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. 2015 Oct 20;7:195. doi: 10.3389/fnagi.2015.00195

Table 2.

Language functions in mild cognitive impairment and in the different stages of Alzheimer’s disease.

Language characteristic changes MCI Mild AD Moderate AD Severe AD Reference
Phonetics-phonology
Temporal changes in spontaneous speech (increasing hesitation number and time) + + ++ +++ Forbes and Venneri (2005); Hoffmann et al. (2010); Roark et al. (2011); Meilán et al. (2012); Satt et al. (2014); Jarrold et al. (2014); Laske et al. (2015)
Phonemic paraphasia + + ++ +++ Croot et al. (2000); Forbes et al. (2002); Hoffmann et al. (2010); Wutzler et al. (2013); Roark et al. (2011); Satt et al. (2014); Jarrold et al. (2014)
Lexical-semantics
Word-finding and word retrieval difficulties + + ++ +++ Smith et al. (1989); Bayles (1993); Light (1993); Kempler and Zelinski (1994); Kempler et al. (2001); Garrard et al. (2005); Taler and Phillips (2008); Dos Santos et al. (2011); Cardoso et al. (2014); Fraser et al. (2014); Laske et al. (2015); Garrard et al. (2014)
Verbal fluency difficulties Phonemic (letter) + + ++ +++ Barth et al. (2005); Juncos-Rabadán et al. (2010); Hoffmann et al. (2010); Dos Santos et al. (2011); Roark et al. (2011); Satt et al. (2014); Jarrold et al. (2014)
Semantic + + ++ +++
Semantic paraphasia ? + ++ +++ Juncos-Rabadán et al. (2010); Hoffmann et al. (2010); Roark et al. (2011); Satt et al. (2014); Jarrold et al. (2014)
SYNTAX
Reduced syntactic complexity + +++ Caramelli et al. (1998); Small et al. (1997); Kempler (1995); Bickel et al. (2000); Ullman (2001); Juncos-Rabadán et al. (2010)
Agrammatisms +++ Small et al. (1997); Kempler (1995); Ullman (2001)
DISCOURSE-PRAGMATICS
Reduction in productive and receptive discourse-level processing −/+ + ++ +++ Hodges et al. (1992); Ripich (1994); Taler and Phillips (2008); Weiner et al. (2008); Hoffmann et al. (2010); Juncos-Rabadán et al. (2010); Rapp and Wild (2011); Tsantali et al. (2013); Cardoso et al. (2014)

AD, Alzheimer’s disease; MCI, mild cognitive impairment.

The scale of MMSE scores is as follows: MCI: 28–26 points (Roalf et al., 2013), mild AD: 25–20 points, moderate AD: 19–10 points, and severe AD: 9–0 points (Vertesi et al., 2001).

+, degree of involvement; −, intact; ?, no data.