Illiteracy, Neuropsychological Assessment, and Cognitive Rehabilitation: A Narrative Review.


Journal

Advances in experimental medicine and biology
ISSN: 0065-2598
Titre abrégé: Adv Exp Med Biol
Pays: United States
ID NLM: 0121103

Informations de publication

Date de publication:
2023
Historique:
medline: 16 8 2023
pubmed: 15 8 2023
entrez: 15 8 2023
Statut: ppublish

Résumé

Νeuropsychological assessment is particularly important for the accurate discrimination of cognitive abilities and weaknesses of patients in order to determine the appropriate therapeutic intervention. However, the reliability and validity of neuropsychological assessment appears to be influenced by a wide range of factors, including literacy and educational level. This systematic review evaluates neuropsychological tests appropriate for the valid assessment of illiterate individuals and the effectiveness of cognitive rehabilitation programs for illiterate and/or low-educated individuals according to the results of English language studies that have been published in the PubMed/Medline electronic database until August 2022 (no initiation date). 49 studies were included for neuropsychological assessment and 4 studies for cognitive rehabilitation. In terms of investigating the validity and reliability of neuropsychological tests for the assessment of healthy illiterate individuals, most studies concluded that for the majority of neuropsychological tests there is a significant difference in performance between healthy illiterate and literate individuals. However, there was consensus among studies that the performance of illiterate subjects was equivalent to the performance of literate subjects on tasks depicting colored and real objects. Regarding cognitive rehabilitation programs, all four studies concluded that they are effective in improving the cognitive functions of illiterate and/or low-literate patients with mild cognitive impairment and/or mild dementia. For the assessment of illiterate individuals, it is imperative that neuropsychological tests with high ecological validity (i.e., tests related to activities of daily living) be administered so as not to underestimate their cognitive functioning. At the same time, cognitive enhancement/stimulation programs seem to be effective in this population group; however, this area needs further investigation.

Identifiants

pubmed: 37581821
doi: 10.1007/978-3-031-31986-0_46
doi:

Types de publication

Systematic Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

477-484

Informations de copyright

© 2023. The Author(s), under exclusive license to Springer Nature Switzerland AG.

