Expanded Exploration of the Auditory Naming Test in Patients with Dementia

2021 ◽  
pp. 1-17
Author(s):  
Joseph A. Hirsch ◽  
George M. Cuesta ◽  
Pasquale Fonzetti ◽  
Joseph Comaty ◽  
Barry D. Jordan ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Control Variable ◽  
Index Score ◽  
Diagnostic Utility ◽  
Boston Naming Test ◽  
Mean Response Time ◽  
Confrontation Naming ◽  
Normal Individuals ◽  
Increased Sensitivity ◽  
Naming Test

Background: Auditory naming tests are superior to visual confrontation naming tests in revealing word-finding difficulties in many neuropathological conditions. Objective: To delineate characteristics of auditory naming most likely to reveal anomia in patients with dementia, and possibly improve diagnostic utility, we evaluated a large sample of patients referred with memory impairment complaints. Methods: Patients with dementia (N = 733) or other cognitive impairments and normal individuals (N = 69) were evaluated for frequency of impairment on variables of the Auditory Naming Test (ANT) of Hamberger & Seidel versus the Boston Naming Test (BNT). Results: Naming impairment occurred more frequently using the ANT total score (φ= 0.41) or ANT tip-of-the tongue score (TOT; φ= 0.19) but not ANT mean response time compared to the BNT in patients with dementia (p <  0.001). Significantly more patients were impaired on ANT variables than on the BNT in Alzheimer’s disease (AD), vascular dementia (VaD), mixed AD/VaD, and multiple domain mild cognitive impairment (mMCI) but not in other dementias or amnestic MCI (aMCI). This differential performance of patients on auditory versus visual naming tasks was most pronounced in older, well-educated, male patients with the least cognitive impairment. Impaired verbal comprehension was not contributory. Inclusion of an ANT index score increased sensitivity in the dementia sample (92%). Poor specificity (41%) may be secondary to the inherent limitation of using the BNT as a control variable. Conclusion: The ANT index score adds diagnostic utility to the assessment of naming difficulties in patients with suspected dementia.

Validation of the Thai version of the short Boston Naming Test (T-BNT) in patients with Alzheimer’s dementia and mild cognitive impairment: clinical and biomarker correlates.

2018 ◽  
Vol 23 (7) ◽  
pp. 840-850 ◽  
Author(s):  
Daruj Aniwattanapong ◽  
Sookjaroen Tangwongchai ◽  
Thitiporn Supasitthumrong ◽  
Solaphat Hemrunroj ◽  
Chavit Tunvirachaisakul ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Alzheimer’S Dementia ◽  
Boston Naming Test ◽  
Alzheimer's Dementia ◽  
Naming Test

scholarly journals Performance of a sample of patients with Mild Cognitive Impairment (MCI), Alzheimer's Disease (AD) and healthy elderly on a lexical decision test (LDT) as a measure of pre-morbid intelligence

2015 ◽  
Vol 9 (3) ◽  
pp. 265-269 ◽  
Author(s):  
Valéria Trunkl Serrao ◽  
Sônia Maria Dozzi Brucki ◽  
Kenia Repiso Campanholo ◽  
Letícia Lessa Mansur ◽  
Ricardo Nitrini ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Lexical Decision ◽  
Test Methods ◽  
Elderly Subjects ◽  
Boston Naming Test ◽  
Brazilian Sample ◽  
Healthy Elderly ◽  
Matrix Reasoning ◽  
Naming Test ◽  
Healthy Elderly Subjects

Objective: The objective of this study was to describe the performance of healthy elderly patients with aging-related pathologies (MCI) and patients with AD on a lexical decision test. Methods: The study included 38 healthy elderly subjects, 61 MCI and 26 AD patients from the Neurology Department of the Hospital das Clinicas, Behavioral and Cognitive Neurology Group. The neuropsychological instruments included the episodic memory test (RAVLT), subtests from the WAIS-III (Matrix Reasoning and Vocabulary) to determine estimated IQ, the Boston naming test (BNT) and Lexical Decision Test (LDT). Results: All groups differed on the MMSE, as expected according to their pathologies, memory tests, naming and estimated IQ. For the vocabulary and the LDT - measures of crystalized intelligence no differences were found. Conclusion: The LDT demonstrated that lexical decision can be used as a measure of pre-morbid IQ among the individuals assessed in a Brazilian sample.

