A neural mechanism of cognitive reserve: The case of bilingualism.

Cognitive Reserve (CR) refers to the preservation of cognitive function in the face of age- or disease-related neuroanatomical decline. While bilingualism has been shown to contribute to CR, the extent to which, and what particular aspect of, second language experience contributes to CR are debated, and the underlying neural mechanism(s) unknown. Intrinsic functional connectivity reflects experience-dependent neuroplasticity that occurs across timescales ranging from minutes to decades, and may be a neural mechanism underlying CR. To test this hypothesis, we used voxel-based morphometry and resting-state functional connectivity analyses of MRI data to compare structural and functional brain integrity between monolingual and bilingual older adults, matched on cognitive performance, and across levels of second language proficiency measured as a continuous variable. Bilingualism, and degree of second language proficiency specifically, were associated with lower gray matter integrity in a hub of the default mode network - a region that is particularly vulnerable to decline in aging and dementia - but preserved intrinsic functional network organization. Bilingualism moderated the association between neuroanatomical differences and cognitive decline, such that lower gray matter integrity was associated with lower executive function in monolinguals, but not bilinguals. Intrinsic functional network integrity predicted executive function when controlling for group differences in gray matter integrity and language status. Our findings confirm that lifelong bilingualism is a CR factor, as bilingual older adults performed just as well as their monolingual peers on tasks of executive function, despite showing signs of more advanced neuroanatomical aging, and that this is a consequence of preserved intrinsic functional network organization.

Gray Matter Volume as Evidence for Cognitive Reserve in Bilinguals With Mild Cognitive Impairment.

BACKGROUND: Compared with monolinguals, bilinguals have a later onset of mild cognitive impairment (MCI) and Alzheimer disease symptoms and greater neuropathology at similar cognitive and clinical levels. The present study follows a previous report showing the faster conversion from MCI to Alzheimer disease for bilingual patients than comparable monolinguals, as predicted by a cognitive reserve (CR). PURPOSE: Identify whether the increased CR found for bilinguals in the previous study was accompanied by greater gray matter (GM) atrophy than was present for the monolinguals. METHODS: A novel deep-learning technique based on convolutional neural networks was used to enhance clinical scans into 1 mm MPRAGEs and analyze the GM volume at the time of MCI diagnosis in the earlier study. PATIENTS: Twenty-four bilingual and 24 monolingual patients were diagnosed with MCI at a hospital memory clinic. RESULTS: Bilingual patients had more GM loss than monolingual patients in areas related to language processing, attention, decision-making, motor function, and episodic memory retrieval. Bilingualism and age were the strongest predictors of atrophy after other variables such as immigration and education were included in a multivariate model. DISCUSSION: CR from bilingualism is evident in the initial stages of neurodegeneration after MCI has been diagnosed.

Redefining bilingualism as a spectrum of experiences that differentially affects brain structure and function.

Learning and using an additional language is shown to have an impact on the structure and function of the brain, including in regions involved in cognitive control and the connections between them. However, the available evidence remains variable in terms of the localization, extent, and trajectory of these effects. Variability likely stems from the fact that bilingualism has been routinely operationalized as a categorical variable (bilingual/monolingual), whereas it is a complex and dynamic experience with a number of potentially deterministic factors affecting neural plasticity. Here we present a study investigating the combined effects of experience-based factors (EBFs) in bilingual language use on brain structure and functional connectivity. EBFs include an array of measures of everyday usage of a second language in different types of immersive settings (e.g., amount of use in social settings). Analyses reveal specific adaptations in the brain, both structural and functional, correlated to individual EBFs and their combined effects. Taken together, the data show that the brain adapts to be maximally efficient in the processing and control of two languages, although modulated ultimately by individual language experience.

Language Proficiency, Reading Comprehension and Home Literacy in Bilingual Children: The Impact of Context.

