Discurso narrativo oral e escrito na fase inicial da doença de Alzheimer.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

Purpose: To identify whether there is a difference in narraíive discourse of patients with mild Alzheimers disease and elderly contrais regarding the number of words, number of units of information, type of units of information and conciseness, and to confirm if there is coherence between the oral and written narratives and which are the units of information that most differentiate the íwo groups both in the oral and the written characteristics. Methods: A cross-sectional observational conírol-case síudy evaluating 60 individuais, over 65 years of age, divided into 30 contrais and 30 patients with initial stage Alzheimers disease, of both genders and with over four years of schooling. The subjects were submiíted to Mini Mental State Examination and Alzheimers Disease Assessment Scale - Cognitive subscale and to Clinicai Dementia Rating and were asked to produce an oral and a written story based on a picture. The informative content was analyzed taking into account the total number of words and the number of units of information. Resulte: A major number of words and information units were observed in the oral story compared to the written one in the Alzheimers disease patients this was not observed in the narratives of the contrai group. There were also more information units in the oral narrative for the key-category action than in the written story of the Alzheimers disease patients, while this difference was not observed in that of the contrai group. This suggests a reduction in the number of words and the information units of the written narrative compared to the oral one by the Alzheimers disease patients. It also indicates a reduction in the units of information for the key-category action for the written narrative of the Alzheimers disease patients regarding the oral narrative. In general, the results of this study suggest that the reduction in the number of words and the information contained in the production of narratives occurred in the initial stage of Alzheimers disease. Conclusions: A reduction occurred in the number of words and the number of units of information, the units of information for key-category action and of conciseness of the written narrative in patients sufferíng from mild Alzheimers disease compared to the elderly individuais in the control group. They demonstrated consistency, that is, similariíy between the oral and written narratives of Alzheimers disease patients and controls. Some information was identified that will enable differentiation between the two groups.

ASSUNTO(S)

doença de alzheimer fonoaudiologia oral discourse

ACESSO AO ARTIGO

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