scholarly journals Reliable Change on the Boston Naming Test

2012 ◽  
Vol 18 (2) ◽  
pp. 375-378 ◽  
Author(s):  
Bonnie C. Sachs ◽  
John A. Lucas ◽  
Glenn E. Smith ◽  
Robert J. Ivnik ◽  
Ronald C. Petersen ◽  
...  
Keyword(s):  
Assessment Instrument ◽  
Boston Naming Test ◽  
Reliable Change ◽  
Cognitively Normal ◽  
Confrontation Naming ◽  
History Of ◽  
Clinical Conditions ◽  
Normal Adults ◽  
Serial Assessments ◽  
Naming Test

AbstractSerial assessments are commonplace in neuropsychological practice and used to document cognitive trajectory for many clinical conditions. However, true change scores may be distorted by measurement error, repeated exposure to the assessment instrument, or person variables. The present study provides reliable change indices (RCI) for the Boston Naming Test, derived from a sample of 844 cognitively normal adults aged 56 years and older. All participants were retested between 9 and 24 months after their baseline exam. Results showed that a 4-point decline during a 9–15 month retest period or a 6-point decline during a 16–24 month retest period represents reliable change. These cutoff values were further characterized as a function of a person's age and family history of dementia. These findings may help clinicians and researchers to characterize with greater precision the temporal changes in confrontation naming ability. (JINS, 2012, 18, 375–378)

scholarly journals 403 - Verbal fluency and spontaneous conversation in institutionalized older adults with and without cognitive impairment

2020 ◽  
Vol 32 (S1) ◽  
pp. 119-119
Author(s):  
Cristina G. Dumitrache ◽  
Laura Rubio ◽  
Nuria Calet ◽  
José Andrés González ◽  
Ian C. Simpson
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Language Impairment ◽  
Verbal Fluency ◽  
Mini Mental State Examination ◽  
Short Form ◽  
Boston Naming Test ◽  
Global Deterioration Scale ◽  
State Examination ◽  
Naming Test

Background:Several neurodegenerative conditions negatively impact linguistics skills. Despite this, many studies carried out with these kinds of patients either only include participants with initial stages of cognitive impairment either do not contemplate linguistic skills, or they do assess language in clinical or experimental settings. Due to it this study aims at investigating verbal fluency and spontaneous conversation abilities in a group of institutionalized Spanish older adults with and without cognitive impairment.Method:The sample comprised 50 older adults who were residing in care homes from the province of Granada and with ages between 52 and 92 years old (M= 83.40, SD= 7.18). The Mini Mental State Examination (MMSE), the Global Deterioration Scale, and the Short Form of the Boston Naming Test for Individuals with Aphasia were used to collect data. In order to analyze the differences in verbal fluency and in spontaneous conversation between participants ANOVA analysis were performed.Results:Results showed that people without cognitive impairment or with initial stages of Parkinson’s’ disease showed a higher complexity in their spontaneous conversation and obtained higher scores in verbal fluency when compared with patients with Alzheimer’s disease, and with people with cognitive impairment but without a clinical diagnose. No significant differences were found between participants in word or sentence repetitions tasks.Conclusions:Language impairment in people with cognitive impairment has dramatic consequences, affecting people’s communication and social interaction, their identity and autonomy thus language skills should be assessed in institutionalized older adults with cognitive impairment and interventions should be designed to maintain their linguistic abilities.

The utility of naming tests in the diagnosis of Alzheimer's disease

1999 ◽  
Vol 16 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Robert F Coen ◽  
Nicholas Kidd ◽  
Aisling Denihan ◽  
Conal Cunningham ◽  
Irene Bruce ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Memory Deficits ◽  
Word Recall ◽  
Semantic Fluency ◽  
Hippocampal Region ◽  
Boston Naming Test ◽  
Naming Test ◽  
Temporal Neocortex

