Comprehension cueing strategies in elderly: a window into cognitive decline?

Comprehension cueing strategies in elderly: a window into cognitive decline? Abstract Language abilities gradually decline as we age, but the mechanisms of this decline are not well understood. The present study investigated comprehension of subject vs. object who and which direct questions (DQs), embedded questions (EQs) and relative clauses (RCs) in 39 cognitively healthy native speakers of Spanish. The elderly participants (n = 21) were further classified according to their scores on a general cognitive test, Montreal Cognitive Assessment (MoCA), into a group with low MoCA scores, LM (n = 10), and a group with normal MoCA scores, NM (n = 11). A mixed-model, repeated-measures analysis of variance (ANOVA) showed that the elderly participants achieved significantly worse accuracy and speed than the young participants (Y) in all tasks. Accuracy was significantly lower and reaction times significantly longer in the LM group compared to the NM group in DQs and RCs. Accuracy in comprehension of EQs was also worse in LM compared to NM, with no significant difference in RTs between the two groups. The results are explained within the competition model and reliance on a language-specific cueing strategy. Reliance on cueing strategies in sentence comprehension may be an effective indicator of cognitive decline associated with aging. Keywords: comprehension; wh-dependencies; aging. Introduction Cognitive aging is typically associated with a decline in speed of processing and deterioration of memory and attention (Salthouse, 2009). Language abilities also gradually decline as we age, which is reflected in decreased vocabulary, smaller mean number of clauses per utterance, simplified syntactic structure of produced sentences, reliance on optimization strategies when choosing referring expressions as well as difficulty in comprehension of complex sentences (Kemper, Thompson & Marquis, 2001; Grossman, Cooke, De Vita, Chen, Moore et al., 2002; Hendriks, Englert, Wubs & Hoeks, 2008). Older adults’ language comprehension decline appears to be due not to sensory, but cognitive demands of spoken language, with complex syntax slowing down the comprehension even when sentence understanding is accurate (Tun, Benichov & Wingfield, 2010). Research on English has shown that comprehension of structures that require a syntactic operation of movement and involve a longer gap between a moved element and its trace (t), such as object relative clauses (e.g., The cat i that the dog chased t i is black), is impaired in elderly adults, while comprehension of subject relative clauses, in which this gap is smaller (e.g., The cat i that t i chased the dog is black), is spared (e.g., Zurif, Swinney, Prather, Wingfield & Brownell, 1995; Stine- Morrow, Ryan & Leonard, 2000). One explanation of this finding is that the object relative clauses require allocation of more working memory (WM) resources than subject relative clauses, and WM limitation is one of key features of cognitive aging (Zurif et al., 1995; Caplan & Waters, 1999; Stine-Morrow et al., 2000; Grossman, Cooke, De Vita, Alsop, Detre et al., 2002). Furthermore, neuroimaging research has shown that when processing complex sentences, healthy seniors compared to young participants show reduced activation in the core language areas (e.g., inferior frontal regions), while showing additional activation of some areas that are not considered the “core” sentence processing network as well as difference in the coherence of connectivity of the involved brain areas (Peelle, Troiani, Wingfield, & Grossman, 2010; Tyler, Shafto, Randall, Wright, Marslen-Wilson et al., 2010). Activation of the brain regions that are not typically involved in language processing has been interpreted as an indicator of compensatory processes (Grossman et al., 2002; Wingfield & Grossman, 2006; Tyler et al., 2010). Better understanding of the earliest changes in typical cognitive aging is also an important step towards better understanding of the Alzheimer’s disease (AD) continuum. Structural and metabolic changes in AD brain occur long before cognitive symptoms become apparent (Dubois et al., 2007, 2010; Sperling et al., 2011). Crucially, even small metabolic and structural alterations in the brain may affect the dynamics enabling cognitive function (Buckner, Snyder, Shannon, LaRossa, Sachs, et al., 2005). Thus, it is important to understand the brain’s ability to engage alternate networks and rely on cognitive strategies compensating for a deteriorating cognitive function. One goal of the present study was to determine whether elderly native speakers of Spanish rely on compensatory strategies in sentence comprehension. We chose to study comprehension of wh-structures (i.e., structures formed by wh-words, such as what, who, which, etc.): direct and embedded questions introduced by interrogative pronouns que (“what, which”) and quien (“who”) and relative clauses introduced by que. Like in English, the distance between a moved element and its gap is longer in object than in subject wh-structures, as shown in (1-2): (1) ?Quien i t i comio una naranja? (2) ?A quien i mordio j el perrito t j t i ? However, in Spanish preposition a marks object wh- questions and therefore it could serve as a processing cue. Since it appears before the moved wh-word, it signals an object structure, allowing the parser to assign a temporary thematic role before encountering the gap. Thus, reliance on this cue would facilitate comprehension of object structures, resulting in their good comprehension, even though they are syntactically more difficult than subject structures and require more WM resources.

[1]  Murray Grossman,et al.  Sentence Processing Strategies in Healthy Seniors with Poor Comprehension: An fMRI Study , 2002, Brain and Language.

