without cognitive impairment from two community-based studies" 66 : 1801-1802, 2006

51 Kircher, T. T., "Neural correlates of metaphor processing in schizophrenia" 34 : 281-289, 2007

52 Juncos-Rabadán O., "Narrative speech in aging : quantity, information content, and cohesion" 95 (95): 423-434, 2005

53 Park, D. C., "Models of visuospatial and verbal memory across the adult life span" 17 (17): 299-320, 2002

54 Garden, S., "Mid-life aging, open-ended planning and laboratory measures of executive function" 15 : 472-482, 2001

55 Amanzio, M., "Metaphor comprehension in Alzheimer’s disease : novelty matters" 107 : 1-10, 2008

56 Hedden, T., "Meta-analysis of amyloid-cognition relations in cognitively normal older adults" 80 (80): 1341-1348, 2013

57 Amodio, D. M., "Meeting of minds : the medial frontal cortex and social cognition. Nature Reviews" 7 : 268-277, 2006

58 Kessels, R. P., "Measuring impairments in memory and executive function in older people using the revised Cambridge Cognitive Examination" 17 (17): 793-801, 2009

59 Johnson, D. K., "Longitudinal study of the transition from healthy aging to Alzheimer disease" 66 (66): 1254-1259, 2009

60 Resnick, S. M., "Longitudinal magnetic resonance imaging studies of older adults : a shrinking brain" 23 (23): 3295-3301, 2003

61 Willis, S. L., "Long-term effects of cognitive training on everyday functional outcomes in older adults" 296 : 2805-2814, 2006

62 Glymour, M. M., "Lifecourse social conditions and racial and ethnic patterns of cognitive aging" 18 : 223-254, 2008

63 Mata R., "Learning to choose : cognitive aging and strategy selection learning in decision making" 25 : 299-309, 2010

64 Finkel, D., "Latent growth curve analyses of accelerating decline in cognitive abilities in late adulthood" 39 (39): 535-550, 2003

65 강연욱, "K-MMSE(Korean-Mini Mental State Examination)의 노인 규준 연구" 한국심리학회 25 (25): 1-12, 2006

66 Taylor, A. H., "Inaugural editorial" 1 : 1-8, 2008

67 Jorgensen, L. E., "Impact of Aging and Cognition on Hearing Assistive Technology Use" 36 (36): 162-174, 2015

68 Hung, P. F., "Idiom understanding in adulthood : examining age-related differences" 28 (28): 208-221, 2014

69 Berg, C. A., "Handbook of cognitive aging: interdisciplinary perspectives" Sage Publications 207-223, 2008

70 Tucker-Drob, E. M., "Global and domain-specific changes in cognition throughout adulthood" 47 (47): 331-343, 2011

71 Pfefferbaum, A., "Frontal circuitry degradation marks healthy adult aging : evidence from diffusion tensor imaging" 26 (26): 891-899, 2005

72 Sundermann, E. E., "Female advantage in verbal memory : evidence of sex-specific cognitive reserve" 87 (87): 1916-1924, 2016

73 Salthouse, T. A., "Executive functioning as a potential mediator of age-related cognitive decline in normal adults" 132 (132): 566-594, 2003

74 Mienaltowski, A., "Everyday problem solving across the adult life span : solution diversity and efficacy" 1235 : 75-85, 2011

75 McDermott, K. B., "Effects of repetition on memory for pragmatic inferences" 34 (34): 1273-1284, 2006

76 Thompson-Schill, S. L., "Effects of frontal lobe damage on interference effects in working memory" 2 (2): 109-120, 2002

77 Wall, J., "Does your age affect your short term memory?" 2006

78 Lenehan, M. E., "Does the Cambridge Automated Neuropsychological Test Battery(CANTAB) distinguish between cognitive domains in healthy older adults?" 23 (23): 163-172, 2016

79 Cummings, J. L., "Disease-modifying therapies for Alzheimer disease : challenges to early intervention" 69 : 1622-1634, 2007

80 Treitz, F. H., "Differential course of executive control changes during normal aging. Neuropsychology, Development and Cognition" 14 : 370-393, 2007

81 Farias, S. T., "Demographic, neuropsychological, and functional predictors of rate of longitudinal cognitive decline in Hispanic older adults" 19 (19): 440-450, 2011

82 Roe, K., "Contextual effects on word production : a lifespan study" 28 (28): 756-765, 2000

83 Braver, T. S., "Context processing in older adults : evidence for a theory relating cognitive control to neurobiology in healthy aging" 130 : 746-763, 2001

84 Braver, T. S., "Context processing and context maintenance in healthy aging and early stage dementia of the Alzheimer's type" 20 (20): 33-46, 2005