Références

Ardila A (2005) Cultural values underlying psychometric cognitive testing. Neuropsychol Rev 15(4):185–195. https://doi.org/10.1007/s11065-005-9180-y
doi: 10.1007/s11065-005-9180-y pubmed: 16395623
Ardila A (2007) Toward the development of a cross-linguistic naming test. Arch Clin Neuropsychol 22(3):297–307. https://doi.org/10.1016/j.acn.2007.01.016
doi: 10.1016/j.acn.2007.01.016 pubmed: 17303376
Ardila A, Bertolucci PH, Braga LW, Castro-Caldas A, Judd T, Kosmidis MH, Matute E, Nitrini R, Ostrosky-Solis F, Rosselli M (2010) Illiteracy: the neuropsychology of cognition without reading. Arch Clin Neuropsychol 25(8):689–712. https://doi.org/10.1093/arclin/acq079
doi: 10.1093/arclin/acq079 pubmed: 21075867
Ardila A, Rosselli M, Rosas P (1989) Neuropsychological assessment in illiterates: visuospatial and memory abilities. Brain Cogn 11(2):147–166. https://doi.org/10.1016/0278-2626(89)90015-8
doi: 10.1016/0278-2626(89)90015-8 pubmed: 2803759
Balduino E, De Melo BAR, De Sousa Mota Da Silva L, Martinelli JE, Cecato JF (2020) The “‘SuperAgers’” construct in clinical practice: neuropsychological assessment of illiterate and educated elderly. Int Psychogeriatr 32(2):191–198. https://doi.org/10.1017/S1041610219001364
doi: 10.1017/S1041610219001364 pubmed: 31556369
Brucki S, Rocha M (2004) Category fluency test: effects of age, gender and education on total scores, clustering and switching in Brazilian Portuguese-speaking subjects. Braz J Med Biol Res 37(12):1771–1777
doi: 10.1590/S0100-879X2004001200002 pubmed: 15558183
Cassimiro L, Fuentes D, Nitrini R, Yassuda MS (2017) Decision-making in cognitively unimpaired illiterate and low-educated older women: results on the Iowa gambling task. Arch Clin Neuropsychol 32(1):71–80. https://doi.org/10.1093/arclin/acw080
doi: 10.1093/arclin/acw080 pubmed: 27680089
Castro-Caldas A, Petersson KM, Reis A, Stone-Elander S, Ingvar M (1998) The illiterate brain. Learning to read and write during childhood influences the functional organization of the adult brain. Brain 121(6):1053–1063. https://doi.org/10.1093/brain/121.6.1053
doi: 10.1093/brain/121.6.1053 pubmed: 9648541
Charcat-Fichman H, Santos Fernandes C, Nitrini R, Alves Lourenco R, de Paiva Paradela EM, Carthery-Goulart MT, Caramelli P (2009) Age and educational level effects on the performance of normal elderly on category verbal fluency tasks. Dement Neuropsychol 3(1):49–54
doi: 10.1590/S1980-57642009DN30100010
Dansilio S, Charamelo A (2005) Constructional functions and figure copying in illiterates or low-schooled Hispanics. Arch Clin Neuropsychol 20(8):1105–1112. https://doi.org/10.1016/j.acn.2005.06.011
doi: 10.1016/j.acn.2005.06.011 pubmed: 16139987
Dozzi Brucki SM, Nitrini R (2008) Cancellation task in very low educated people. Arch Clin Neuropsychol 23(2):139–147. https://doi.org/10.1016/j.acn.2007.11.003
doi: 10.1016/j.acn.2007.11.003
Eshkoor SA, Hamid TA, Mun CY, Ng CK (2015) Mild cognitive impairment and its management in older people. Clin Interv Aging 10:687–693. https://doi.org/10.2147/CIA.S73922
doi: 10.2147/CIA.S73922 pubmed: 25914527 pmcid: 4401355
Folia V, Kosmidis MH (2003) Assessment of memory skills in illiterates: strategy differences or test artifact? Clin Neuropsychol 17(2):143–152. https://doi.org/10.1076/clin.17.2.143.16505
doi: 10.1076/clin.17.2.143.16505 pubmed: 13680421
Foss MP, Beserra Diniz PR, Leite da Roza D, Gefen T, Cook Maher A, Formigheri P, Spedo CT, Salmon CEG, Tumas V, Speciali JG, Carlos Santos A (2019) Anatomic and neuropsychological findings in low-educated cognitively intact elderly from a Brazilian cohort. Dement Neuropsychol 13(4):378–385
doi: 10.1590/1980-57642018dn13-040003 pubmed: 31844490 pmcid: 6907709
Gonzalez Da Silva C, Petersson KM, Faísca L, Ingvar M, Reis A (2004) The effects of literacy and education on the quantitative and qualitative aspects of semantic verbal fluency. J Clin Exp Neuropsychol 26(2):266–277. https://doi.org/10.1076/jcen.26.2.266.28089
doi: 10.1076/jcen.26.2.266.28089
Grossi D, Correra G, Calise C, Ruscitto MA, Vecchione V, Vigliardi MV, Nolfe G (1993) Evaluation of the influence of illiteracy on neuropsychological performances by elderly persons. Percept Mot Skills 77:859–866
