Picture-naming test for a linguistically diverse population with cognitive impairment and dementia.
ICMR-PNT
dementia
language impairment
linguistic diversity
picture-naming
Journal
International journal of language & communication disorders
ISSN: 1460-6984
Titre abrégé: Int J Lang Commun Disord
Pays: United States
ID NLM: 9803709
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
received:
24
09
2021
accepted:
25
03
2022
pubmed:
7
5
2022
medline:
22
7
2022
entrez:
6
5
2022
Statut:
ppublish
Résumé
Picture-naming tests (PNTs) evaluate linguistic impairment in dementia due to semantic memory impairment, impaired lexical retrieval or perceptual deficits. They also assess the decline in naming impairment at various stages of dementia and mild cognitive impairment (MCI) that occurs due to progressive cognitive impairment. With the increasing numbers of people with dementia globally, it is necessary to have validated naming tests and norms that are culturally and linguistically appropriate. In this cross-sectional study we harmonized a set of 30 images applicable to the Indian context across five languages and investigated the picture-naming performance in patients with MCI and dementia. A multidisciplinary expert group formed by the Indian Council of Medical Research (ICMR) collaborated towards developing and adapting a picture naming test (PNT) known as the ICMR-PNT in five Indian languages: Hindi, Bengali, Telugu, Kannada and Malayalam. Based on cross-cultural adaptation guidelines and item-wise factor analysis and correlations established separately across five languages, the final version of the ICMR-PNT test was developed. A total of 368 controls, 123 dementia and 128 MCI patients were recruited for the study. Psychometric properties of the adapted version of the ICMR-PNT were examined, and sensitivity and specificity were examined. The ICMR-PNT scores in all languages combined were higher in controls compared with patients with dementia and MCI (F The ICMR-PNT was developed by following cross-cultural adaptation guidelines and establishing correlations using item-wise factor analysis across five languages. This adapted PNT was found to be a reliable tool when assessing naming abilities effectively in mild to moderate dementia in a linguistically diverse context. What is already known on this subject Picture-naming evaluates language impairment linked to naming difficulties due to semantic memory, lexical retrieval or perceptual disturbances. As a result, picture naming tests (PNTs) play an important role in the diagnosis of dementia. In a heterogeneous population such as India, there is a need for a common PNT that can be used across the wide range of languages. What this study adds to existing knowledge PNTs such as the Boston Naming Test (BNT) were developed for the educated, mostly English-speaking, Western populations and are not appropriate for use in an Indian context. To overcome this challenge, a PNT was harmonized in five Indian languages (Hindi, Bengali, Telugu, Kannada and Malayalam) and we report the patterns of naming difficulty in patients with MCI and dementia. The ICMR-PNT demonstrated good diagnostic accuracy when distinguishing patients with mild to moderate dementia from cognitively normal individuals. What are the potential or actual clinical implications of this work? With the growing number of persons suffering from Alzheimer's disease and other forms of dementia around the world, its critical to have culturally and linguistically relevant naming tests and diagnosis. This validated ICMR-PNT can be used widely as a clinical tool to diagnose dementia and harmonize research efforts across diverse populations.
Sections du résumé
BACKGROUND
Picture-naming tests (PNTs) evaluate linguistic impairment in dementia due to semantic memory impairment, impaired lexical retrieval or perceptual deficits. They also assess the decline in naming impairment at various stages of dementia and mild cognitive impairment (MCI) that occurs due to progressive cognitive impairment. With the increasing numbers of people with dementia globally, it is necessary to have validated naming tests and norms that are culturally and linguistically appropriate.
AIMS
In this cross-sectional study we harmonized a set of 30 images applicable to the Indian context across five languages and investigated the picture-naming performance in patients with MCI and dementia.
METHODS & PROCEDURES
A multidisciplinary expert group formed by the Indian Council of Medical Research (ICMR) collaborated towards developing and adapting a picture naming test (PNT) known as the ICMR-PNT in five Indian languages: Hindi, Bengali, Telugu, Kannada and Malayalam. Based on cross-cultural adaptation guidelines and item-wise factor analysis and correlations established separately across five languages, the final version of the ICMR-PNT test was developed. A total of 368 controls, 123 dementia and 128 MCI patients were recruited for the study. Psychometric properties of the adapted version of the ICMR-PNT were examined, and sensitivity and specificity were examined.
