Measures
Measures of semantic content were widely used across studies, most often in some form of pre-defined content “units.” There was evidence of reduced content across multiple stages (pre-symptomatic, MCI, mild to severe AD).
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Picture description measures accurately distinguish controls from adults with AD dementia, but show weak correlations with naming tasks and verbal fluency tasks, suggesting connected language may tap into additional cognitive processes
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Limitations
Studies had small sample sizes (mean n = 35), lacking in ethnic and cultural diversity
Hearing status not reported in majority of studies
Stages of disease were not always clearly defined
Many studies of adults with AD dementia, few with MCI
Few longitudinal studies
Minimal cohesiveness in terms used to identify language constructs, thus limiting the ability to aggregate results across studies
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