The “hidden” semantic category dissociation in mild-moderate Alzheimer's disease patients

Free-listing and Semantic Knowledge: A Tool for Detecting Alzheimer Disease?

BACKGROUND

Impairment in semantic knowledge contributes to Alzheimer disease (AD)-related decline. However, the particulars of the impact AD has on specific domains of knowledge remain debatable.

OBJECTIVE

To investigate the impact of AD on specific semantic categories that are integral to daily functions-living things and man-made objects.

METHOD

We administered a free-listing task (written version) to 19 individuals with AD and 15 cognitively normal older adults and assessed the task's relationship with other cognitive and functional tests in clinical use. We compared the contents of the lists of salient concepts generated by the AD and control groups.

RESULTS

Group membership (AD or control), after controlling for age, sex, formal education, and an estimate of premorbid intellectual ability, predicted the groups' performance on the free-listing task across two categories. Functional status was inversely related to performance on the free-listing task, holding demographic variables constant. Based on a comparison of the contents of the free lists that were generated by the two groups, it was possible to conclude that, in individuals with AD, conceptual knowledge central to the respective categories was well preserved, whereas the peripheral conceptual material showed evidence of degradation.

CONCLUSION

The free-listing task, which is an easy-to-administer and cost-effective tool, could aid in the preliminary detection of semantic knowledge dysfunction, revealing concepts that are better preserved and, possibly, the characterization of AD. Cognitive assessment tools that can be applied across cultures are needed, and the free-listing task has the potential to address this gap.

Abstract Word Definition in Patients with Amnestic Mild Cognitive Impairment

The aims of this study were to investigate concrete and abstract word definition ability (1) between patients with amnestic mild cognitive impairment (aMCI) and normal adults and (2) between the aMCI subtypes (i.e., amnestic single-domain MCI and amnestic multidomain MCI; asMCI and amMCI) and normal controls. The 68 patients with aMCI (29 asMCI and 39 amMCI) and 93 age- and education-matched normal adults performed word definition tasks composed of five concrete (e.g., train) and five abstract nouns (e.g., jealousy). Task performances were analyzed on total score, number of core meanings, and number of supplementary meanings. The results were as follows. First, the aMCI patients scored significantly poorer than the normal controls in only abstract word definition. Second, both subtypes of aMCI performed worse than the controls in only abstract word definition. In conclusion, a definition task of abstract rather than concrete concepts may provide richer information to show semantic impairment of aMCI.

To know what it is for, but not how it is: semantic dissociations in a case of visual agnosia

We report the case of a woman who displayed impaired object recognition following a severe head injury. Her elementary visual functions were substantially preserved, allowing her a coherent percept. On the other hand, she was impaired in accessing stored knowledge from both visual and verbal input. In particular, she showed a dramatic dissociation between fully preserved access to functional knowledge, and severely impaired access to perceptual knowledge so that she could describe what objects are for, but not how they are. Our findings from this case suggest that different categories of object knowledge are represented independently in separate units within the semantic system.

Category-specific semantic deficits in Alzheimer's disease: a semantic priming study

Category-specific semantic deficits in individuals suffering brain damage after relatively focal lesions provide an important source of evidence about the organization of semantic knowledge. However, whether Alzheimer's disease (AD), in which the brain damage is more widespread, affects semantic categories to a different extent is still controversial. In the present study, we assess this issue by means of the semantic priming technique. AD patients with a mild impairment of their semantic knowledge showed comparable priming effects to that of controls for the categories of animals and artifacts. Interestingly, however, patients with a moderate impairment of their semantic knowledge showed a normal priming effect for animals but a very reduced priming effect (if any) for artifacts. These results reveal that AD may affect the semantic knowledge of different semantic categories to a different extent. The implications of this observation for current theoretical accounts of semantic representation in the brain are discussed.