dementia-2019-posters-abstracts

allied

academies

Page 37

September 16-17, 2019 | Paris, France

Dementia and Alzheimer's Disease

World Congress on

Journal of Clinical Psychiatry and Cognitive Psychology | Volume: 03

Discourse analysis on aging: A case-series study after one year follow-up

Natalie Pereira, Mariana Goulart, Ana Paula Bresolin Gonçalves, Marina Tarrasconi, Renata Kochhann, Rochele

Paz Fonseca

Pontifical Catholic University of Rio Grande do Sul, Brazil

onversational abilities have been studied as an essential

predictor of cognition impairment in aging, especially in

regards to daily tasks such as conversational discourse (CD).

Our studies had already shown that it seems to exist an

“perfect moment” to the precise diagnosis of Mild Cognitive

Impairment Group (MCI) or Dementia due to Alzheimer's

Disease (AD). During this specific time, it is possible tomonitor

changes on CD and find early impaired communicative

behaviors even in patients whose other cognitive skills are

preserved. However, there is still a necessity for use CD

assessment on neuropsychological routine. This study aimed

to present a case series from 12 patients who had diagnosed

as a Control Group (CG) (n=9) or MCI (n=3) in the baseline. The

same subjects after a one-year follow-up appraisal converted

toMCI (n=9 CG toMCI) or AD (n=3MCI to AD). The CD analysis

was not used in the diagnosis criteria. The sample had an

average age of 68,83±6,88 and years of formal education

of 11,58±6,21. The performance was scored according to

the Complementary Procedure of Conversational Discourse

Analysis (CPCDA). Data were compared using Friedman’s

test. We cluster the main discourse variables in seven groups,

and we found differences from the baseline and follow-up

in four groups (1,2,3 and 7). The first group is related to the

self-monitoring and organization when access single words;

the second and the seventh group are related to the self-

monitoring regarding repetition of words and sentences.

Finally, the third group is related to coherence andorganization

of the discourse as a whole. Data showed that all the 12

patients, even in the first moment of evaluation, had a lower

score in variables pertaining to the quality of CD. This study

could contribute to an spread point of view of communicative

skills during aging.