Proverb Comprehension in Primary Progressive Aphasia

Öz

Aim: Proverb comprehension was tested in 22 patients with primary progressive aphasia utilizing idiom explanation task. The aim of this study was to determine proverb comprehension in PPA patients using the Proverb Scale. Material and Methods: To assess the participants, Montreal Cognitive Assessment Scale, the Pyramid and Palm Trees test and the Proverb Scale were used. Results: As a result of statistical analysis, there was a significantly difference between svPPA and lvPPA regarding idiom comprehension scores, the Pyramid and Palm Trees Test Scores and MoCA scores. Conclusion: It is an important study to understand how the abstraction in PPA works regarding the language. In PPA subtypes, semantic memory, proverb and MoCA scores were significantly different between logopenic and semantic variants. Although MoCA and proverb comprehension were correlated in svPPA, no correlation was found in lvPPA. With similar studies in the field, it would be possible to better explain the effects of PPA, a disorder characterized by language disorders.

Anahtar Kelimeler

• idiom
• primary progressive aphasia
• semantic
• logopenic

Primer Progresif Afazi'de Atasözlerini Anlama ve Kavrama

Öz

Amaç: Atasözü açıklama görevi kullanılarak primer progresif afazili 22 vakada atasözlerini anlama ve kavrama becerileri değerlendirildi. Bu çalışmanın amacı, soyutlama, anlama ve kavrama ile ilgili ölçek ve testler kullanarak PPA hastalarında atasözü anlama düzeylerini belirlemektir. Materyal ve Yöntem: Katılımcıları değerlendirmek için Montreal Bilişsel Değerlendirme Ölçeği, Piramit ve Palmiye Ağaçları testi ve Atasözü Ölçeği kullanıldı. Bulgular: İstatistiksel analiz sonucunda atasözü anlama puanları, Piramit ve Palmiye Ağaçları Test Puanları ve MoCA puanları açısından svPPA ve lvPPA arasında anlamlı bir fark bulunmuştur. Sonuç: PPA'daki soyutlamanın dil açısından nasıl çalıştığını anlamak için önemli bir çalışmadır. PPA alt tiplerinde semantik bellek, atasözlerini anlama ve MoCA skorları anlamlı olarak logopenik ve semantik varyantlar arasında değişiklik göstermektedir. svPPA'da MoCA ve atasözü anlama arasında bir korelasyon olmasına rağmen lvPPA'da herhangi bir korelasyon bulunamamıştır. Bu gibi çalışmalar sayesinde dildeki bozulmalar ile karakterize bir bozukluk olan PPA’nın etkilerini daha iyi açıklamak mümkün olabilecektir.

Anahtar Kelimeler

• Atasözü
• Primer Progresif Afazi
• Semantik
• Logopenik

Kaynakça

1. 1. Mesulam MM. Primary progressive aphasia. Ann Neurol 2001;49(4), 425-432.
2. 2. Mesulam MM. Primary progressive aphasia—a language-based dementia. N. Engl. J. Med. 2003;349(16):1535-1542.
3. 3. Tippett DC. Classification of primary progressive aphasia: challenges and complexities. F1000Research, 9. 2020.
4. 4. Marshall CR, Hardy CJ, Volkmer A et al. Primary progressive aphasia: a clinical approach. J Neurol 2018;265:1474-1490.
5. 5. Papagno C, Lucchelli F, Muggia S et al. Idiom comprehension in Alzheimer’s disease: The role of the central executive. Brain 2003;126(11):2419-2430.
6. 6. Glucksberg S, McGlone MS. Understanding figurative language: From metaphor to idioms (No. 36). Oxford University Press; 2001.
7. 7. Kempler D, Van Lancker D, Read S. Proverb and idiom comprehension in Alzheimer disease. Alzheimer Dis Assoc Disord 1988;2(1):38-49.
8. 8. Brüne M, Bodenstein L. Proverb comprehension reconsidered ‘theory of mind’and the pragmatic use of language in schizophrenia. Schizophr. Res. 2005;75(2-3):233-239.

9. 9. Sponheim SR, Surerus-Johnson C, Leskela, J et al. Proverb interpretation in schizophrenia: the significance of symptomatology and cognitive processes. Schizophr. Res. 2003;65(2-3):117-123.
10. 10. Yamaguchi H, Maki Y, Yamaguchi T. A figurative proverb test for dementia: rapid detection of disinhibition, excuse and confabulation, causing discommunication. Psychogeriatr 2011;11(4):205-211.
11. 11. Delis DC, Kaplan E, Kramer JH. Delis-Kaplan Executive Function System (D–KEFS) [Database record]. APA PsycTests 2001.
12. 12. Baddeley A, Della Sala S, Gray C et al. Testing Central Executive Functioning with a Pencil-and-paper Test. Methodology of Frontal and Executive Function, 1997;59.
13. 13. Papagno C. Comprehension of metaphors and idioms in patients with Alzheimer's disease: A longitudinal study. Brain 2011;124(7):1450-1460.
14. 14. Mesulam MM. Primary progressive aphasia: a dementia of the language network. Dement Neuropsychol 2013;7:2-9.
15. 15. Gorno-Tempini ML, Hillis AE, Weintraub S et al. Classification of primary progressive aphasia and its variants. Neurol 2011;76(11):1006-1014.
16. 16. Howard D, Patterson KE. The pyramids and palm trees test. Newcastle University ePrints;1992.
17. 17. Bozdemir M, Gurvit IH. Normative data for the Turkish version of the pyramids and palm trees test. Appl. Neuropsychol. Adult 2022;29(6):1571-1577.
18. 18. Nasreddine ZS, Phillips NA, Bédirian V et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005;53(4)695-699.
19. 19. Selekler K, Cangöz B, Sait ULUÇ. Power of discrimination of Montreal Cognitive Assessment (MOCA) Scale in Turkish patients with mild cognitive impairement and Alzheimer's disease. Turk J Geriatr 2010;13(3).
20. 20. Aydın H, Baştuğ G, Kırıcı S et. al. Soyutlama Becerisini Değerlendirmeye Yarayan Atasözleri Ölçeği’nin Psikometrik Özelliklerinin İncelenmesi. Nesne J Psychol 2022; 26:590-602.
21. 21. Wood, Jessica L., et al. "Montreal Cognitive Assessment (MoCA) performance and domain-specific index scores in amnestic versus aphasic dementia." Journal of the International Neuropsychological Society 26.9 (2020): 927-931.
22. 22. Glucksberg S. Beyond literal meanings: The psychology of allusion. Psychol Sci. 1991;2(3):146-152.
23. 23. Titone DA, Connine CM. Descriptive norms for 171 idiomatic expressions: Familiarity, compositionality, predictability, and literality. Metaphor Symb 1994;9(4):247-270.
24. 24. Nunberg G, Sag, IA, Wasow T. Idioms. Lang 1994;70(3):491-538.
25. 25. Bonin P, Méot A, Bugaiska A. Norms and comprehension times for 305 French idiomatic expressions. Behav Res Methods 2013;45:1259-1271.
26. 26. Thompson CK, Meltzer-Asscher A, Cho S et al.,Syntactic and morphosyntactic processing in stroke-induced and primary progressive aphasia. Behav Neurol 2013;26(1-2):35-54.
27. 27. Milburn E, Warren T, Dickey MW. Idiom comprehension in aphasia: Literal interference and abstract representation. J Neurolinguistics 2018;47:16-36.