AbstractObjectives: To evaluate the sensitivity of the CAMCOG naming subscale to anomia in Alzheimer's disease (AD) patients identified as anomic on the Boston Naming Test (BNT); and to compare the sensitivities of BNT, category (semantic) fluency (CF), and episodic memory (Delayed Word Recall, DWR) in detecting AD.Method: Data from 140 probable AD patients (NINCDS/ADRDA) were analysed. Anomic AD patients were identified (BNT) and the sensitivity to anomia of the CAMCOG naming subscale was calculated. Sensitivity (to AD) and specificity of the BNT, CF and DWR were compared in a subgroup of 60 patients age-matched to controls.Results: On BNT 81% of ADs were classified as anomic (87% specificity). Of these anomic ADs, 23 scored 6/6 on CAMCOG naming (sensitivity = 80%), and sensitivity fell to 30% using a 5/6 cut-off. Correlation between BNT and CAMCOG naming yielded Kendall's tau = 0.48 (p<0.0001). Compared to age-matched controls BNT correctly classified 70% of ADs and 87% of controls (overall accuracy = 77%). On CF 68% of ADs and 83% of controls were correctly classified (overall accuracy = 72%). BNT and CF were moderately correlated (r = 0.49, p<0.0001). DWR correctly classified 93% ADs and 98% controls (overall accuracy = 95%).Conclusions: Given its brevity, we recommend the inclusion of a split-half form of the BNT in screening test batteries for the detection of AD. The observed pattern of cognitive impairment is consistent with current models in which semantic memory deficits occur in AD only when the neuropathology extends beyond the entorhinal/hippocampal region to the temporal neocortex.

scholarly journals Assessing language dominance in Mandarin–English bilinguals: Convergence and divergence between subjective and objective measures

2013 ◽  
Vol 17 (2) ◽  
pp. 364-383 ◽  
Author(s):  
LI SHENG ◽  
YING LU ◽  
TAMAR H. GOLLAN
Keyword(s):  
Language Proficiency ◽  
Parent Report ◽  
Self Report ◽  
Objective Measures ◽  
Boston Naming Test ◽  
Language Dominance ◽  
Proficiency Level ◽  
Confrontation Naming ◽  
Convergence And Divergence ◽  
Naming Test

This study examines the convergence and divergence between subjective and objective measures of language proficiency for assessing language dominance in Mandarin–English bilinguals. Sixty-two young adults (Experiment 1) and 27 children (Experiment 2) provided self-ratings of proficiency level (or were rated by their parents), were interviewed for spoken proficiency, and named pictures in the Multilingual Naming Test (MINT) and (in Experiment 1 only) the Boston Naming Test. In Experiment 1, the four measures converged in the number of people classified into different dominance groups but both naming tests indicated greater English dominance than self-report and interview measures. In Experiment 2, parent report and interview measures converged in dominance classifications but the MINT indicated higher degrees of English dominance. To a large extent bilinguals were able to classify themselves (or their children) into dominance groups but some mismatches between measures in dominance classification were observed for all age and dominance groups. These results, together with previous findings with Spanish–English bilingual adults (Gollan et al., 2012), suggest that bilinguals may shift to English dominance in confrontation naming before they do so in conversational fluency, and that dominance shifts persist throughout the lifespan but may be relatively more pronounced in children. These findings caution against the use of self-reports as the sole means of classifying bilinguals into dominance groups and support a multi-measure approach including direct assessment of the relevant linguistic domain.

scholarly journals Subclinical naming errors in mild cognitive impairment: A semantic deficit?

2008 ◽  
Vol 2 (3) ◽  
pp. 217-222 ◽  
Author(s):  
Indra F. Willers ◽  
Mónica L. Feldman ◽  
Ricardo F. Allegri
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Semantic Processing ◽  
Critical Factor ◽  
Boston Naming Test ◽  
Confrontation Naming ◽  
Straightforward Method ◽  
Semantic Errors ◽  
Comprehensive Classification ◽  
Error Types

Abstract Mild cognitive impairment (MCI) is the transitional stage between normal aging and Alzheimer's disease (AD). Impairments in semantic memory have been demonstrated to be a critical factor in early AD. The Boston Naming Test (BNT) is a straightforward method of examining semantic or visuo-perceptual processing and therefore represents a potential diagnostic tool. The objective of this study was to examine naming ability and identify error types in patients with amnestic mild cognitive impairment (aMCI). Methods: Twenty aMCI patients, twenty AD patients and twenty-one normal controls, matched by age, sex and education level were evaluated. As part of a further neuropsychological evaluation, all subjects performed the BNT. A comprehensive classification of error types was devised in order to compare performance and ascertain semantic or perceptual origin of errors. Results: AD patients obtained significantly lower total scores on the BNT than aMCI patients and controls. aMCI patients did not obtain significant differences in total scores, but showed significantly higher semantic errors compared to controls. Conclusion: This study reveals that semantic processing is impaired during confrontation naming in aMCI.

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