Numerous studies on reading comprehension with monolingual children have shown that oral language, such as vocabulary, is an important factor in predicting reading comprehension success. However, few studies have looked at the reading comprehension performance of bilinguals, and less is known about the contributors to its success, linguistic or otherwise. Based on previous research showing weaker oral language among bilingual children, the goals of the present study are to examine how bilinguals perform in reading comprehension, along with possible contributors such as oral language and home literacy practices, in comparison with their monolingual peers. Participants were 82 children in the third grade who completed standardized language measures assessing vocabulary, grammar, and reading comprehension and whose parents completed a home literacy questionnaire. Bilingual children's reading comprehension was comparable to monolinguals despite having lower language, and bilingual parents reported reading rate was higher than that of the monolinguals. Moreover, the contributors to this success in reading comprehension were different for the bilingual group, with oral language and home literacy playing a role. Overall, this suggests bilinguals are unique from monolinguals in the manner in which they make use of the resources available to them, linguistic and otherwise, to achieve reading comprehension success.

Increases in attentional demands are associated with language group differences in working memory performance.

One approach to resolving the controversy over whether bilingualism affects executive function (EF) performance has been to identify the specific tasks and populations that might show these effects. The assumption is that the effect of bilingualism reliably occurs with some tasks and populations but not others and that identifying those conditions will settle outstanding contradictions. However, it is now clear that experiments using the same task (e.g., flanker, Simon, etc.) and apparently the same populations (monolingual or bilingual participants) still lead to different outcomes. Therefore, something in addition to these factors must determine performance. The present study tested the hypothesis that changes in demands for attentional control within a task is associated with performance differences for groups with different attentional resources, in this case, monolingual and bilingual participants. Sixty-four young adults who were classified as monolingual or bilingual based on a detailed questionnaire completed four increasingly difficult conditions of an n-back task while EEG was recorded. Behavioral results showed greater declines with increasing difficulty for monolinguals than bilinguals, and electrophysiological results revealed more effortful processing by monolinguals across all conditions. Our interpretation is that demands for attentional control by the task in conjunction with assessments of attentional resources in individuals or groups determines performance on executive function tasks. These results lead to a re-examination of how executive function is conceptualized and the role of bilingualism in performance on these tasks.

Duration and extent of bilingual experience modulate neurocognitive outcomes.

The potential effects of bilingualism on executive control (EC) have been heavily debated. One possible source of discrepancy in the evidence may be that bilingualism tends to be treated as a monolithic category distinct from monolingualism. We address this possibility by examining the effects of different bilingual language experiences on brain activity related to EC performance. Participants were scanned (fMRI) while they performed a Flanker task. Behavioral data showed robust Flanker effects, not modulated by language experiences across participants. However, differences in duration of bilingual experience and extent of active language use predicted activation in distinct brain regions indicating differences in neural recruitment across conditions. This approach highlights the need to consider specific bilingual language experiences in assessing neurocognitive effects. It further underscores the utility and complementarity of neuroimaging evidence in this general line of research, contributing to a deeper understanding of the variability reported in the literature.

Conversion of Mild Cognitive Impairment to Alzheimer Disease in Monolingual and Bilingual Patients.

PURPOSE: Conversion rates from mild cognitive impairment (MCI) to Alzheimer disease (AD) were examined considering bilingualism as a measure of cognitive reserve. METHODS: Older adult bilingual (n=75) and monolingual (n=83) patients attending a memory clinic who were diagnosed with MCI were evaluated for conversion to AD. Age of MCI and AD diagnoses and time to convert were recorded and compared across language groups. PATIENTS: Patients were consecutive patients diagnosed with MCI at a hospital memory clinic. RESULTS: Bilingual patients were diagnosed with MCI at a later age than monolingual patients (77.8 and 75.5 y, respectively), a difference that was significant in some analyses. However, bilingual patients converted faster from MCI to AD than monolingual patients (1.8 and 2.8 y, respectively) resulting in no language group difference in age of AD diagnosis. This relationship held after accounting for education, cognitive level, immigration status, and sex. DISCUSSION: The findings suggest that greater cognitive reserve as measured by language status leads to faster conversion between MCI and AD, all else being equal.

Using the DRM paradigm to assess language processing in monolinguals and bilinguals.