OUTCOMES & RESULTS
The ICMR-PNT scores in all languages combined were higher in controls compared with patients with dementia and MCI (F
CONCLUSIONS & IMPLICATIONS
The ICMR-PNT was developed by following cross-cultural adaptation guidelines and establishing correlations using item-wise factor analysis across five languages. This adapted PNT was found to be a reliable tool when assessing naming abilities effectively in mild to moderate dementia in a linguistically diverse context.
WHAT THIS PAPER ADDS
What is already known on this subject Picture-naming evaluates language impairment linked to naming difficulties due to semantic memory, lexical retrieval or perceptual disturbances. As a result, picture naming tests (PNTs) play an important role in the diagnosis of dementia. In a heterogeneous population such as India, there is a need for a common PNT that can be used across the wide range of languages. What this study adds to existing knowledge PNTs such as the Boston Naming Test (BNT) were developed for the educated, mostly English-speaking, Western populations and are not appropriate for use in an Indian context. To overcome this challenge, a PNT was harmonized in five Indian languages (Hindi, Bengali, Telugu, Kannada and Malayalam) and we report the patterns of naming difficulty in patients with MCI and dementia. The ICMR-PNT demonstrated good diagnostic accuracy when distinguishing patients with mild to moderate dementia from cognitively normal individuals. What are the potential or actual clinical implications of this work? With the growing number of persons suffering from Alzheimer's disease and other forms of dementia around the world, its critical to have culturally and linguistically relevant naming tests and diagnosis. This validated ICMR-PNT can be used widely as a clinical tool to diagnose dementia and harmonize research efforts across diverse populations.
Identifiants
pubmed: 35522006
doi: 10.1111/1460-6984.12728
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
881-894Informations de copyright
© 2022 Royal College of Speech and Language Therapists.
Références
Adlington, R.L., Laws, K.R. & Gale, T.M. (2009) The Hatfield image test (HIT): a new picture test and norms for experimental and clinical use. Journal of Clinical and Experimental Neuropsychology, 31(6), 731-753.
Ardila, A. (1995) Directions of research in cross-cultural neuropsychology. Journal of Clinical and Experimental Neuropsychology, 17(1), 143-150.
Ardila, A., Ostrosky-Solis, F., Rosselli, M. & Gómez, C. (2000) Age-related cognitive decline during normal aging: the complex effect of education. Archives of Clinical Neuropsychology, 15(6), 495-513.
Ashaie, S. & Obler, L. (2014) Effect of age, education, and bilingualism on confrontation naming in older illiterate and low-educated populations. Behavioural Neurology, 2014.
Barbeau, E.J., Didic, M., Joubert, S., Guedj, E., Koric, L., Felician, O. et al. (2012) Extent and neural basis of semantic memory impairment in mild cognitive impairment. Journal of Alzheimer's Disease, 28, 823-837.
Bayles, K.A. & Tomoeda, C.K. (1983) Confrontation naming impairment in dementia. Brain and Language, 19(1), 98-114.
Bertola, L. & Malloy-Diniz, L.F. (2018) Assessing knowledge: psychometric properties of the BAMS semantic memory battery. Archives of Clinical Psychiatry (São Paulo), 45(2), 33-37.
Cappa, S.F., Binetti, G., Pezzini, A., Padovani, A., Rozzini, L. & Trabucchi, M. (1998) Object and action naming in Alzheimer's disease and frontotemporal dementia. Neurology, 50(2), 351-355.
Census of India. (2011) Language: India, states and union territories. Delhi, India: Office of the Registrar General.
Freedman, M. & Oscar-Berman, M. (1997) Breakdown of cross-modal function in dementia. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 10(2), 102-106.
Gallant, M., Lavoie, M., Hudon, C. & Monetta, L. (2019) Analysis of naming errors in healthy aging, mild cognitive impairment, and Alzheimer's disease. Canadian Journal of Speech-Language Pathology and Audiology, 43(2), 95-108.