doi: 10.2466/pms.1993.77.3.859 pubmed: 8284167
Hong YJ, Yoon B, Shim YS, Cho AH, Lee ES, Kim YI, Yang DW (2011) Effect of literacy and education on the visuoconstructional ability of non-demented elderly individuals. J Int Neuropsychol Soc 17(5):934–939. https://doi.org/10.1017/S1355617711000889
doi: 10.1017/S1355617711000889 pubmed: 21880173
Kasper S, Bancher C, Eckert A, Förstl H, Frölich L, Hort J, Korczyn AD, Kressig RW, Levin O, Palomo MSM (2020) Management of mild cognitive impairment (MCI): the need for national and international guidelines. World J Biol Psychiatry 21(8):579–594. https://doi.org/10.1080/15622975.2019.1696473
doi: 10.1080/15622975.2019.1696473 pubmed: 32019392
Kempler D, Teng EL, Taussig M, Dick MB (2010) The common objects memory test (COMT): a simple test with cross-cultural applicability. J Int Neuropsychol Soc 16(3):537–545. https://doi.org/10.1017/S1355617710000160
doi: 10.1017/S1355617710000160 pubmed: 20188016
Kim BS, Lee DW, Bae JN, Kim JH, Kim S, Kim KW, Park JE, Cho MJ, Chang SM (2017) Effects of education on differential item functioning on the 15-item modified Korean version of the Boston Naming Test. Psychiatry Investig 14(2):126–135. https://doi.org/10.4306/pi.2017.14.2.126
doi: 10.4306/pi.2017.14.2.126 pubmed: 28326109 pmcid: 5355009
Kim H, Chey J (2010) Effects of education, literacy, and dementia on the clock drawing test performance. J Int Neuropsychol Soc 16(6):1138–1146. https://doi.org/10.1017/S1355617710000731
doi: 10.1017/S1355617710000731 pubmed: 20961480
Kim J, Yoon JH, Kim SR, Kim H (2014) Effect of literacy level on cognitive and language tests in Korean illiterate older adults. Geriatr Gerontol Int 14(4):911–917. https://doi.org/10.1111/ggi.12195
doi: 10.1111/ggi.12195 pubmed: 24261573
Kosmidis MH (2017) Challenges in the neuropsychological assessment of illiterate older adults. Lang Cogn Neurosci 33(3):373–386. https://doi.org/10.1080/23273798.2017.1379605
doi: 10.1080/23273798.2017.1379605
Kosmidis MH, Tsapkini K, Folia V (2006) Lexical processing in illiteracy: effect of literacy or education? Cortex 42(7):1021–1027. https://doi.org/10.1016/S0010-9452(08)70208-9
doi: 10.1016/S0010-9452(08)70208-9 pubmed: 17172182
Kosmidis MH, Tsapkini K, Folia V, Vlahou CH (2004) Semantic and phonological processing in illiteracy. J Int Neuropsychol Soc 10(6):818–827
doi: 10.1017/S1355617704106036 pubmed: 15637772
Kosmidis MH, Zafiri M, Politimou N (2011) Literacy versus formal schooling: influence on working memory. Arch Clin Neuropsychol 26(7):575–582. https://doi.org/10.1093/arclin/acr063
doi: 10.1093/arclin/acr063 pubmed: 21810857
Kwok T, Wong A, Chan G, Lam K, Young D, Ho DWH, Ho F (2013) Effectiveness of cognitive training for Chinese elderly in Hong Kong. Clin Interv Aging 8:213–219
doi: 10.2147/CIA.S38070 pubmed: 23440076 pmcid: 3578501
Kwon OD, Cho SS, Seo SW, Na DL (2012) Effect of illiteracy on neuropsychological tests and glucose metabolism of brain in later life. J Neuroimaging 22(3):292–298. https://doi.org/10.1111/j.1552-6569.2011.00618.x
doi: 10.1111/j.1552-6569.2011.00618.x pubmed: 21699613
Leite KS, Miotto EC, Nitrini R, Yassuda MS (2017) Boston Naming Test (BNT) original, Brazilian adapted version and short forms: normative data for illiterate and low-educated older adults. Int Psychogeriatr 29(5):825–833. https://doi.org/10.1017/S1041610216001952
doi: 10.1017/S1041610216001952 pubmed: 27876103
Loewenstein DA, Acevedo A, Potter E, Schinka JA, Raj A, Greig MT, Agron J, Barker WW, Wu Y, Small B, Schofield E, Duara R (2009) Severity of medial temporal atrophy and amnestic mild cognitive impairment: selecting type and number of memory tests. Am J Geriatr Psychiatr 17(12):1050–1058. https://doi.org/10.1097/JGP.0b013e3181b7ef42
doi: 10.1097/JGP.0b013e3181b7ef42
Mandyla MA, Yannakoulia M, Hadjigeorgiou G, Dardiotis E, Scarmeas N, Kosmidis MH (2021) Identifying appropriate neuropsychological tests for uneducated/illiterate older individuals. J Int Neuropsychol Soc 31:1–14. https://doi.org/10.1017/S1355617721001016
doi: 10.1017/S1355617721001016
Manly JJ, Jacobs DM, Sano M, Bell K, Merchant CA, Small SA, Stern Y (1999) Effect of literacy on neuropsychological test performance in nondemented, education-matched elders. J Int Neuropsychol Soc 5(3):191–202. https://doi.org/10.1017/S135561779953302X
