[Grammatical comprehension in older adults, both normal and with cognitive impairment: a comparative study based on discriminant and multidimensional scaling techniques].

Psicothema 22(4):745-51 (2010) PMID 21044508

Memory and language tests are usually used to differentiate healthy elderly individuals and individuals with cognitive impairment (CI). In the latter case, there are usually no tests to assess grammatical comprehension. The aim of this paper is to explore the differences in grammatical comprehension between healthy older adults and older adults with CI, identifying the sentences that best discriminate these groups, as well as the underlying dimensions that are most relevant to the individuals. Participants were 71 elderly people, divided into two groups according to their performance on the Spanish version of the Mini Mental State Exam: normal and CI. All were given a comprehension test that included 12 kinds of sentence structures. The CI group performed significantly worse than healthy elderly group. The greatest differences were observed in the sentences adjusted to canonical order in Spanish. The sentences with higher weights in the discriminant function were the ones adjusted to the one-proposition canonical order. Propositional density was the most salient dimension in both groups. Individuals with CI had difficulty assigning thematic roles to constituents, even when it could be done by following a strategy based on the linear order of the roles.