George, A. & Mathuranath, P.S. (2007) Community-based naming agreement, familiarity, image agreement and visual complexity ratings among adult Indians. Annals of Indian Academy of Neurology, 10(2), p. 92.
Goral, M., Spiro III, A., Albert M.L., Obler, L.K. & Connor, L.T. (2007) Change in lexical retrieval skills in adulthood. The Mental Lexicon, 2(2), 215C238.
Guillemin, F., Bombardier, C. & Beaton, D. (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417-1432.
Hall, J.R., Vo, H.T., Johnson, L.A., Wiechmann, A. & O'Bryant, S.E. (2012) Boston naming test: gender differences in older adults with and without Alzheimer's dementia. Psychology, 3(6), 485.
Hodges, J.R., Salmon, D.P. & Butters, N. (1991) The nature of the naming deficit in Alzheimer's and Huntington's disease. Brain, 114(4), 1547-1558.
Ivanova, I., Salmon, D.P. & Gollan, T.H. (2013) The multilingual naming test in Alzheimer's disease: clues to the origin of naming impairments. Journal of the International Neuropsychological Society: JINS, 19(3), 272.
Iyer, G.K., Paplikar, A., Alladi, S., Dutt, A., Sharma, M., Mekala, S., … ICMR Neurocognitive Tool Box Consortium. (2020) Standardising dementia diagnosis across linguistic and educational diversity: study design of the Indian Council of Medical Research-Neurocognitive Tool Box (ICMR-NCTB). Journal of the International Neuropsychological Society, 26(2), 172-186.
Jokel, R., Lima, B.S., Fernandez, A. & Murphy, K.J. (2019) Language in amnestic mild cognitive impairment and dementia of Alzheimer's type: quantitatively or qualitatively different?. Dementia and Geriatric Cognitive Disorders Extra, 9(1), 136-151.
Kaplan, E.F., Goodglass, H. & Weintraub, S. (1978) The Boston naming test: experimental edition. Boston: Kaplan and Goodglass.
Laine, M., Vuorinen, E. & Rinne, J.O. (1997) Picture naming deficits in vascular dementia and Alzheimer's disease. Journal of Clinical and Experimental Neuropsychology, 19(1), 126-140.
Madore, M.R., Scott, T.M., Fairchild, J.K. & Yochim, B.P. (2020) Validity of the verbal naming test and Boston naming test in a sample of older veterans. The Clinical Neuropsychologist, 1-12.
Mathuranath, P.S., Hodges, J.R., Mathew, R., Cherian, P.J., George, A. & Bak, T.H. (2004) Adaptation of the ACE for a Malayalam speaking population in southern India. International Journal of Geriatric Psychiatry, 19(12), 1188-1194.
Menon, R.N., Varghese, F., Paplikar, A., Mekala, S., Alladi, S., Sharma, M., … Vishwanath, Y. (2020) Validation of Indian council of medical research neurocognitive tool box in diagnosis of mild cognitive impairment in India: lessons from a harmonization process in a linguistically diverse society. Dementia and Geriatric Cognitive Disorders, 49(4), 355-364.
Mekala, S., Alladi, S., Mridula, K.R. & Kaul, S. (2008) Dementia diagnosis in illiterates: adaptation and usefulness of a global cognitive screening test-Addenbrooke's cognitive examination revised (ACE-R). Annals of Indian Academy of Neurology, 11, 1-4.
Mekala, S., Paplikar, A., Mioshi, E., Kaul, S., Divyaraj, G., Coughlan, G. et al. (2020) Dementia diagnosis in seven languages: the Addenbrooke's Cognitive Examination-III in India. Archives of Clinical Neuropsychology, 35(5), 528-538.
Moreno-Martínez, F.J., Montoro, P.R. & Laws, K.R. (2011) A set of high quality colour images with Spanish norms for seven relevant psycholinguistic variables: The Nombela naming test. Aging, Neuropsychology, and Cognition, 18(3), 293-327.
