Background: Naming difficulties have recently garnered more interest in elderly individuals with mild cognitive impairment (MCI). We anticipate that naming tests with the consideration of response time can provide more informative and distinct neuropsychological profiles of individuals with MCI. Methods: Naming tests were administered to 76 elderly individuals with MCI and 149 healthy elderly (HE). We analyzed the impact of MCI on naming performance and occurrence of “delayed” response. We also validated the predictive power of naming tests with a time-constrained scoring system. Results: MCI participants performed poorer on the noun naming test than HE participants (p = 0.014). MCI was significantly associated with the occurrence of “delayed” response on the noun (odds ratio [OR] = 3.57; 95% confidence interval [CI] = 1.78-7.17) and verb naming tests (OR = 4.66; 95% CI = 2.07-10.46). The time-constrained naming scores were significantly better able to distinguish the MCI from the HE group than the conventional spontaneous naming score on both the noun (p < 0.001) and verb (p = 0.002) naming tests. Conclusions: Our findings broaden the knowledge related to the naming ability in individuals with MCI, with respect to the response time. We also confirmed the validity of the naming tests by applying the “delayed” responses as supplementary assessments in the diagnosis of MCI.

1.
Morris JC, Storandt M, Miller JP, Mckeel DW, Price JL, Rubin EH, Berg L: Mild cognitive impairment represents early-stage Alzheimer disease. Arch Neurol 2001;58:397-405.
2.
Kim H, Kim E-Y, Na DL: Naming deficits in patients with dementia of the Alzheimer type: error analysis of Korean version-Boston naming test. J Korean Neurol 1997;15:1012-1021.
3.
Levelt WJ: Models of word production. Trends Cogn Sci 1999;3:223-232.
4.
Alom J, Llinares I, Fajardo S: Clinical Approach to Diagnosis of Pre-Dementia Alzheimer's Disease (CAD-PAD). Dement Geriatr Cogn Disord Extra 2012;2:332-342.
5.
Arsenault-Lapierre G, Bergman H, Chertkow H: Word reading threshold and mild cognitive impairment: a validation study. BMC Geriatr 2012;12.
6.
Beinhoff U, Hilbert V, Bittner D, Gron G, Riepe MW: Screening for cognitive impairment: a triage for outpatient care. Dement Geriatr Cogn Disord 2005;20:278-285.
7.
De Jager CA, Hogervorst E, Combrinck M, Budge MM: Sensitivity and specificity of neuropsychological tests for mild cognitive impairment, vascular cognitive impairment and Alzheimer's disease. Psychol Med 2003;33:1039-1050.
8.
Duong A, Whitehead V, Hanratty K, Chertkow H: The nature of lexico-semantic processing deficits in mild cognitive impairment. Neuropsychologia 2006;44:1928-1935.
9.
Guo QH, Zhou B, Zhao QH, Wang B, Hong Z: Memory and Executive Screening (MES): a brief cognitive test for detecting mild cognitive impairment. BMC Neurol 2012;12:119-127.
10.
Hwang YK, Kim H: Utility of the Boston naming test in differentiating between mild cognitive impairment and normal elderly: a meta-analysis. Commun Sci Disord 2014;19:501-512.
11.
Jacova C, Peters KR, Beattie BL, Wong E, Riddehough A, Foti D, Scheltens P, Li DKB, Feldman HH: Cognitive impairment no dementia - neuropsychological and neuroimaging characterization of an amnestic subgroup. Dement Geriatr Cogn Disord 2008;25:238-247.
12.
Johns EK, Phillips NA, Belleville S, Goupil D, Babins L, Kelner N, Ska B, Gilbert B, Massoud F, de Boysson C, Duncan HD, Chertkow H: The profile of executive functioning in amnestic mild cognitive impairment: disproportionate deficits in inhibitory control. J Int Neuropsychol Soc 2012;18:541-555.
13.
Kramer JH, Nelson A, Johnson JK, Yaffe K, Glenn S, Rosen HJ, Miller BL: Multiple cognitive deficits in amnestic mild cognitive impairment. Dement Geriatr Cogn Disord 2006;22:306-311.
14.
