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Donepezil enhances understanding of degraded speech in Alzheimer's disease

Hardy, CJD; Hwang, YT; Bond, RL; Marshall, CR; Ridha, BH; Crutch, SJ; Rossor, MN; (2017) Donepezil enhances understanding of degraded speech in Alzheimer's disease. Annals of Clinical and Translational Neurology , 4 (11) pp. 835-840. 10.1002/acn3.471. Green open access

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Abstract

Auditory dysfunction under complex, dynamic listening conditions is a clinical hallmark of Alzheimer's disease (AD) but challenging to measure and manage. Here, we assessed understanding of sinewave speech (a paradigm of degraded speech perception) and general cognitive abilities in 17 AD patients, before and following a 10 mg dose of donepezil. Relative to healthy older individuals, patients had impaired sinewave speech comprehension that was selectively ameliorated by donepezil. Our findings demonstrate impaired perception of degraded speech in AD but retained perceptual learning capacity that can be harnessed by acetylcholinesterase inhibition, with implications for designing communication interventions and acoustic environments in dementia.

Type: Article
Title: Donepezil enhances understanding of degraded speech in Alzheimer's disease
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/acn3.471
Publisher version: https://doi.org/10.1002/acn3.471
Language: English
Additional information: Copyright © 2017 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10026023
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