Both languages are jointly activated in the bilingual brain, requiring bilinguals to select the target language while avoiding interference from the unwanted language. This cross-language interference is similar to the within-language interference created by the Deese-Roediger-McDermott false memory paradigm (DRM; Roediger & McDermott, 1995, Journal of Experimental Psychology: Learning, Memory, and Cognition, 21[4], 803-814). Although the mechanisms mediating false memory in the DRM paradigm remain an area of investigation, two of the more prominent theories-implicit associative response (IAR) and fuzzy trace-provide frameworks for using the DRM paradigm to advance our understanding of bilingual language processing. Three studies are reported comparing accuracy of monolingual and bilingual participants on different versions of the DRM. Study 1 presented lists of phonological associates and found that bilinguals showed higher rates of false recognition than did monolinguals. Study 2 used the standard semantic variant of the task and found that bilinguals showed lower false recognition rates than did monolinguals. Study 3 replicated and extended the findings in Experiment 2 in another semantic version of the task presented to younger and older adult monolingual and bilingual participants. These results are discussed within the frameworks of IAR and fuzzy-trace theories as further explicating differences between monolingual and bilingual processing.

Bilingualism modifies disengagement of attention networks across the scalp: A multivariate ERP investigation of the IOR paradigm.

A recent approach to explaining the domain-general cognitive outcomes of bilingualism is to consider the role of disengagement of attention, rather than the engagement of focused attention or inhibition as typical in most accounts. The present study pursues this approach by examining the neurophysiological changes associated with disengagement of attention in young adults performing an inhibition of return (IOR) paradigm while EEG was recorded. Participants were drawn from a diverse community and varied widely in their bilingual experience. There were three main findings. First, dividing the sample into dichotomous groups based on language proficiency did not lead to reliable group differences on the task. Second, using instead continuous measures of bilingualism across the sample indicated that greater bilingual experience and proficiency were associated with the magnitude of the IOR effect, with more bilingual individuals showing larger and earlier IOR effects. Finally, a network of processes that are temporally and spatially distinct were found to work together to produce facilitation, disengagement of attention, and inhibition of return. These findings contribute to debates regarding the electrophysiological correlates of the IOR effect and provide additional evidence for how bilingualism affects domain-general cognition.

The impact of bilingual environments on selective attention in infancy.

Bilingualism has been observed to influence cognitive processing across the lifespan but whether bilingual environments have an effect on selective attention and attention strategies in infancy remains an unresolved question. In Study 1, infants exposed to monolingual or bilingual environments participated in an eye-tracking cueing task in which they saw centrally presented stimuli followed by a target appearing on either the left or right side of the screen. Halfway through the trials, the central stimuli reliably predicted targets' locations. In Study 2, the first half of the trials consisted of centrally presented cues that predicted targets' locations; in the second half, the cue-target location relation switched. All infants performed similarly in Study 1, but in Study 2 infants raised in bilingual, but not monolingual, environments were able to successfully update their expectations by making more correct anticipatory eye movements to the target and expressing faster reactive eye latencies toward the target in the post-switch condition. The experience of attending to a complex environment in which infants simultaneously process and contrast two languages may account for why infants raised in bilingual environments have greater attentional control than those raised in monolingual environments.

Processing differences between monolingual and bilingual young adults on an emotion n-back task.

Bilingualism is associated with enhancement of executive control (EC) across the lifespan. Working memory and non-verbal emotion regulation both draw upon EC mechanisms so may also be affected by bilingualism, but these relationships are not fully understood. These relationships were explored using an n-back task with distracting emotional stimuli administered to young adults while continuous EEG was recorded. Monolinguals were faster but less accurate on the 2-back than bilinguals, and monolingual accuracy was more impeded by the presence of emotional stimuli than was that of bilinguals. The P300 event-related potential, a neural signature of working memory processing in the n-back, had smaller amplitudes in both groups on the 2-back than the 1-back, but attenuation in response to distracting emotional stimuli was greater for bilinguals than monolinguals. P300 latencies were also differentially affected by emotional stimuli in each group: Bilingual latencies were constant across emotions but monolingual latencies increased from neutral to angry conditions. In general, bilingual performance was less impacted by the emotional distraction than was that of the monolinguals. Additionally, bilinguals adjusted to the changing demands of the 1-back and 2-back conditions by recruiting neural networks to support different behavioral outcomes than monolinguals.