Taler V, Phillips NA: Language performance in Alzheimer's disease and mild cognitive impairment: a comparative review. J Clin Exp Neuropsychol 2008;30:501-556.
15.
Storandt M, Beaudreau S: Do reaction time measures enhance diagnosis of early-stage dementia of the Alzheimer type. Arch Clin Neuropsychol 2004;19:119-124.
16.
Katsumata Y, Mathews M, Abner EL, Jicha GA, Caban-Holt A, Smith CD, Nelson PT, Kryscio RJ, Schmitt FA, Fardo DW: Assessing the discriminant ability, reliability, and comparability of multiple short forms of the Boston naming test in an Alzheimer's disease center cohort. Dement Geriatr Cogn Disord 2015;39:215-227.
17.
Barresi BA, Nicholas M, Tabor Connor L, Obler LK, Albert ML: Semantic degradation and lexical access in age-related naming failures. Aging Neuropsychol Cogn 2000;7:169-178.
18.
Burda A: Communication and Swallowing Changes in Healthy Aging Adults. Mississauga, Jones & Bartlett Learning, 2010.
19.
Cotelli M, Manenti R, Brambilla M, Zanetti O, Miniussi C: Naming ability changes in physiological and pathological aging. Front Neurosci 2012;6:120.
20.
Kim H, Kim SR: Development of short form of the Korean version - the Boston Naming Test (K-BNT-15) based on item response theory. J Korea Contents Assoc 2013;13:321-327.
21.
Kim H, Na DL: Normative data on the Korean version of the Boston Naming Test. J Clin Exp Neuropsychol 1999;21:127-133.
22.
Nicholas M, Barth C, Obler LK, Au R, Albert ML: Naming in Normal Aging and Dementia of the Alzheimer's Type. San Diego, Academic Press, 1997.
23.
Verhaegen C, Poncelet M: Changes in naming and semantic abilities with aging from 50 to 90 years. J Int Neuropsychol Soc 2013;19:119-126.
24.
Budd MA: Boston Naming Test with Latencies (BNT-L); University of North Texas, 2007.
25.
Arlt S, Buchert R, Spies L, Eichenlaub M, Lehmbeck JT, Jahn H: Association between fully automated MRI-based volumetry of different brain regions and neuropsychological test performance in patients with amnestic mild cognitive impairment and Alzheimer's disease. Eur Arch Psychiatry Clin Neurosci 2013;263:335-344.
26.
Balthazar ML, Martinelli JE, Cendes F, Damasceno BP: Lexical semantic memory in amnestic mild cognitive impairment and mild Alzheimer's disease. Arq Neuropsiquiatr 2007;65:619-622.
27.
Bélanger S, Belleville S: Semantic inhibition impairment in mild cognitive impairment: a distinctive feature of upcoming cognitive decline? Neuropsychology 2009;23:592-606.
28.
Deason RG, Hussey EP, Budson AE, Ally BA: Gist-based conceptual processing of pictures remains intact in patients with amnestic mild cognitive impairment. Neuropsychology 2012;26:202-208.
29.
Gronholm P, Rinne JO, Vorobyev VA, Laine M: Neural correlates of naming newly learned objects in MCI. Neuropsychologia 2007;45:2355-2368.
30.
Gronholm-Nyman P, Rinne JO, Laine M: Learning and forgetting new names and objects in MCI and AD. Neuropsychologia 2010;48:1079-1088.
31.
Joubert S, Brambati SM, Ansado J, Barbeau EJ, Felician O, Didic M, Lacombe J, Goldstein R, Chayer C, Kergoat MJ: The cognitive and neural expression of semantic memory impairment in mild cognitive impairment and early Alzheimer's disease. Neuropsychologia 2010;48:978-988.
32.
Price SE, Kinsella GJ, Ong B, Mullaly E, Phillips M, Pangnadasa-Fox L, Perre D, Storey E: Learning and memory in amnestic mild cognitive impairment: contribution of working memory. J Int Neuropsychol Soc 2010;16:342-351.
33.
Bigler ED, Lowry CM, Kerr B, Tate DF, Hessel CD, Earl HD, Miller MJ, Rice SA, Smith KH, Tschanz JT: Role of white matter lesions, cerebral atrophy, and APOE on cognition in older persons with and without dementia: The Cache County, Utah, study of memory and aging. Neuropsychology 2003;17:339.
