EC Neurology

Research Article Volume 17 Issue 3 - 2025

Linguistic Expression of Elderly with and without Dementia

Silva Banović1*, Lejla Junuzović-Žunić1 and Osman Sinanović2

1Department of Speech and Language Pathology and Audiology, University of Tuzla, Tuzla, Bosnia and Herzegovina 2Medical Faculty, Tuzla, University of Tuzla and Sarajevo Medical School, Sarajevo, Bosnia and Herzegovina

*Corresponding Author: Silva Banović, Department of Speech and Language Pathology and Audiology, University of Tuzla and Univerzitetska 1, Tuzla, Bosnia and Herzegovina.
Received: January 16, 2025; Published: February 24, 2025



During the aging process, cognitive changes occur, including changes in a person's speech and language skills. These changes can affect the daily communication and quality of life of the elderly, with and without dementia. The aim of this research was to examine the expressive linguistic abilities of elderly with and without dementia. The sample consisted of 40 subjects with dementia and 30 subjects without dementia, older than 60. The subjects' linguistic expression abilities were assessed on the tasks of the Linguistic Expression subtest from the Arizona Battery for Communication Disorders of Dementia (ABCD). The study results showed that the elderly without dementia manifest subtle changes in the linguistic expression domain. Their results were significantly different from the results of subjects with dementia on all four test tasks of linguistic expression: object description, generative naming, confrontational naming, and conceptual definition.

In conclusion, language tasks are an important part of the cognitive assessment of the elderly, especially people with dementia. Knowing the decline of abilities in certain cognitive domains in the elderly allows for the targeted creation of intervention strategies to improve the communication abilities of the elderly with and without dementia.

