Conversational cohesion patterns in men and women with Alzheimer's disease: a longitudinal study.
Conversational cohesion patterns in men and women with Alzheimer's disease: a longitudinal study.
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患有阿尔茨海默病的男性和女性的对话衔接模式：一项纵向研究。
DOI：
10.1080/136828200247241
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发表时间：
2000
影响因子：
2.4
通讯作者：
Ziol,EW
中科院分区：
文献类型：
--
作者：
Ripich,DN;Carpenter,BD;Ziol,EW
研究人员对 60 名患有早期至中期阿尔茨海默病 (AD) 的个体（31 名女性，29 名男性）和 47 名非痴呆老年人 (NE)（27 名女性，20 名男性）在对话中使用衔接装置进行了研究。 AD 个体比 NE 个体产生更多的指涉错误，尽管 AD 和 NE 个体在其他方面表现出对衔接装置的类似使用。与 AD 男性和 NE 男性和女性相比，AD 女性更频繁地使用两种椭圆设备（子句省略和单词省略）。对完成四次数据收集（入组、6、12 和 18 个月）的 23 名 AD 受试者（13 名女性，10 名男性）进行了纵向随访。他们证明，输入后 18 个月时省略和连接的数量显着下降。随着AD受试者随着时间的推移产生的话语越来越少、越来越短，他们对所有衔接手段的使用也随之减少。随着时间的推移，没有发现性别差异。尽管引用错误将早期到中期的 AD 与 NE 区分开来，但单独的会话话语任务对于评估和监测沟通能力的临床价值可能有限。
The use of cohesion devices in conversations was examined in 60 individuals (31 women, 29 men) with early to midstage Alzheimer's disease (AD) and 47 non‐demented elderly (NE) (27 women, 20 men). AD individuals produced more referent errors than NE, although AD and NE subjects otherwise demonstrated similar use of cohesion devices. AD women showed more frequent use of two elliptical devices (clause omission and word omission) compared with AD men and NE men and women. A subset of 23 AD subjects (13 women, 10 men) who completed four data collections (entry, 6, 12 and 18 months) was followed longitudinally. They demonstrated a significant decline in the number of ellipses and conjunctions at 18 months post‐entry. As AD subjects produced fewer and shorter utterances across time, their use of all cohesive devices declined. No gender differences were found over time. Although referencing errors differentiated early to midstage AD from NE, conversational discourse tasks alone may have limited clinical value to assess and monitor communication competence.