Morris, J.C. (1991) The clinical dementia rating (CDR): current version and. Young, 41, 1588-1592.
Neils, J., Baris, J.M., Carter, C., Dell'aira, A.L., Nordloh, S.J., Weiler, E. & Weisiger, B. (1995) Effects of age, education, and living environment on Boston Naming Test performance. Journal of Speech, Language, and Hearing Research, 38(5), 1143-1149.
Nicholas, L.E., Brookshire, R.H., Maclennan, D.L., Schumacher, J.G. & Porrazzo, S.A. (1989) Revised administration and scoring procedures for the Boston Naming Test and norms for non-brain-damaged adults. Aphasiology, 3(6), 569-580.
Paplikar, A., Alladi, S., Varghese, F., Mekala, S., Arshad, F., Sharma, M. … ICMR-NCTB Consortium. (2021) Bilingualism and its implications for neuropsychological evaluation. Archives of Clinical Neuropsychology, 43, 265-273.
Paplikar, A., Vandana, V.P., Mekala, S., Darshini, K.J., Arshad, F., Iyer, G.K., … Alladi, S. (2021) Semantic memory impairment in dementia: a cross-cultural adaptation study. Neurological Sciences, 1-9.
Pechmann, T. & Zerbst, D. (2002) The activation of word class information during speech production. Journal of Experimental Psychology: Learning, Memory, and Cognition, 28(1), p. 233.
Petersen, R.C. (2004) Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine, 256(3), 183-194.
Petersen, R.C., Aisen, P.S., Beckett, L.A., Donohue, M.C., Gamst, A.C., Harvey, D.J., … Weiner, M.W. (2010) Alzheimer's disease neuroimaging initiative (ADNI): clinical characterization. Neurology, 74(3), 201-209.
Rao, S.L., Subbakrishna, D. & Gopukumar, K. (2004) NIMHANS Neuropsychology Battery-2004, manual. Bangalore, India: National Institute of Mental Health and Neurosciences.
Ryan, C.L. (2013) Language use in the United States: 2011, United States.
Snodgrass, J.G. & Vanderwart, M. (1980). A standardized set of 260 pictures: norms for name agreement, image agreement, familiarity, and visual complexity. Journal of Experimental Psychology: Human Learning and Memory, 6(2), p. 174.
Stasenko, A., Jacobs, D.M., Salmon, D.P. & Gollan, T.H. (2019) The multilingual naming test (MINT) as a measure of picture naming ability in Alzheimer's disease. Journal of the International Neuropsychological Society: JINS, 25(8), 821.
Taler, V. & Phillips, N.A. (2008) Language performance in Alzheimer's disease and mild cognitive impairment: a comparative review. Journal of Clinical and Experimental Neuropsychology, 30(5), 501-556.
Tsang, H.L. & Lee, T.M. (2003) The effect of ageing on confrontational naming ability. Archives of Clinical Neuropsychology, 18(1), 81-89.
Vasanta, D., Suvarna, A., Sireesha, J. & Raju, S.B. (2010) Language choice and language use patterns among Telugu-Hindi/Urdu-English speakers in Hyderabad, India. In Proceedings of the International Conference on Language, Society and Culture in Asian Contexts (pp. 57-67). Mahasarakam University.
Willers, I.F., Feldman, M.L. & Allegri, R.F. (2008) Subclinical naming errors in mild cognitive impairment: A semantic deficit? Dementia and Neuropsychologia, 2(3), 217-222.
Williams, B.W., Mack, W. & Henderson, V.W. (1989) Boston naming test in Alzheimer's disease. Neuropsychologia, 27(8), 1073-1079).
Yochim, B.P., Beaudreau, S.A., Fairchild, J.K., Yutsis, M.V., Raymond, N., Friedman, L. & Yesavage, J. (2015) Verbal naming test for use with older adults: development and initial validation. Journal of the International Neuropsychological Society, 21(3), 239-248.
Zec, R.F., Burkett, N.R., Markwell, S.J. & Larsen, D.L. (2007). Normative data stratified for age, education, and gender on the Boston Naming Test. The Clinical Neuropsychologist, 21(4), 617-637.