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1.
Int J Geriatr Psychiatry ; 32(12): e157-e165, 2017 12.
Article in English | MEDLINE | ID: mdl-28170111

ABSTRACT

OBJECTIVE: Active lifelong cognitive lifestyles increase cognitive reserve and have beneficial effects on global cognition, cognitive decline and dementia risk in Parkinson's disease (PD). Executive function is particularly impaired even in early PD, and this impacts on quality of life. The effects of lifelong cognitive lifestyle on executive function in PD have not been studied previously. This study examined the association between lifelong cognitive lifestyle, as a proxy measure of cognitive reserve, and executive function in people with PD. METHODS: Sixty-nine people diagnosed with early PD without dementia were recruited as part of the Bilingualism as a protective factor in Age-related Neurodegenerative Conditions study. Participants completed a battery of tests of executive function. The Lifetime of Experiences Questionnaire was completed as a comprehensive assessment of lifelong cognitive lifestyle. Non-parametric correlations compared clinical measures with executive function scores. Cross-sectional analyses of covariance were performed comparing the performance of low and high cognitive reserve groups on executive function tests. RESULTS: Correlational analyses showed that better executive function scores were associated with younger age, higher levodopa dose and higher Lifetime of Experiences Questionnaire scores. Higher cognitive reserve was associated with better motor function, but high and low cognitive reserve groups did not differ in executive function. CONCLUSIONS: Cognitive reserve, although associated with global cognition, does not appear to be associated with executive function. This differential effect may reflect the specific cognitive profile of PD. The long-term effects of cognitive reserve on executive function in PD require further exploration. Copyright © 2017 John Wiley & Sons, Ltd.


Subject(s)
Cognition/physiology , Executive Function/physiology , Life Style , Parkinson Disease/physiopathology , Aged , Aged, 80 and over , Analysis of Variance , Cognition Disorders/psychology , Cognitive Reserve/physiology , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Neuropsychological Tests , Quality of Life , Surveys and Questionnaires
2.
Parkinsons Dis ; 2015: 943572, 2015.
Article in English | MEDLINE | ID: mdl-25922786

ABSTRACT

Objective. Bilingualism has been shown to benefit executive function (EF) and delay the onset of Alzheimer's disease. This study aims at examining whether a bilingual advantage applies to EF in Parkinson's disease (PD). Method. In a cross-sectional outpatient cohort of monolingual English (n = 57) and bilingual Welsh/English (n = 46) speakers with PD we evaluated the effects of bilingualism compared with monolingualism on performance on EF tasks. In bilinguals we also assessed the effects of the degree of daily usage of each language and the degree of bilingualism. Results. Monolinguals showed an advantage in performance of language tests. There were no differences in performance of EF tests in monolinguals and bilinguals. Those who used Welsh less in daily life had better performance on one test of English vocabulary. The degree of bilingualism correlated with one test of nonverbal reasoning and one of working memory but with no other tests of EF. Discussion. The reasons why the expected benefit in EF in Welsh-English bilinguals with PD was not found require further study. Future studies in PD should include other language pairs, analysis of the effects of the degree of bilingualism, and longitudinal analysis of cognitive decline or dementia together with structural or functional neuroimaging.

3.
Front Psychol ; 5: 1525, 2014.
Article in English | MEDLINE | ID: mdl-25628580

ABSTRACT

This study explores syntactic, pragmatic, and lexical influences on adherence to SV and VS orders in native and fluent L2 speakers of Spanish. A judgment task examined 20 native monolingual and 20 longstanding L2 bilingual Spanish speakers' acceptance of SV and VS structures. Seventy-six distinct verbs were tested under a combination of syntactic and pragmatic constraints. Our findings challenge the hypothesis that internal interfaces are acquired more easily than external interfaces (Sorace, 2005, 2011; Sorace and Filiaci, 2006; White, 2006). Additional findings are that (a) bilinguals' judgments are less firm overall than monolinguals' (i.e., monolinguals are more likely to give extreme "yes" or "no" judgments) and (b) individual verbs do not necessarily behave as predicted under standard definitions of unaccusatives and unergatives. Correlations of the patterns found in the data with verb frequencies suggest that usage-based accounts of grammatical knowledge could help provide insight into speakers' knowledge of these constructs.

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