 Keywords: Linguistic Expression; Dementia; Elderly

  1. World Health Organization. “Ageing” (2024).
  2. World Health Organization. “Ageing and Health” (2024).
  3. Harada CN., et al. “Normal cognitive aging”. Clinics in Geriatrics Medicine4 (2013): 737-752.
  4. Galić S and Tomasović Mrčela N. “Priručnik iz gerontologije, gerijatrije i psihologije starijih osoba - psihologije starenja” [Handbook of gerontology, geriatrics and psychology of the elderly - psychology of aging]. Osijek: Medicinska škola (2013).
  5. Murman DL. “The impact of age on cognition”. Seminars in Hearing3 (2015): 111-121.
  6. Obler KL and Albert ML. “Language and aging. Communication in later life”. Boston: Butterworth-Heinemann (1995).
  7. Shaden BB. “Discourse Behaviors in Older Adults”. Seminars in Speech and Language2 (1997): 143-157.
  8. Drummond C., et al. “Deficits in narrative discourse elicited by visual stimuli are already present in patients with mild cognitive impairment”. Frontiers in Aging Neuroscience 7 (2015): 96.
  9. Sin Chin K. “Pathophysiology of dementia”. Australian Journal of General Practice8 (2023): 516-521.
  10. Rosengren A., et al. “Body mass index, other cardiovascular risk factors, and hospitalization for dementia”. Archives of Internal Medicine3 (2005): 321-326.
  11. Mijajlović MD., et al. “Post-stroke dementia-a comprehensive review”. BMC Medicine1 (2017): 11.
  12. Orkaby AR., et al. “Metformin vs sulfonylurea use and risk of dementia in us veterans aged ≥ 65 years with diabetes”. Neurology18 (2017): 1877-1885.
  13. Murphy J and Maidens G. “Improving communication in dementia care”. Nursing Times29/30/31 (2016): 18-21.
  14. Gustin M., et al. “Incidence of dementia in facility for older people in Dubrovnik - inclusion factor for participation in mental health gap action programme”. Sestrinski Glasnik2 (2015): 128-132.
  15. Hugo J and Ganguli M. “Dementia and cognitive impairment: epidemiology, diagnosis, and treatment”. Clinics in Geriatric Medicine3 (2014): 421-442.
  16. Feldman HH., et al. “Diagnosis and treatment of dementia: 2. Diagnosis”. Canadian Medical Association Journal7 (2008): 825-836.
  17. Medved V and Petrović R. “Neuroimaging in the diagnosis of dementia”. Medix: Specijalizirani Medicinski Dvomjesečnik 101/102 (2012): 164-168.
  18. Calzà L., et al. “Linguistic features and automatic classifiers for identifying mild cognitive impairment and dementia”. Computer Speech and Language 65 (2021): 101113.
  19. Eustache F. “Memory and language disorders in Alzheimer’s dementia”. Revue Neurologique3 (1992): 184-192.
  20. Catricalà, E., et al. “Semantic feature degradation and naming performance. evidence from neurodegenerative disorders”. Brain and Language 147 (2015): 58-65.
  21. Banovic S., et al. “Communication difficulties as a result of dementia”. Materia Socio-Medica3 (2018): 221-224.
  22. Klimova B and Kuca K. “Speech and Language Impairments in Dementia”. Journal of Applied Biomedicine2 (2016): 97-103.
  23. Tang-Wai DF and Graham NL. “Assessment of language function in dementia”. Geriatrics and Aging2 (2008): 103-110.
  24. Forbes-McKay K., et al. “Profiling spontaneous speech decline in Alzheimer’s disease: A longitudinal study”. Acta Neuropsychiatrica6 (2013): 320-327.
  25. Oh C., et al. “A systematic review of expressive and receptive prosody in people with dementia”. Journal of Speech, Language, and Hearing Research10 (2021): 3803-3825.
  26. Braaten AJ., et al. “Neurocognitive differential diagnosis of dementing diseases: alzheimer’s dementia, vascular dementia, frontotemporal dementia, and major depressive disorder”. International Journal of Neuroscience11 (2006): 1271-1293.
  27. Fink A and Haenisch B. “Oral antidiabetic drugs and dementia risk. Does treatment matter?”. Neurology19 (2017): 1848-1849.
  28. de la Sayette V., et al. “Diagnosis of vascular dementia”. Presse Medicale4 (1995): 228-232.
  29. Park CD., et al. “Cerebral aging: Integration of brain and behavioral models of cognitive function”. Dialogues in Clinical Neuroscience3 (2001): 151-165.
  30. Bayles KA and Tomoeda C. “Arizona battery for communication disorders of dementia”. Texas: ProEd. (1993).
  31. Hamilton M. “A rating scale for depression”. Journal of Neurology, Neurosurgery, and Psychiatry1 (1960): 56-62.
  32. Kertesz A. “Western Aphasia Battery: Revised”. San Antonio: PsychCorp (2007).
  33. Buller N and Ptok M. “Sprache und Kommunikationsbeeinträchtigungen bei Demenziellen Erkrankungen [Language and Communication disorders in patients with dementia]”. HNO 53 (2005): 177-180.
  34. Grossman M and Irwin JD. “The mental status examination with suspected dementia”. Continuum (Minneap Minn)(2 Dementia) (2016): 385-403.
  35. Schmidt K and Schütz S. “Erste Untersuchung Zur Wirksamkeit Der Pace-Therapie Bei Der Förderung Kommunikativer Strategien Bei Demenz - Eine Einzelfallstudie [The first investigation into the reality of pace therapy in promoting communication strategies in dementia - a case study]”. Forschung Sprache, E-journal für Sprachheilpädagogik, Sprachtherapie und Sprachförderung Sprachheilarbeit2 (2013): 3-16.
  36. Forbes-McKay KE and Venneri A. “Detecting subtle spontaneous language decline in early alzheimer’s disease with a picture description task”. Neurological Sciences 4 (2005): 243-254.
  37. Grossman M., et al. “What’s in a name: Voxel - based morphometric analyses of MRI and naming difficulty in alzheimers disease, frontotemporal dementia and corticobasal degeneration”. Brain 3 (2004): 628-649.
  38. Tsakonas S. “The Effects of Dementia on Language Ability in a Greek-English Bilingual Individual”. Syracuse University Honors Program Capstone Projects, 1008 (2017).
  39. Bozeat S., et al. “The influence of personal familiarity and context on object use in semantic dementia”. Neurocase1-2 (2002): 127-134.
  40. Croisile B., et al. “Comparative study of oral and written picture description in patients with Alzheimer's disease”. Brain and Language1 (1996): 1-19.
  41. Kemper S., et al. “Speech accommodations to dementia”. Journal of Gerontology5 (1994): 223-229.
  42. Orimaye OS., et al. “Predicting probable Alzheimer’s disease using linguistic deficits and biomarkers”. BMC Bioinformatics 18 (2017): 34.
  43. Hodges RJ., et al. “The role of conceptual knowledge in object use evidence from semantic dementia”. Brain 9 (2000): 1913-1925.
  44. Critchley M. “And all the daughters of musick shall be brought low. language function in the elderly”. Archives of Neurology 11 (1984): 1135-1139.
  45. Cappa SF., et al. “Object and action naming in alzheimer's disease and frontotemporal dementia”. Neurology2 (1998): 351-355.
  46. Kirshner HS. “Primary progressive aphasia and alzheimer’s disease: brief history, recent evidence”. Current Neurology and Neuroscience Report6 (2012): 709-714.
  47. Fraser KC., et al. “Linguistic features identify alzheimer’s disease in narrative speech”. Journal of Alzheimer’s Disease2 (2016): 407-422.
  48. Jokel R., et al. “Language in amnestic mild cognitive impairment and dementia of alzheimer’s type: quantitatively or qualitatively different?”. Dementia and Geriatric Cognitive Disorders Extra1 (2019): 136-151.
  49. Martin A., et al. “Word retrieval to letter and semantic cues: a double dissociation in normal subjects using interference tasks”. Neuropsychologia 12 (1994): 1487-1494.
  50. Cummings L. “Language in Dementia”. Cambridge University Press (2020).
  51. McCullough KC., et al. “Language performance of individuals at risk for mild cognitive impairment”. Journal of Speech, Language, and Hearing Research3 (2019): 706-722.
  52. Havelka M. “Zdravstvena psihologija [Health psychology]”. Jastrebarsko: Naklada Slap (1998).
  53. Simons W. “Assessing pain in elderly patients who cannot respond verbally”. JAN Leading Global Nursing Research4 (1995): 663-669.
  54. Potkins D., et al. “Language impairment in dementia: impact on symptoms and care needs in residential homes”. International Journal of Geriatric Psychiatry11 (2003): 1002-1006.
  55. Zwakhalen SM., et al. “Pain in elderly people with severe dementia: a systematic review of behavioural pain assessment tools”. BMC Geriatrics 6 (2006): 3.

Silva Banović., et al. “Linguistic Expression of Elderly with and without Dementia”. EC Neurology  17.3 (2025): 01-11.