Relationship between the Brazilian version of the Montreal-Toulouse language assessment battery and education, age and reading and writing characteristics
a cross-sectional study
Keywords:
Language tests, Educational status, Age factors, Aphasia, AdultAbstract
CONTEXT AND OBJECTIVE: There is growing concern about understanding how sociodemographic variables may interfere with cognitive functioning, especially with regard to language. This study aimed to investigate the relationship between performance in the Brazilian version of the Montreal-Toulouse language assessment battery (MTL-BR) and education, age and frequency of reading and writing habits (FRWH). DESIGN AND SETTING: Cross-sectional study conducted in university and work environments in Rio Grande do Sul, Brazil. METHOD: The MTL-BR was administered to a group of 233 healthy adults, aged 19 to 75 years (mean = 45.04, standard deviation, SD = 15.47), with at least five years of formal education (mean = 11.47, SD = 4.77). RESULTS: A stepwise multiple linear regression model showed that, for most tasks, the number of years of education, age and FRWH were better predictors of performance when analyzed together rather than separately. In separate analysis, education was the best predictor of performance in language tasks, especially those involving reading and writing abilities. CONCLUSION: The results suggested that the number of years of education, age and FRWH seem to influence performance in the MTL-BR, especially education. These data are important for making diagnoses of greater precision among patients suffering from brain injuries, with the aim of avoiding false positives.
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References
Lecours AR, Mehler J, Parente MA, et al. Illiteracy and brain damage--1. Aphasia testing in culturally contrasted populations (control subjects). Neuropsychologia. 1987;25(1B):231-45.
Pineda DA, Mejía SE, Rosselli M, et al. Variabilidad en la prueba de Boston para el diagnóstico de las afasias en adultos laboralmente activos [Variability of the Boston test for the diagnosis of aphasia in active working adults]. Rev Neurol. 1998;26(154):962-70.
Ardila A, Ostrosky-Solis F, Rosselli M, Gómez C. Age-related cognitive decline during normal aging: the complex effect of education. Arch Clin Neuropsychol. 2000;15(6):495-513.
Brucki SMD, Mansur LL, Carthery-Goulart MT, Nitrini R. Educação formal, alfabetismo em saúde e mini-exame do estado mental [Formal education, health literacy and Mini-Mental State Examination]. Dement Neuropsychol. 2011;5(1):26-30.
Freitas S, Simões MR, Alves L, Santana I. Montreal Cognitive Assessment: influence of sociodemographic and health variables. Arch Clin Neuropsychol. 2012;27(2):165-75.
Pineda DA, Rosselli M, Ardila A, et al. The Boston Diagnostic Aphasia Examination-Spanish version: the influence of demographic variables. J Int Neuropsychol Soc. 2000;6(7):802-14.
Ganguli M, Snitz BE, Lee CW, et al. Age and education effects and norms on a cognitive test battery from a population-based cohort: the Monongahela-Youghiogheny Healthy Aging Team. Aging Ment Health. 2010;14(1):100-7.
Ortiz KZ, Costa FP. Aplicação do teste M1-Alpha em sujeitos normais com baixa escolaridade: estudo piloto [M1-Alpha test in normal subjects with low educational level: a pilot study]. J Soc Bras Fonoaudiol. 2011;23(3):220-6.
Soares EC, Ortiz KZ. Influence of schooling on language abilities of adults without linguistic disorders. Sao Paulo Med J. 2009;127(3):134-9.
Snitz BE, Unverzagt FW, Chang CC, et al. Effects of age, gender, education and race on two tests of language ability in community-based older adults. Int Psychogeriatr. 2009;21(6):1051-62.
Tsapkini K, Vlahou CH, Potagas C. Adaptation and validation of standardized aphasia tests in different languages: Lessons from the Boston Diagnostic Aphasia Examination – Short Form in Greek. Behav Neurol. 2010;22(3-4):111-9.
Kempler D, Teng EL, Dick M, Taussig IM, Davis DS. The effects of age, education, and ethnicity on verbal fluency. J Int Neuropsychol Soc. 1998;4(6):531-8.
Neils J, Baris JM, Carter C, et al. Effects of age, education, and living environment on Boston Naming Test performance. J Speech Hear Res. 1995;38(5):1143-9.
Van der Elst W, Van Boxtel MP, Van Breukelen GJ, Jolles J. Normative data for the Animal, Profession and Letter M Naming verbal fluency tests for Dutch speaking participants and the effect of age, education, and sex. J Int Neuropsychol Soc. 2006;12(1):80-9.
Manly J, Jacobs D, Touradji P, Small SA, Stern Y. Reading level attenuates differences in neuropsychological test performance between African American and White elders. J Int Neuropsychol Soc. 2002;8(3):341-8.
Dotson VM, Kitner-Triolo MH, Evans MK, Zonderman AB. Effects of race and socioeconomic status on the relative influence of education and literacy on cognitive functioning. J Int Neuropsychol Soc. 2009;15(4):580-9.
Lachman ME, Agrigoroaei S, Murphy C, Tun PA. Frequent cognitive activity compensates for education differences in episodic memory. Am J Geriatr Psychiatry. 2010;18(1):4-10.
Manly JJ, Byrd DA, Touradji P, Stern Y. Acculturation, reading level, and neuropsychological test performance among African American elders. Appl Neuropsychol. 2004;11(1):37-46.
Cunha NB, Santos AAA. Relação entre a compreensão da leitura e a produção escrita em universitários [Reading comprehension and writing production among undergraduates]. Psicol Reflex Crit. 2006;19(2):237-45.