doi: 10.1017/S135561779953302X pubmed: 10217919
Matute E, Leal F, Zarabozo D, Robles A, Cedillo C (2000) Does literacy have an effect on stick construction tasks? J Int Neuropsychol Soc 6(6):668–672
doi: 10.1017/S1355617700666043 pubmed: 11011513
Mokri H, Ávila-Funes JA, Le Goff M, Ruiz-Arregui L, Gutierrez Robledo LM, Amieva H (2012) Self-reported reading and writing skills in elderly who never attended school influence cognitive performances: results from the coyoacan cohort study. J Nutr Health Aging 16(7):621–624. https://doi.org/10.1007/s12603-012-0070-8
doi: 10.1007/s12603-012-0070-8 pubmed: 22836703
Nielsen TR (2019) Effects of illiteracy on the European Cross-Cultural Neuropsychological Test Battery (CNTB). Arch Clin Neuropsychol 34(5):713–720. https://doi.org/10.1093/arclin/acy076
doi: 10.1093/arclin/acy076 pubmed: 30272111
Nielsen TR, Jørgensen K (2013) Visuoconstructional abilities in cognitively healthy illiterate turkish immigrants: a quantitative and qualitative investigation. Clin Neuropsychol 27(4):681–692. https://doi.org/10.1080/13854046.2013.767379
doi: 10.1080/13854046.2013.767379 pubmed: 23379740
Nielsen TR, Waldemar G (2016) Effects of literacy on semantic verbal fluency in an immigrant population. Aging Neuropsychol Cognit 23(5):578–590. https://doi.org/10.1080/13825585.2015.1132668
doi: 10.1080/13825585.2015.1132668
Nijdam-jones A, Rivera D, Rosenfeld B, Arango- JC, Nijdam-jones A, Rivera D, Rosenfeld B, Arango-lasprilla JC (2019) The effect of literacy and culture on cognitive effort test performance: an examination of the test of memory Malingering in Colombia examination of the test of memory Malingering in Colombia. J Clin Exp Neuropsychol 41(10):1015–1023. https://doi.org/10.1080/13803395.2019.1644294
doi: 10.1080/13803395.2019.1644294 pubmed: 31322039
Nitrini R (2008) Immediate recall of short stories depends on educational level. Dement Neuropsychol 2(4):310–314
doi: 10.1590/S1980-57642009DN20400014 pubmed: 29213591 pmcid: 5619086
Nitrini R, Caramelli P, Herrera E, Porto CS, Charchat-Fichman H, Carthery MT, Takada LT, Lima EP (2004) Performance of illiterate and literate nondemented elderly subjects in two tests of long-term memory. J Int Neuropsychol Soc 10(4):634–638. https://doi.org/10.1017/S1355617704104062
doi: 10.1017/S1355617704104062 pubmed: 15327741
Ostrosky-Solis F, Ardila A, Rosselli M, Lopez-Arango G, Uriel-Mendoza V (1998) Neuropsychological test performance in illiterate subjects. Arch Clin Neuropsychol 13(7):645–660. https://doi.org/10.1016/S0887-6177(97)00094-2
doi: 10.1016/S0887-6177(97)00094-2 pubmed: 14590626
Paddick SM, Gray WK, McGuire J, Richardson J, Dotchin C, Walker RW (2017) Cognitive screening tools for identification of dementia in illiterate and low-educated older adults, a systematic review and meta-analysis. Int Psychogeriatr 29(6):897–929. https://doi.org/10.1017/S1041610216001976
doi: 10.1017/S1041610216001976 pubmed: 28274299
Palo Villegas YDR, Pomareda Vera AE, Rojas Zegarra ME, Calero MD (2020) Effectiveness of the “Mente Sana [Healthy Mind]” Cognitive training program for older illiterate adults with mild cognitive impairment. Geriatrics (Basel). 5(2):34. https://doi.org/10.3390/geriatrics5020034
Pavão Martin I, Maruta C, Freitas V, Mares I (2013) Executive performance in older Portuguese adults with low education. Clin Neuropsychol 27(3):410–425
doi: 10.1080/13854046.2012.748094
Pellicer-Espinosa I, Díaz-Orueta U (2022) Cognitive screening instruments for older adults with low educational and literacy levels: a systematic review. J Appl Gerontol 41(4):1222–1231. https://doi.org/10.1177/07334648211056230
doi: 10.1177/07334648211056230 pubmed: 34856843
Pereira A, Zazo Ortiz K (2022) Language skills differences between adults without formal education and low formal education. Psicol-Reflex Crit 35(1):4
doi: 10.1186/s41155-021-00205-9 pubmed: 34982275 pmcid: 8727659
Raina SK, Maria A, Chander V, Raina S (2015) Intersecting pentagons as surrogate for identifying the use of mini mental state examination in assessment of dementia in a largely illiterate population. J Postgrad Med 61(4):247–250
doi: 10.4103/0022-3859.166513 pubmed: 26440395 pmcid: 4943373
