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A short-form version of the Boston Naming Test for language screening in dementia in a bilingual rural community in Galicia (Spain)

  • M. C. Nebreda (a1), A. García-Caballero (a1), E. Asensio (a1), P. Revilla (a2), M. Rodriguez-Girondo (a1) and R. Mateos (a3)...

Abstract

Background: Aphasia, one of the core symptoms of cortical dementia, is routinely evaluated using graded naming tests like the Boston Naming Test (BNT). However, the application of this 60-item test is time-consuming and shortened versions have been devised for screening. The hypothesis of this research is that a specifically designed shortened version of the BNT could replace the original 60-item BNT as part of a mini-battery for screening for dementia. The objective of this study was to design a short version of the BNT for a rural population in Galicia (Spain).

Methods: A clinic group of 102 patients including 43 with dementia was recruited along with 78 healthy volunteers. The clinic and control groups were scored on the Spanish version of the Mini-mental State Examination (MMSE) and BNT. In addition, the clinic group was tested with standard neuropsychological instruments and underwent brain investigations and routine neurological examination. BNT items with specificity and sensitivity above 0.5 were selected to compose a short battery of 11 pictures named BNTOu11. ANOVA and mean comparisons were made for MMSE and BNT versions. Receiver operating characteristics (ROC) curves and internal consistency were calculated.

Results: Areas under ROC curves (AUC) did not show statistically significant differences; therefore BNTOu11's AUC (0.814) was similar to the 60-item BNT versions (0.785 and 0.779), to the short versions from Argentina (0.772) and Andalusia (0.799) and to the Spanish MMSE (0.866). BNTOu11 had higher internal consistency than the other short versions.

Conclusions: BNTOu11 is a useful and time-saving method as part of a battery for screening for dementia in a psychogeriatric outpatient unit.

Copyright

Corresponding author

Correspondence should be addressed to: Mr M. C. Nebreda, Rua do Cruceiro 17–7A, 36002 Pontevedra, Spain. Phone: +34 699863337. Email: consuelo.nebreda.vicario@sergas.es.

References

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American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IVTR). Washington DC: American Psychiatric Association.
Bialystok, E., Craik, F. I. M. and Freedman, M. (2007). Bilingualism as a protection against the onset of symptoms of dementia. Neuropsychologia, 45, 459464.
Calero, M. D., Arnedo, M. L., Navarro, E., Ruíz-Pedrosa, M. and Carnero, C. (2002). Usefulness of a 15-item version of the Boston Naming Test in neuropsychological assessment of low-educational elders with dementia. Journal of Gerontology: Psychological Sciences, 57, 187191.
Feher, E. P., Mahurin, R. K., Doody, R. S., Cooke, N., Sims, J. and Pirozzolo, F. J. (1992). Establishing the limits of the Mini-mental State Examination of subtests. Archives of Neurology, 49, 8792.
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.
García-Caballero, A. et al. (2006). Validation of the Spanish version of the Addenbrooke's Cognitive Examination in a rural community in Spain. International Journal of Geriatric Psychiatry, 21, 239245.
García-Caballero, A. et al. (2007). Paradoxical recovery in a bilingual aphasic following right capsulo-putaminal infarction. Journal of Geriatric Psychiatry and Neurology, 78, 8991.
Goodglass, H. (2005). Evaluación de la afasia y de trastornos relacionados. Madrid: Editorial Médica Panamericana.
Goodglass, H. and Kaplan, E. (1986). Evaluacion de la afasia y de trastornos relacionados. Madrid: Editorial Médica Panamericana.
Goodglass, H., Wingfeld, A. and Hyde, M. R. (1998). The Boston corpus of aphasic naming errors. Brain and Language, 64, 127.
Kaplan, E. F., Goodglass, H. and Weintraub, S. (1978). The Boston Naming Test. Philadelphia: Lea & Febiger.
Kavé, G., Eyal, N., Shorek, A. and Cohen-Mansfield, J. (2008). Multilingualism and cognitive state in the oldest old. Psychology and Aging, 23, 7078.
LaBarge, E., Edwards, D. and Knesevish, J. (1986). Performance of normal elderly on the Boston Naming Test. Brain and Language, 27, 380384.
Lansing, A. E., Ivnik, R. J., Cullum, C. M. and Randolph, C. (1999). An empirically derived short form of the Boston Naming Test. Archives of Clinical Neuropsychology, 1, 481487.
Lobo, A. et al. (1999). Revalidación y normalización del Mini-Examen Cognoscitivo (primera versión en castellano del Mini-mental State Examination) en la población general geriátrica. Medicina Clínica (Barcelona), 112, 767774.
Mack, W. J., Freed, D. M., Williams, B. W. and Henderson, V. W. (1992). Boston Naming Test: shortened versions for use in Alzheimer's disease. Journal of Gerontology: Psychological Sciences, 47, 154158.
Martin, A. and Fedio, P. (1983). Word production and comprehension in Alzheimer's disease: the breakdown of semantic knowledge. Brain and Language, 19, 124141.
Paradis, M. and Elias, J. (1989). Test de afasia para bilingües, European Spanish Version. Hillsdale, NJ: Lawrence Erlbaum Associates.
Reis, A., Petersson, K. M., Castro-Caldas, A. and Ingvar, M. (1998). Formal schooling influences two- but not three-dimensional naming skills. Brain Cognition, 47, 397411.
Reis, A., Faísca, L., Ingvar, M. and Petersson, K. M. (2006). Color makes a difference: two-dimensional object naming skills in literate and illiterate subjects. Brain and Cognition, 60, 4954.
SAS Institute (2007). The SAS System. SAS Online Doc. HTML Format Version 8. Cary, NC: SAS Institute Inc.
Serrano, C., Allegri, R. F., Drake, M., Butman, J., Harris, P., Nagle, C. and Ranalli, C. (2001). Versión abreviada en español del test de denominación de Boston: su utilidad en el diagnóstico diferencial de la enfermedad de Alzheimer. Revista de Neurología, 33, 624627.
Steel, R. D. G., Torrie, J. H. and Dickey, D. A. (1997). Principles and Procedures in Statistics: A Biometrical Approach, 3rd edn.New York: McGraw Hill.
Tombaugh, T. N. and McIntyre, N. J. (1992). The Mini-mental State Examination: a comprehensive review. Journal of the American Geriatrics Society, 40, 923935.
Weintraub, S. (2000). Neuropsychological assessment of mental state. InMesulam, M. M. (ed.), Principles of Behavioral and Cognitive Neurology (pp. 121173) New York: Oxford University Press.
Welch, L. W., Doineau, D., Johnson, S. and King, D. (1996). Educational and gender normative data for the Boston Naming Test in a group of older adults. Brain and Language, 53, 260266.
Williams, B. W., Mack, W. and Henderson, V. (1989). Boston Naming Test in Alzheimer's disease. Neuropsychologia, 27, 10731079.

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