| Project/Area Number |
11835050
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Institution | Hiroshima Prefectural College of Health and Welfare (2000-2002)
Hiroshima Prefectual College of Health and Welfare (1999) |
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Principal Investigator |
HONDA Rumi Hiroshima Prefectrual College of Health and Welfare, Research Associate, 保健福祉学部, 助手 (10290553)
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| Co-Investigator(Kenkyū-buntansha) |
KAMAKURA Noroiko International University of Health and Welfare, Graduate School, Professor, 大学院, 教授 (50072997)
HASEGAWA Jun Hiroshima Prefectural College of Health and Welfare, Research Associate, 保健福祉学部, 助手 (20290554)
WATAMORI Toshiko Hiroshima Prefectural College of Health and Welfare, Professor, 保健福祉学部, 教授 (00073023)
TAKATSUKI Yoko Hyogo Brain and Heart Center, Chief of rehabilitation, リハビリテーション科主任
MORI Etsuro Hyogo Brain and heart Center, Hyogo Institute for Aging Brain and Cognitive Disorders, Director, 高齢者脳機能治療室長
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| Project Period (FY) |
1999 – 2002
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| Project Status |
Completed (Fiscal Year 2002)
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| Budget Amount *help |
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2002: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2001: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 2000: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1999: ¥300,000 (Direct Cost: ¥300,000)
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| Keywords | people with Alzheimer's disease / discourse assessment / communication with family members / 家族 / 談話評定法 / 失語症患者 / 認知機能 / 評価法 |
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| Research Abstract |
The aims of this study were to develop measures to assess discourse of people with Alzheimer's disease (AD) and to investigate its relation to communication in everyday situations. For these purposes, we newly invented a set of discourse rating scales through our qualitative analysis of discourse of 9 patients with Alzheimer' s disease.
With these scales, the discourse performance of people with mild AD, people with mild aphasia and healthy controls was assessed and compared. The results revealed a number of the discourse characteristics of people with AD, which were not found in discourse of people with aphasia nor healthy controls.
We also tried to investigate the discourse change in AD at different stages of disease, and some relation between the results of the discourse measures and severity of the disease was suggested. However, the conclusion should be reserved because of the scarcity of severely impaired patients' data.
As for the difficulties of communication in everyday situations, we interviewed family key persons who were taking care of AD patients. While many of the family members of AD patients reported that they found repetition of the same talks and questions, forgetfulness, reduced ability of comprehension, inability to cope with problems, etc., few family members found problems of language.
We also investigated the relation between these problems observed by family members and the results of the discourse measures. Some of the discourse characteristics, such as language impairments, were common, but there were also characteristics that disagreed. In order to understand the communication problems of people with AD, we need information from family members as well as assessment of discourse in clinical settings.
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