Universal and Language-Specific Connected Speech Characteristics of Bilingual Speakers With Alzheimer’s Disease: Insights From Case Studies of Structurally Distinct Languages.

Purpose: Connected speech analysis has been effectively utilized for the diagnosis and disease monitoring of individuals with Alzheimer’s disease (AD). Existing research has been conducted mostly in monolingual English speakers with a noticeable lack of evidence from bilinguals and non-English speak...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 4; pp. 1143 - 1165
Autores principales: Dutta, Manaswita, Mello, Tina M. D., Yesi Cheng, Dash, Niladri Sekhar, Nandi, Ranita, Dutt, Aparna, Bose, Arpita
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Apr2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00254
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        atl: Universal and Language-Specific Connected Speech Characteristics of Bilingual Speakers With Alzheimer’s Disease: Insights From Case Studies of Structurally Distinct Languages.
      aug:
        au:
          Dutta, Manaswita
          Mello, Tina M. D.
          Yesi Cheng
          Dash, Niladri Sekhar
          Nandi, Ranita
          Dutt, Aparna
          Bose, Arpita
        affil:
          Department of Speech & Hearing Sciences, Portland State University, OR.
          School of Psychology and Clinical Language Sciences, University of Reading, UK.
          Linguistic Research Unit, Indian Statistical Institute, Kolkata, India.
          Neuropsychology & Clinical Psychology Unit, Duttanagar Mental Health Center, Kolkata, India.
      su:
        Public health surveillance
        Language & languages
        Quantitative research
        Multilingualism
        Storytelling
        Language disorders
        Alzheimer's disease
        Research funding
        Bengali (South Asian people)
        Descriptive statistics
        Physiological aspects of speech
        Latent semantic analysis
        Neuropsychological tests
        Cognition disorders
        Speech perception
        English language
        Case studies
      sug:
        subj:
          Public health surveillance
          Language & languages
          Quantitative research
          Multilingualism
          Storytelling
          Language disorders
          Alzheimer's disease
          Research funding
          Bengali (South Asian people)
          Descriptive statistics
          Physiological aspects of speech
          Latent semantic analysis
          Neuropsychological tests
          Cognition disorders
          Speech perception
          English language
          Case studies
      ab: Purpose: Connected speech analysis has been effectively utilized for the diagnosis and disease monitoring of individuals with Alzheimer’s disease (AD). Existing research has been conducted mostly in monolingual English speakers with a noticeable lack of evidence from bilinguals and non-English speakers, particularly in non-European languages. Using a case study approach, we characterized connected speech profiles of two Bengali–English bilingual speakers with AD to determine the universal features of language impairments in both languages, identify language-specific differences between the languages, and explore language impairment characteristics of the participants with AD in relation to their bilingual language experience. Method: Participants included two Bengali–English bilingual speakers with AD and a group of age-, gender-, education-, and language-matched neurologically healthy controls. Connected speech samples were collected in first language (L1; Bengali) and second language (L2; English) using a novel storytelling task (i.e., Frog, Where Are You?). These samples were analyzed using an augmented quantitative production analysis and correct information unit analyses for productivity, fluency, syntactic and morphosyntactic features, and lexical and semantic characteristics. Results: Irrespective of the language, AD impacted speech productivity (speech rate and fluency) and semantic characteristics in both languages. Unique language-specific differences were noted on syntactic measures (reduced sentence length in Bengali), lexical distribution (fewer pronouns and absence of reduplication in Bengali), and inflectional properties (no difficulties with noun or verb inflections in Bengali). Among the two participants with AD, the individual who showed lower proficiency and usage in L2 (English) demonstrated reduced syntactic complexity and morphosyntactic richness in English. Conclusions: Evidence from these case studies suggests that language impairment features in AD are not universal across languages, particularly in comparison to impairments typically associated with language breakdowns in English. This study underscores the importance of establishing connected speech profiles in AD for non–English-speaking populations, especially for structurally different languages. This would in turn lead to the development of language-specific markers that can facilitate early detection of language deterioration and aid in improving diagnosis of AD in individuals belonging to underserved linguistically diverse populations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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