[2]  Denise C. Park,et al.  Toward defining the preclinical stages of Alzheimer's disease: Recommendations from the National Institute on Aging and the Alzheimer's Association workgroup , 2011 .

[3]  P A Dekker-de Kiefte,et al.  Diagnosis and Treatment , 2020, Diabetes.

[4]  Sylvie Belleville,et al.  Diagnosis and treatment of dementia: 3. Mild cognitive impairment and cognitive impairment without dementia , 2008, Canadian Medical Association Journal.

[5]  B. MacWhinney,et al.  The Handbook of East Asian Psycholinguistics: The competition model , 2006 .

[6]  Loraine K. Obler,et al.  Auditory comprehension and aging: Decline in syntactic processing , 1991, Applied Psycholinguistics.

[7]  E. Stine-Morrow,et al.  Age differences in on-line syntactic processing. , 2000, Experimental aging research.

[8]  M. Grossman,et al.  Sentence Comprehension in Alzheimer's Disease , 1998, Brain and Language.

[9]  Benjamin J. Shannon,et al.  Molecular, Structural, and Functional Characterization of Alzheimer's Disease: Evidence for a Relationship between Default Activity, Amyloid, and Memory , 2005, The Journal of Neuroscience.

[10]  E. Grober,et al.  Sentence comprehension in Alzheimer's disease , 1995 .

[11]  Maryellen C. MacDonald,et al.  Comprehension of long distance number agreement in probable Alzheimer's disease , 2001 .

[12]  Jay Verkuilen,et al.  The Contribution of Set Switching and Working Memory to Sentence Processing in Older Adults , 2016 .

[13]  Meredith A. Shafto,et al.  Preserving Syntactic Processing across the Adult Life Span: The Modulation of the Frontotemporal Language System in the Context of Age-Related Atrophy , 2009, Cerebral cortex.

[14]  S. Avrutin Comprehension of Discourse-Linked and Non-Discourse-Linked Questions by Children and Broca's Aphasics , 2000 .

[15]  A. Wingfield,et al.  Neural processing during older adults' comprehension of spoken sentences: age differences in resource allocation and connectivity. , 2010, Cerebral cortex.

[16]  Nick C Fox,et al.  Revising the definition of Alzheimer's disease: a new lexicon , 2010, The Lancet Neurology.

[17]  A Wingfield,et al.  The allocation of memory resources during sentence comprehension: Evidence from the elderly , 1995, Journal of psycholinguistic research.

[18]  Maryellen C. MacDonald,et al.  Teasing Apart the Contribution of Memory and Language Impairments in Alzheimer's Disease , 1998 .

[19]  Katy A. Cross,et al.  Verb acquisition and representation in Alzheimer's disease , 2007, Neuropsychologia.

[20]  T. Salthouse When does age-related cognitive decline begin? , 2009, Neurobiology of Aging.

[21]  Arthur Wingfield,et al.  Response latencies in auditory sentence comprehension: effects of linguistic versus perceptual challenge. , 2010, Psychology and aging.

[22]  P. Scheltens,et al.  Research criteria for the diagnosis of Alzheimer's disease: revising the NINCDS–ADRDA criteria , 2007, The Lancet Neurology.

[23]  G. Waters,et al.  Verbal working memory and sentence comprehension , 1999, Behavioral and Brain Sciences.

[24]  Vijaya L. Melnick,et al.  Alzheimer’s Dementia , 1985, Contemporary Issues in Biomedicine, Ethics, and Society.

[25]  Noam Chomsky,et al.  Conditions on transformations , 1971 .

[26]  O. Jaeggli Topics in Romance syntax , 1982 .

[27]  Brian MacWhinney,et al.  Processing of Morphological and Semantic Cues in Russian and German. , 1999 .

[28]  S. Kemper,et al.  Longitudinal change in language production: effects of aging and dementia on grammatical complexity and propositional content. , 2001, Psychology and aging.

[29]  Josef Bayer,et al.  Wh-in-situ , 2006 .

[30]  Petra Hendriks,et al.  Age Differences in Adults’ Use of Referring Expressions , 2008, J. Log. Lang. Inf..

[31]  A. Wingfield,et al.  Language and the aging brain: patterns of neural compensation revealed by functional brain imaging. , 2006, Journal of neurophysiology.

[32]  G. Hickok,et al.  Comprehension of Wh-Questions in Two Broca's Aphasics , 1996, Brain and Language.

[33]  Murray Grossman,et al.  Age-Related Changes in Working Memory during Sentence Comprehension: An fMRI Study , 2002, NeuroImage.

[34]  Grant Goodall,et al.  On the Syntax and Processing of Wh-questions in Spanish , 2004 .

[35]  B. MacWhinney Applying the Competition Model to bilingualism , 1987, Applied Psycholinguistics.

[36]  H. Goodglass,et al.  A Cross-Linguistic Study of Grammatical Morphology in Spanish- and English-Speaking Agrammatic Patients * * This paper was presented in part by J.A. Christiansen at a conference entitled Neurolinguistics in a Multilingual World, Birkbeck College, London, January 4-5, 1996. , 1998, Cortex.