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Kljajevic V. Increasing sensitivity of clinical proverb tests for diagnosis of dementia. Alzheimers Dement 2024; 20:3108-3109. [PMID: 38253962 PMCID: PMC11032556 DOI: 10.1002/alz.13688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 11/30/2023] [Indexed: 01/24/2024]
Affiliation(s)
- Vanja Kljajevic
- Department of Special Needs Education, University of Oslo, Oslo, Norway
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Kljajevic V, Evensmoen HR, Sokołowski D, Pani J, Hansen TI, Håberg AK. Female advantage in verbal learning revisited: a HUNT study. Memory 2023:1-19. [PMID: 37114402 DOI: 10.1080/09658211.2023.2203431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
The argument for a female advantage in word list learning is often based on partial observations that focus on a single component of the task. Using a large sample (N = 4403) of individuals 13-97 years of age from the general population, we investigated whether this advantage is consistently reflected in learning, recall, and recognition and how other cognitive abilities differentially support word list learning. A robust female advantage was found in all subcomponents of the task. Semantic clustering mediated the effects of short-term and working memory on long-delayed recall and recognition, and serial clustering on short-delayed recall. These indirect effects were moderated by sex, with men benefiting more from reliance on each clustering strategy than women. Auditory attention span mediated the effect of pattern separation on true positives in word recognition, and this effect was stronger in men than in women. Men had better short-term and working memory scores, but lower auditory attention span and were more vulnerable to interference both in delayed recall and recognition. Thus, our data suggest that auditory attention span and interference control (inhibition), rather than short-term or working memory scores, semantic and/or serial clustering on their own, underlie better performance on word list learning in women.
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Affiliation(s)
- V Kljajevic
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - H R Evensmoen
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - D Sokołowski
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - J Pani
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - T I Hansen
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - A K Håberg
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
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Kljajevic V. Older and Wiser: Interpretation of Proverbs in the Face of Age-Related Cortical Atrophy. Front Aging Neurosci 2022; 14:919470. [PMID: 35860671 PMCID: PMC9289440 DOI: 10.3389/fnagi.2022.919470] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 06/08/2022] [Indexed: 11/27/2022] Open
Abstract
In the present study, we investigated whether interpretation of proverbs differs across the lifespan and if so, whether it is associated with age-related fronto-temporal atrophy. Using a sample of 333 healthy individuals aged 18–89 years, we found a significant effect of age on proverb interpretation [H(2) = 12.001, p = 0.002]: old adults (OA) were better than young adults (YA) (p = 0.002), and so were middle-aged-adults (MA) (p = 0.005). OA and MA had significantly less grey matter (GM) than YA in frontal and temporal lobes bilaterally, and OA less than MA in the right temporal lobe. GM volumes in these regions did not moderate the effect of age on the proverbs scores. The whole-brain analysis of groups’ GM maps revealed that the proverbs scores were associated with more GM in YA relative to OA in the right middle temporal gyrus, which is consistent with evidence on the role of this area in processing of unfamiliar proverbs. Overall, our data suggest that interpretation of proverbs is well preserved in late adulthood, despite considerable age-related cortical atrophy.
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Affiliation(s)
- Vanja Kljajevic
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
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Abstract
Abstract: Background: Recent findings on retrieval of proper names in cognitively healthy middle-aged persons indicate that Tip-Of-The-Tongue (TOT) states occurring during proper name retrieval implicate inferior frontal (BA 44) and parietal (BA 40) cortical areas. Such findings give rise to the possibility that anatomical connectivity via dorsal white matter may be associated with difficulties in name retrieval in midlife. Objectives & Method: Using Diffusion Tensor Imaging, we examined in vivo microstructural properties of white matter in 72 cognitively healthy Middle-Aged (MA) and 59 Young Adults (YA), comparing their naming abilities as well as testing, for possible associations between dorsal white matter integrity and naming abilities in the MA group. Results: The MA group was better in retrieving correct names (U = 1525.5, p = .006), but they also retrieved more incorrect names than YA believing they had retrieved the correct ones (U = 1265.5, p < .001). Furthermore, despite being more familiar with the tested names than YA (U = 930, p < .001), MA experienced significantly more TOTs relative to YA (U = 1498.5, p = .004). Tract-based spatial statistics showed significant group differences in values of fractional anisotropy (FA), mean diffusivity, axial diffusivity, radial diffusivity, and mode of anisotropy in a range of white matter tracts. In the MA group, FA values in the right Superior Longitudinal Fasciculus (SLF) were positively correlated with “don’t know” scores (rs = .287, p = .014). Conclusion: The association of SLF integrity and name retrieval ability in midlife indicates a need to revisit the models of name retrieval that posit no role for dorsal white matter in proper name retrieval.