85 Maki, Y., "Communicative competence in Alzheimer’s disease : metaphor and sarcasm comprehension" 28 : 69-74, 2013

86 Burda, A., "Communication and Swallowing Changes in Healthy Aging Adults" Jones and Bartlett 75-92, 2011

87 Gerstorf, D., "Cohort differences in cognitive aging and terminal decline in the Seattle Longitudinal Study" 47 (47): 1026-1041, 2011

88 Chen, X., "Cognitive predictors of everyday problem solving across the lifespan" 2017

89 Gross, A. L., "Cognitive predictors of everyday functioning in older adults: results from the ACTIVE cognitive intervention trial" 66 : 557-566, 2011

90 Gluhm, S., "Cognitive performance on the mini-mental state examination and the montreal cognitive assessment across the healthy adult lifespan" 26 (26): 1-5, 2013

91 Tuokko, H., "Cognitive measures in the Canadian longitudinal study on aging" 31 (31): 233-250, 2017

92 Ferreira, D., "Cognitive decline before the age of 50 can be detected with sensitive cognitive measures" 27 (27): 216-222, 2015

93 Pichora-Fuller, K., "Cognitive aging and auditory information processing" 42 (42): 2526-2532, 2003

94 Albert, M. S., "Changes in cognition. Neurobiology of Aging, 32(Suppl. 1)" 32 (32): S58-S63, 2011

95 Soares, F. C., "CANTAB object recognition and language tests to detect aging cognitive decline : an exploratory comparative study" 10 : 37-48, 2014

96 Taylor, J. K., "Asymmetric aging effects on semantic and phonological processes : naming in the picture-word interference task" 17 : 662-676, 2002

97 Reilly, J., "Anomia as a marker of distinct semantic memory impairments in Alzheimer’s disease and semantic dementia" 25 : 413-426, 2011

98 Amunts, K., "Analysis of neural mechanisms underlying verbal fluency in cytoarchitectonically defined stereotaxic space : the roles of Brodmann areas 44 and 45" 22 : 42-56, 2004

99 Verhaeghen, P., "Aging and vocabulary scores : a metaanalysis" 18 : 332-339, 2003

100 Dagerman, K. S., "Aging and the use of context in ambiguity resolution : complex changes from simple slowing" 30 (30): 311-345, 2006

101 Luo, L., "Aging and memory : a cognitive approach" 53 : 346-353, 2008

102 Burke, D., "Aging and language production" 31 : 21-24, 2004

103 Morrone, I., "Aging and inhibition processes : the case of metaphor treatment" 25 : 697-701, 2010

104 Bopp, K. L., "Age-related differences in control processes in verbal and visuospatial working memory: storage, transformation, supervision, and coordination" 62 (62): P239-P246, 2007

105 Nagahara, A. H., "Age-related cognitive deficits in rhesus monkeys mirror human deficits on an automated test battery" 31 : 1020-1031, 2010

106 Mashal, N., "Age-related changes in the appreciation of novel metaphoric semantic relations. Neuropsychology, Development, and Cognition, Section B, Aging" 18 : 527-543, 2011

107 Madden, D. J., "Age-related changes in selective attention and perceptual load during visual search" 18 (18): 54-67, 2003

108 Federmeier, K. D., "Age-related and individual differences in the use of prediction during language comprehension" 115 (115): 149-161, 2010

109 Qualls, C. D., "Age, working memory, figurative language type, and reading ability : influencing factors in African American adults' comprehension of figurative language" 12 (12): 92-102, 2003

110 MacPherson, S. E., "Age, executive function, and social decision making : a dorsolateral prefrontal theory of cognitive aging" 17 (17): 598-609, 2002

111 Carriere, J. S., "Age trends for failures of sustained attention" 25 : 569-574, 2010

112 Blanchard-Fields, F., "Age differences in everyday problem-solving effectiveness: older adults select more effective strategies for interpersonal problems" 62 (62): 61-64, 2007

113 Zelinski, E. M., "Adult age differences in multiple cognitive functions:differentiation, dedifferentiation, or process-specific change?" 18 (18): 727-745, 2003

114 Martin, M. K. M., "Adult age differences in errand planning : the role of task familiarity and cognitive resources" 33 : 145-161, 2007

115 Henry, J. D., "A meta-analytic review of verbal fluency performance following focal cortical lesions" 18 : 284-295, 2004

116 Henry, J. D., "A meta-analytic review of prospective memory and aging" 19 : 27-39, 2004

117 Anderson, N. D., "50 years of cognitive aging theory. The Journals of Gerontology, Series B" 72 (72): 1-6, 2017

118 Schmitt, F., ""Preclinical"AD revisited : neuropathology of cognitively normal older adults" 55 : 370-376, 2000