34.
Choi E, Sung JE, Jeong JH, Kwag E: Noun-verb dissociation in a confrontation naming task for persons with mild cognitive impairment. Dement Neurocogn Disord 2013;12:41-46.
35.
Matzig S, Druks J, Masterson J, Vigliocco G: Noun and verb differences in picture naming: past studies and new evidence. Cortex 2009;45:738-758.
36.
Ramsay CB, Nicholas M, Au R, Obler LK, Albert ML: Verb naming in normal aging. Appl Neuropsychol 1999;6:57-67.
37.
Vigliocco G, Vinson DP, Druks J, Barber H, Cappa SF: Nouns and verbs in the brain: a review of behavioural, electrophysiological, neuropsychological and imaging studies. Neurosci Biobehav Rev 2011;35:407-426.
38.
Druks J, Masterson J, Kopelman M, Clare L, Rose A, Rai G: Is action naming better preserved (than object naming) in Alzheimer's disease and why should we ask? Brain Lang 2006;98:332-340.
39.
Hodgson C, Ellis AW: Last in, first to go: age of acquisition and naming in the elderly. Brain Lang 1998;64:146-163.
40.
van Deursen JA, Vuurman EF, Smits LL, Verhey FR, Riedel WJ: Response speed, contingent negative variation and P300 in Alzheimer's disease and MCI. Brain Cogn 2009;69:592-599.
41.
Feyereisen P, Demaeght N, Samson D: Why do picture naming latencies increase with age: general slowing, greater sensitivity to interference, or task-specific deficits? Exp Aging Res 1998;24:21-51.
42.
Tabert MH, Manly JJ, Liu X, Pelton GH, Rosenblum S, Jacobs M, Zamora D, Goodkind M, Bell K, Stern Y: Neuropsychological prediction of conversion to Alzheimer disease in patients with mild cognitive impairment. Arch Gen Psychiatry 2006;63:916-924.
43.
Oh E, Kang Y, Shin JH, Yeon BK: A validity study of K-MMSE as a screening test for dementia: comparison against a comprehensive neuropsychological evaluation. Dement Neurocogn Disord 2010;9:8-12.
44.
Petersen RC, Doody R, Kurz A, Mohs RC, Morris JC, Rabins PV, Ritchie K, Rossor M, Thal L, Winblad B: Current concepts in mild cognitive impairment. Arch Neurol 2001;58:1985-1992.
45.
Hwang YK, Nam HS, Kim H: Impact of depression on age-related decline of language abilities in the elderly. J Welfare Aged 2014;66:451-464.
46.
Barbeau EJ, Didic M, Joubert S, Guedj E, Koric L, Felician O, Ranjeva J-P, Cozzone P, Ceccaldi M: Extent and neural basis of semantic memory impairment in mild cognitive impairment. J Alzheimers Dis 2012;28:823.
47.
den Ouden DB, Fix S, Parrish TB, Thompson CK: Argument structure effects in action verb naming in static and dynamic conditions. J Neurolinguistics 2009;22:196-215.
48.
Gauthier S, Reisberg B, Zaudig M, Petersen RC, Ritchie K, Broich K, Belleville S, Brodaty H, Bennett D, Chertkow H, Cummings JL, de Leon M, Feldman H, Ganguli M, Hampel H, Scheltens P, Tierney MC, Whitehouse P, Winblad B: Mild cognitive impairment. Lancet 2006;367:1262-1270.
49.
Gustaw Rothenberg K, Piądło R, Nagaraj U, Friedland R: The complex picture test in dementia. Dement Geriatr Cogn Disord Extra 2012;2:411-417.
50.
Brunet J, Hudon C, Macoir J, Belleville S, Rousseau F, Bouchard RW, Verret L, Chertkow H, Chayer C, Kergoat M-J: The relation between depressive symptoms and semantic memory in amnestic mild cognitive impairment and in late-life depression. J Int Neuropsychol Soc 2011;17:865-874.
51.
Bird H, Howard D, Franklin S: Verbs and nouns: the importance of being imageable. J Neurolinguistics 2003;16:113-149.
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