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Kljajevic V, Ugarte Gómez E, López C, Balboa Bandeira Y. In search for common patterns in aphasia: The case of Spanish wh-dependencies. J Commun Disord 2019; 82:105924. [PMID: 31446201 DOI: 10.1016/j.jcomdis.2019.105924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 06/10/2019] [Accepted: 07/26/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Research on comprehension of wh-dependencies in Broca's aphasia has resulted in discrepant findings, suggesting that structurally different languages may involve different comprehension patterns. AIMS In the present study, we investigated whether Spanish speakers with Broca's aphasia rely on a language-specific cue that might facilitate comprehension of object wh-dependencies - the preposition a. Since the preposition a in Spanish indicates animate objects, reliance on this cue would facilitate comprehension of more demanding object wh-dependencies, cancelling out processing differences between structures with subject and object extractions. METHODS We studied comprehension of subject vs. object quién ("who") and qué ("which") direct and embedded questions, and relative clauses introduced by que in seven speakers with aphasia (SWA): six with Broca's and one with mixed aphasia. Control data were obtained from ten neurologically intact elderly Spanish speakers. RESULTS Mann-Whitney test revealed that compared to healthy controls, SWA had preserved comprehension of both subject and object who direct questions, object which direct questions, and object relative clauses. However, they exhibited considerably worse comprehension of subject which direct questions, all embedded questions regardless of the extraction site (subject, object) or type of wh-word (who, which), and subject relative clauses. Individual comprehension profiles obtained in a modified t-test and revised standardized difference test, while containing some variability, largely support lack of subject-object asymmetry and objects-better patterns. Furthermore, in direct questions, comprehension of who questions was better than the comprehension of which questions, while the opposite was found in embedded questions. CONCLUSIONS The lack of significant subject-object asymmetry in most conditions, together with better comprehension of object than subject extractions in direct questions, indicates that Spanish SWA rely on the preposition a in the comprehension of object wh-dependencies. However, this strategy fails in more complex conditions (embedded questions), because the processing costs outweigh the facilitating effects of this cue, unless additional cues to the object are present (object relatives). The present findings have implications for the accounts of wh-dependencies in Broca's aphasia involving Discourse-linking, the Intervener hypothesis, and the Competition model.
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Affiliation(s)
| | | | - Cristina López
- Asociación de daño cerebral adquirido de Álava, Vitoria, Spain
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Kljajevic V, Vranes-Grujicic M, Raskovic K. Comprehension of Spatial Metaphors After Right Hemisphere Stroke: A Case Report. Serbian Journal of Experimental and Clinical Research 2018. [DOI: 10.1515/sjecr-2017-0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Studying how spatial information interacts with figurative language processing in right-hemisphere (RH) stroke patients is a relatively neglected area of research. The goal of the present case study was to establish whether an ischemic lesion in the right temporo-parietal region causing spatial neglect would affect comprehension of sentence-level spatial metaphors, since some evidence indicates the crucial role of the RH in metaphor processing. The patient under study showed some degree of cognitive impairment (e.g., in spatial and verbal working memory, executive control, visuo-spatial matching skills). However, his comprehension of spatial metaphors was preserved. This case illustrates that RH damage does not necessarily affect comprehension of sentence-level spatial metaphors.