Stotsky S. Research on reading/writing relationships: a synthesis and suggested directions. Language Arts. 1983;60(5):627-43. Available from: http://www.jstor.org/discover/10.2307/41961512?uid=3737664&uid=2129&uid=2&uid=70&uid=4&sid=21103557699791. Accessed in 2014 (Sep 9).
Goodglass H, Kaplan E, Barresi B. The assessment of aphasia and related disorders. Philadelphia: Lippincott Williams and Wilkins; 2001.
Nespoulous JL, Lecours AR, Lafond D. MT 86 - Protocole Montréal-Toulouse d’examen linguistique de l’aphasie. Isbergues: Ortho Edition; 1986.
Radanovic M, Mansur LL, Scaff M. Normative data for the Brazilian population in the Boston Diagnostic Aphasia Examination: influence of schooling. Braz J Med Biol Res. 2004;37(11):1731-8.
Huber W, Poeck K, Willmes K. The Aachen Aphasia Test. Adv Neurol. 1984;42:291-303.
Kertesz A. Western Aphasia Battery test manual. New York: Grune & Stratton; 1982.
Parente MAMP, Ortiz KZ, Soares ECS, et al. Bateria Montreal-Toulouse de Avaliação da Linguagem – Bateria MTL-Brasil. São Paulo: Vetor Editora [in press].
Pagliarin KC, Ortiz KZ, Parente MA, et al. Montreal-Toulouse language assessment battery for aphasia: validity and reliability evidence. NeuroRehabilitation. 2014;34(3):463-71.
Beck AT, Steer RA, Brown GK. Manual do Inventário de Depressão de Beck - BDI-II. Gorenstein C, Yuan-Pang W, Argimon IIL, Werlang BSG [adaptação brasileira]. São Paulo: Casa do Psicólogo; 2012.
Juby A, Tench S, Baker V. The value of clock drawing in identifying executive cognitive dysfunction in people with a normal Mini-Mental State Examination score. CMAJ. 2002;167(8):859-64.
Chaves ML, Izquierdo I. Differential diagnosis between dementia and depression: a study of efficiency increment. Acta Neurol Scan. 1992;85(6):378-82.
Kochhann R, Varela JS, Lisboa CSM, Chaves MLF. The mini mental state examination review of cutoff points adjusted for schooling in a large Southern Brazilian sample [Mini exame do estado mental: revisão de pontos de corte ajustados para a escolaridade em uma grande amostra do sul do Brasil]. Dement Neuropsychol. 2010;4(1):35-41.
Fonseca RP, Zimmermann N, Oliveira CR, et al. Métodos em avaliação neuropsicológica: pressupostos gerais, neurocognitivos, neuropsicolinguísticos e psicométricos no uso e desenvolvimento de instrumentos. In: Fukushima SS. Métodos em psicobiologia, neurociêcias e comportamento. São Paulo: ANPEPP; 2012.
Pawlowski J, Remor E, Parente MAMP, et al. The influence of reading and writing habits associated with education on the neuropsychological performance of Brazilian adults. Reading and Writing. 2012;25(9):2275-89. Available from: http://link.springer.com/ article/10.1007%2Fs11145-012-9357-8. Accessed in 2014 (Sep 9).
Manly JJ, Jacobs DM, Sano M, et al. Effect of literacy on neuropsychological test performance in nondemented, education-matched elders. J Int Neuropsychol Soc. 1999;5(3):191-202.
Kliegel M, Zimprich D, Rott C. Life-long intellectual activities mediate the predictive effect of early education on cognitive impairment in centenarians: a retrospective study. Aging Ment Health. 2004;8(5):430-7.
Stern Y. Cognitive reserve. Neuropsychologia. 2009;47(10):2015-28.
Labos E, Del Rio M, Zabala K. Perfil de desempeño linguístico en el adulto mayor. Revista Argentina de Neuropsicología. 2009;13:1-13. Available from: http://www.academia.edu/7564486/Perfil_de_desempeno_linguistico_en_el_adulto_mayor. Accessed in 2014 (Sep 9).
James LE, Burke DM, Austin A, Hulme E. Production and perception of “verbosity” in younger and older adults. Psychol Aging. 1998;13(3):355-67.
Juncos-Rabadán O, Pereiro AX, Rodríguez MS. Narrative speech in aging: quantity, information content, and cohesion. Brain Lang. 2005;95(3):423-34.
Korolija N. Coherence-inducing strategies in conversations amongst the aged. Journal of Pragmatics. 2000;32(4):425-62. Available from: http://www.sciencedirect.com/science/article/pii/S0378216699000582. Accessed in 2014 (Sep 9).
Arbuckle TY, Nohara-LeClair M, Pushkar D. Effect of off-target verbosity on communication efficiency in a referential communication task. Psychol Aging. 2000;15(1):65-77.
Roberts B, Kisner K. Temporal cycles in speech production. Language and Cognitive Processes. 2000;15(2):129-57. Available from: http:// www.tandfonline.com/doi/abs/10.1080/016909600386075#. VA9NGfmtksY. Accessed in 2014 (Sep 9).
Brandão L, Parente MAMP. Os estudos de linguagem do idoso neste último século. Estudos Interdisciplinares sobre o Envelhecimento. 2001;3:37-53. Available from: file:///C:/Users/Dell/Downloads/4668-14935-1-PB.pdf. Accessed in 2014 (Sep 9).
Duong A, Giroux F, Tardif A, Ska B. The heterogeneity of picture-supported narratives in Alzheimer’s disease. Brain Lang. 2005;93(2):173-84.
Wittig F. Estructura narrativa en el discurso oral de adultos mayores [Narrative structure in oral discourse by elder speakers]. Rev Signos. 2004;37(56):91-101.