Effects of bilingualism on white matter integrity in older adults.

Bilingualism can delay the onset of dementia symptoms and has thus been characterized as a mechanism for cognitive or brain reserve, although the origin of this reserve is unknown. Studies with young adults generally show that bilingualism is associated with a strengthening of white matter, but there is conflicting evidence for how bilingualism affects white matter in older age. Given that bilingualism has been shown to help stave off the symptoms of dementia by up to four years, it is crucial that we clarify the mechanism underlying this reserve. The current study uses diffusion tensor imaging (DTI) to compare monolinguals and bilinguals while carefully controlling for potential confounds (e.g., I.Q., MMSE, and demographic variables). We show that group differences in Fractional Anisotropy (FA) and Radial Diffusivity (RD) arise from multivariable interactions not adequately controlled for by sequential bivariate testing. After matching and statistically controlling for confounds, bilinguals still had greater axial diffusivity (AD) in the left superior longitudinal fasciculus than monolingual peers, supporting a neural reserve account for healthy older bilinguals.

Monolinguals and bilinguals disengage attention differently following conflict and errors: Evidence from ERPs.

Monolingual and bilingual young adults performed a task-switching experiment while EEG was recorded to investigate how bilingualism affects cognitive control following conflict. Participants were given pure blocks composed of three intermixed tasks, each consisting of univalent trials in which they responded to one feature of the stimulus - color, shape, or size. In the crucial conflict block, an irrelevant feature was added to one of the tasks, creating bivalent trials that included conflict. Behaviorally, all participants slowed responses to univalent trials that followed conflict, reflecting the post-conflict slowing effect. Electrophysiologically, monolinguals displayed longer-lasting post-conflict ERP effects and showed larger ERN amplitudes following responses than bilinguals, amplitudes that were associated with adjustments in response times. The interpretation is that bilinguals disengage attention following conflict from misleading stimuli or error responses more rapidly than do monolinguals.

The language and social background questionnaire: Assessing degree of bilingualism in a diverse population.

Research examining the cognitive consequences of bilingualism has expanded rapidly in recent years and has revealed effects on aspects of cognition across the lifespan. However, these effects are difficult to find in studies investigating young adults. One problem is that there is no standard definition of bilingualism or means of evaluating degree of bilingualism in individual participants, making it difficult to directly compare the results of different studies. Here, we describe an instrument developed to assess degree of bilingualism for young adults who live in diverse communities in which English is the official language. We demonstrate the reliability and validity of the instrument in analyses based on 408 participants. The relevant factors for describing degree of bilingualism are: (1) the extent of non-English language proficiency and use at home, and (2) non-English language use socially. We then use the bilingualism scores obtained from the instrument to demonstrate their association with: (1) performance on executive function tasks, and (2) previous classifications of participants into categories of monolinguals and bilinguals.

Bilingual education for young children: review of the effects and consequences.

Bilingual education has been an educational option in many countries for over 50 years but it remains controversial, especially in terms of its appropriateness for all children. The present review examines research evaluating the outcomes of bilingual education for language and literacy levels, academic achievement, and suitability for children with special challenges. The focus is on early education and the emphasis is on American contexts. Special attention is paid to factors such as socioeconomic status that are often confounded with the outcomes of bilingual education. The conclusion is that there is no evidence for harmful effects of bilingual education and much evidence for net benefits in many domains.

Degree of bilingualism modifies executive control in Hispanic children in the USA.

Past studies examining the cognitive function of bilingual school-aged children have pointed to enhancements in areas of executive control relative to age-matched monolingual children. The majority of these studies has tested children from a middle-class background and compared performance of bilinguals as a discrete group against monolinguals. The objective of the present study was to determine if cognitive enhancement from bilingualism is sensitive to the child's degree of bilingualism in a sample of eight- and nine-year old Spanish-English bilingual children of low socioeconomic status. The results showed that the more balanced the children were in their language skills, the better they performed on non-verbal tasks of cognitive function. These results support an additive view of bilingualism, where more balanced proficiency in two languages is associated with more enhanced cognitive function, regardless of socioeconomic background.