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Affiliation(s)
- Vanja Kljajevic
- University of the Basque Country (UPV/EHU) , Vitoria , Spain
- IKERBASQUE, Basque Foundation for Science , Bilbao , Spain
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Kljajevic V, Erramuzpe A. Proper name retrieval and structural integrity of cerebral cortex in midlife: A cross-sectional study. Brain Cogn 2017; 120:26-33. [PMID: 29253727 DOI: 10.1016/j.bandc.2017.11.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 11/20/2017] [Accepted: 11/21/2017] [Indexed: 11/20/2022]
Abstract
There is currently little understanding on whether retrieval of proper names differs in midlife compared to young adulthood and if so, whether the age differences in this ability are associated with differences in structural integrity of the cerebral cortex. To answer these questions, we studied retrieval of proper names in 115 cognitively healthy middle-aged persons (49.7, ±3.2), comparing their performance on a tip-of-the-tongue (TOT) task with that of 68 young persons (25.4, ±3.5) from the Cam-Can data repository (http://www.mrc-cbu.cam.ac.uk/datasets/camcan/). Grey matter (GM) density and cortical thickness were used as indices of structural integrity of the cerebral cortex. The middle-aged (MA) group experienced more TOTs during proper names retrieval than young adults (YA), (t = 3.789, p < .005) and had considerably less GM density and cortical thickness across a range of brain areas bilaterally. Small clusters in left BA 45 and right BA 44 (cortical thickness) and in right BA 40 (volumetry) revealed group differences when accounting for TOTs. However, we observed no correlations between MA's TOT scores and GM volumes or cortical thickness of the brain regions typically reported as implicated in retrieval of proper names: left anterior temporal lobe, left insula, and left superior and middle temporal gyri.
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Affiliation(s)
- Vanja Kljajevic
- University of the Basque Country, Vitoria, Spain; IKERBASQUE, Basque Foundation for Science, Bilbao, Spain.
| | - Asier Erramuzpe
- BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Spain
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Kljajevic V. More than a mere sequence: predictive processing of wh-dependencies in early bilinguals. Transl Neurosci 2017; 7:126-132. [PMID: 28123832 PMCID: PMC5234511 DOI: 10.1515/tnsci-2016-0019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2016] [Accepted: 10/05/2016] [Indexed: 11/15/2022] Open
Abstract
The purpose of the present study was to determine whether early bilingual Basque-Spanish speakers, who acquired Spanish by the age of 5, comprehend Spanish wh-dependences as effortlessly as native Spanish speakers. Given that Basque and Spanish are structurally different languages, we hypothesized that predictive processing strategies from the first language (L1) would interfere with predictive processing strategies in the second language (L2). More specifically, since Basque overtly marks the semantic role of agent/subject position, whereas Spanish overtly marks the role of patient/object position, we looked at whether the difference in overt marking of semantic roles would affect comprehension of subject vs. object quien "who" and qué "which" direct and embedded questions as well as subject vs. object relative clauses introduced by qué. The main finding of the study is that overall early Basque-Spanish bilinguals needed more time for the comprehension of wh-dependencies in Spanish compared to native Spanish speakers, as indicated by statistically significant group differences in response times in 9 out of 10 conditions. The results of this exploratory study indicate that a difference in overt marking of semantic roles between the two languages affects the ease of processing of Spanish wh-dependencies in early Basque-Spanish bilinguals, interfering with their ability to make native-like predictions in L2.
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Affiliation(s)
- Vanja Kljajevic
- University of the Basque Country (UPV/EHU), Vitoria & IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
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Kljajevic V, Dyrba M, Kasper E, Teipel S. Is the left uncinate fasciculus associated with verbal fluency decline in mild Alzheimer's disease? Transl Neurosci 2017; 7:89-91. [PMID: 28123827 PMCID: PMC5234520 DOI: 10.1515/tnsci-2016-0014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2016] [Accepted: 08/27/2016] [Indexed: 11/25/2022] Open
Abstract
The association between verbal fluency deficit in Alzheimer's disease (AD) and deterioration of specific white matter (WM) tracts is currently not well understood. Using diffusion tensor imaging, we investigated a possible association between the left uncinate fasciculus, which has been implicated in word retrieval, and verbal fluency deficit in AD. A comparison of five properties of WM (fractional anisotropy, mode of anisotropy, mean diffusivity, radial diffusivity, and axial diffusivity) in 28 mild AD patients and 26 age-, gender- and education-matched healthy controls revealed significant group differences in a range of WM tracts. Looking specifically at diffusion parameters’ values for the left uncinate fasciculus and verbal fluency scores in the AD group, we observed a positive trend between the letter fluency scores and mode of anisotropy values (r = 0.36, p = 0.55). Thus, our data suggest more global WM damage in mild AD, which also includes damage to the left uncinate fasciculus. However, damage to this particular tract is not robustly associated with verbal fluency decline at this stage of disease.