Ratcliff G, Ganguli M, Chandra V, Sharma S, Belle S, Seaberg E, Pandav R (1998) Effects of literacy and education on measures of word fluency. Brain Lang 61(1):115–122
doi: 10.1006/brln.1997.1858 pubmed: 9448935
Reis A, Castro-Caldas A (1997) Illiteracy: a cause for biased cognitive development. J Int Neuropsychol Soc 3(5):444–450
doi: 10.1017/S135561779700444X pubmed: 9322403
Reis A, Faísca L, Ingvar M, Petersson KM (2006) Color makes a difference: two-dimensional object naming in literate and illiterate subjects. Brain Cogn 60(1):49–54. https://doi.org/10.1016/j.bandc.2005.09.012
doi: 10.1016/j.bandc.2005.09.012 pubmed: 16271820
Reis A, Guerreiro M, Petersson KM (2003) A sociodemographic and neuropsychological characterization of an illiterate population. Appl Neuropsychol 10(4):191–204. https://doi.org/10.1207/s15324826an1004_1
doi: 10.1207/s15324826an1004_1 pubmed: 14690800
Reis A, Petersson KM, Castro-Caldas A, Ingvar M (2001) Formal schooling influences two- but not three-dimensional naming skills. Brain Cogn 47(3):397–411. https://doi.org/10.1006/brcg.2001.1316
doi: 10.1006/brcg.2001.1316 pubmed: 11748896
Rodakowski J, Saghafi E, Butters MA, Skidmore ER (2015) Non-pharmacological interventions for adults with mild cognitive impairment and early stage dementia: an updated scoping review. Mol Asp Med:38–53. https://doi.org/10.1016/j.mam.2015.06.003
Rosselli M, Ardila A, Rosas P (1990) Neuropsychological assessment in illiterates. II. Language and praxic abilities. Brain Cogn 12(2):281–296. https://doi.org/10.1016/0278-2626(90)90020-O
doi: 10.1016/0278-2626(90)90020-O pubmed: 2340156
Salmon DP, Bondi MW (2009) Neyropsychological assessment of dementia. Annu Rev Psychol 60:257–282. https://doi.org/10.1146/annurev.psych.57.102904.190024.Neuropsychological
doi: 10.1146/annurev.psych.57.102904.190024.Neuropsychological pubmed: 18616392 pmcid: 2864104
Silva C, Faísca L, Ingvar M, Petersson KM, Reis A (2012) Literacy: exploring working memory systems. J Clin Exp Neuropsychol 34(4):369–377. https://doi.org/10.1080/13803395.2011.645017
doi: 10.1080/13803395.2011.645017 pubmed: 22260217
Tak SH, Kim JY, Ko H, Yoo YM (2019) Feasibility of an integrative activity program for older adults with low education and mild dementia. J Gerontol Nurs 45(3):13–20. https://doi.org/10.3928/00989134-20190124-01
doi: 10.3928/00989134-20190124-01 pubmed: 30789985
Tripathi R, Kumar K, Bharath S, Marimuthu P, Varghese M (2014) Age, education and gender effects on neuropsychological functions in healthy Indian older adults. Dement Neuropsychol 8(2):148–154. https://doi.org/10.1590/S1980-57642014DN82000010
doi: 10.1590/S1980-57642014DN82000010 pubmed: 29213896 pmcid: 5619122
UNESCO eAtlas of Literacy. Accessed August 10, 2022 at https://en.unesco.org/themes/literacy-all/resources
Xin Yan L, Li L, Jia Qing X, Chang Zhi H, Xiu Lin L, Lei G, Xiao Wei Y, Xin Gang C, Li Hua F (2016) Cognitive training in older adults with mild cognitive impairment. Biomed Environ Sci 29(5):356–364. https://doi.org/10.3967/bes2016.046
doi: 10.3967/bes2016.046
Youn JH, Siksou M, Mackin RS, Choi JS, Chey J, Lee JY (2011) Differentiating illiteracy from Alzheimer’s disease by using neuropsychological assessments. Int Psychogeriatr 23(10):1560–1568. https://doi.org/10.1017/S1041610211001347
doi: 10.1017/S1041610211001347 pubmed: 21777502
Zunzunegui MV, Gutierrez Cuadra P, Beland F, Del Ser T, Wolfson C (2000) Development of simple cognitive function measures in a community dwelling population of elderly in Spain. Int J Geriatr Psychiatry 15(2):130–140
doi: 10.1002/(SICI)1099-1166(200002)15:2<130::AID-GPS91>3.0.CO;2-C pubmed: 10679845

Auteurs

Maria Petri (M)

Lab of Cognitive Neuroscience, School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Lambros Messinis (L)

Lab of Cognitive Neuroscience, School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece. lmessinis@psy.auth.gr.

Panayiotis Patrikelis (P)

Lab of Cognitive Neuroscience, School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Anastasia Nousia (A)

Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece.

Grigorios Nasios (G)

Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece.

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