Bilinguals have more complex EEG brain signals in occipital regions than monolinguals.

Brain signal complexity increases with development and is associated with better cognitive outcomes in older age. Research has also shown that bilinguals are able to stave off cognitive decline for longer periods of time than monolinguals, but no studies to date have examined whether bilinguals have more complex brain signals than monolinguals. Here we explored the hypothesis that bilingualism leads to greater brain signal complexity by examining multiscale entropy (MSE) in monolingual and bilingual young adults while EEG was recorded during a task-switching paradigm. Results revealed that bilinguals had greater brain signal complexity than monolinguals in occipital regions. Furthermore, bilinguals performed better with increasing occipital brain signal complexity, whereas monolinguals relied on coupling with frontal regions to demonstrate gains in performance. These findings are discussed in terms of how a lifetime of experience with a second language leads to more automatic and efficient processing of stimuli and how these adaptations could contribute to the prevention of cognitive decline in older age.

Interactions between levels of attention ability and levels of bilingualism in children's executive functioning.

Attention difficulty is associated with poor performance on executive functioning (EF) tasks, yet EF is enhanced in bilingual children. However, no research to date has investigated the possible interaction between bilingualism and attention ability in children to determine the consequences for EF when both are present. We assessed a sample of typically developing children who were 8 to 11 years old for their ability in attention control and level of bilingualism on the basis of questionnaires completed by parents and teachers. Children performed three tasks requiring aspects of EF: stop signal task (inhibition), flanker task (interference control), and frogs matrices task (spatial working memory). Results from hierarchical regressions confirmed that both attention ability and bilingualism contributed to performance on the EF tasks. Where interaction effects were significant, they showed that attention ability was a stronger predictor for an inhibition task, namely stop signal, and bilingualism a stronger predictor for an interference task, namely flanker. Furthermore, these results allow us to discuss the relation between EF and attention ability.

Neuropsychological Assessments of Cognitive Aging in Monolingual and Bilingual Older Adults.

Standardized neuropsychological tests are routinely used as diagnostic criteria in aging populations and are an important piece of evidence for the identification of clinical pathology and neurodegenerative conditions such as Alzheimer's disease. Tests include such measures as the Mini Mental Status Exam, Delis-Kaplan Executive Function System, Montreal Cognitive Assessment, and others. These tests cover a range of functions including working memory, verbal fluency, prospective memory, and task switching. Interpretation of test results is based on comparison of the participant's score to standard scores that have been normed on a population database. However, a growing body of research has shown that the skills underlying these tests may be significantly different in monolingual and bilingual older adults, especially for those experiencing cognitive impairment, yet the standardized test scores do not account for such differences. Therefore, results of neuropsychological tests may be different for bilingual populations than for monolinguals, and those differences may be misinterpreted. The issue is important because the consequences of these interpretative errors may be over- or under- diagnosis of cognitive impairment. The present study examined the neuropsychological test scores of monolingual and bilingual older adults who were experiencing healthy aging or cognitive impairment to establish patterns in these scores that can more accurately guide the interpretation for bilingual older adults by considering group differences in the underlying abilities.

Behavioral and Electrophysiological Differences in Executive Control Between Monolingual and Bilingual Children.

This study examined executive control in sixty-two 5-year-old children who were monolingual or bilingual using behavioral and event-related potentials (ERPs) measures. All children performed equivalently on simple response inhibition (gift delay), but bilingual children outperformed monolinguals on interference suppression and complex response inhibition (go/no-go task). On the go/no-go task, ERPs showed larger P3 amplitudes and shorter N2 and P3 latencies for bilingual children than for monolinguals. These latency and amplitude data were associated with better behavioral performance and better discrimination between stimuli for bilingual children but not for monolingual children. These results clarify the conditions that lead to advantages for bilingual children in executive control and provide the first evidence linking those performance differences to electrophysiological brain differences in children.