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Affiliation(s)
- Vanja Kljajevic
- University of the Basque Country (UPV/EHU), Vitoria, Spain; IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
| | - Martin Dyrba
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany
| | - Elisabeth Kasper
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany; Clinic for Psychosomatic and Psychotherapy Medicine Rostock, Rostock, Germany
| | - Stefan Teipel
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany; Clinic for Psychosomatic and Psychotherapy Medicine Rostock, Rostock, Germany
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Affiliation(s)
- Vanja Kljajevic
- University of the Basque Country (UPV/EHU), Vitoria & IKERBASQUE, Basque Foundation for Science , Bilbao , Spain
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Kljajevic V, Grothe M, Ewers M, Teipel S. P3–105: Temporal dynamics of imaging biomarkers in predementia stages of Alzheimer's disease. Alzheimers Dement 2013. [DOI: 10.1016/j.jalz.2013.05.1176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
| | | | - Michael Ewers
- University of California, San Francisco San Francisco California United States
| | - Stefan Teipel
- University Medicine Rostock and DZNE Rostock Rostock Germany
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Kljajevic V, Meyer P, Holzmann C, Dyrba M, Kasper E, Bokde ALW, Fellgiebel A, Meindl T, Hampel H, Teipel S. The ε4 genotype of apolipoprotein E and white matter integrity in Alzheimer's disease. Alzheimers Dement 2013; 10:401-4. [PMID: 23706516 DOI: 10.1016/j.jalz.2013.02.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2012] [Revised: 02/01/2013] [Accepted: 02/07/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND In this multicenter study, we investigated a possible association between the APOE ε4 allele and white matter (WM) integrity in Alzheimer's disease (AD) using diffusion tensor imaging (DTI). METHODS We analyzed fractional anisotropy (FA) and mean diffusivity (MD) as indices of WM integrity in 70 AD patients (35 APOE ε4 carriers, 35 noncarriers) and 56 healthy control (HC) subjects (28 APOE ε4 carriers, 28 noncarriers). APOE ε4 carriers and noncarriers were matched for age and gender within each diagnostic group. RESULTS We found significant effects of diagnosis (Pcorrected < .05 [FWE]; i.e., smaller FA values and larger MD values in AD patients compared with HCs) and significant effects (P < .001) of APOE ε4 carrier status on MD in HCs but not in AD subjects. CONCLUSIONS The results indicate that APOE ε4 has a moderate effect on WM integrity in HCs, but no effect on WM integrity in manifest AD.
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Affiliation(s)
- Vanja Kljajevic
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany.
| | - Peter Meyer
- Institute of Medical Genetics, University Medicine, Rostock, Germany
| | - Carsten Holzmann
- Institute of Medical Genetics, University Medicine, Rostock, Germany
| | - Martin Dyrba
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany; Mobile Multimedia Information Systems Group, University of Rostock, Rostock, Germany
| | - Elisabeth Kasper
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany
| | - Arun L W Bokde
- Cognitive Systems Group, Discipline of Psychiatry, School of Medicine, Trinity College Dublin, Dublin, Ireland; Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland
| | - Andreas Fellgiebel
- Department of Psychiatry, University Medical Center of Mainz, Mainz, Germany
| | - Thomas Meindl
- Department of Magnetic Resonance Imaging, Institute for Clinical Radiology, Ludwig Maximilian University Munich, Munich, Germany
| | - Harald Hampel
- Department of Psychiatry, University of Frankfurt, Frankfurt, Germany
| | - Stefan Teipel
- DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany; Department of Psychiatry, University of Rostock, Rostock, Germany
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