Language switching and speaking a nondominant language challenge executive control: Preliminary data for novel behavioral markers of Alzheimer's risk in Spanish-English bilinguals.

OBJECTIVE: The present study explored psycholinguistic analysis of spoken responses produced in a structured interview and cued linguistic and nonlinguistic task switching as possible novel markers of Alzheimer's disease (AD) risk in Spanish-English bilinguals. METHOD: Nineteen Spanish-English bilinguals completed an Oral Proficiency Interview (OPI) in both languages, cued-switching tasks, and a battery of traditional neuropsychological tests (in a separate testing session). All were cognitively healthy at the time of testing, but eight decliners were later diagnosed with AD (on average 4.5 years after testing; SD = 2.3), while 11 controls remained cognitively healthy. RESULTS: Past studies showed picture naming was more sensitive to AD in the dominant than in the nondominant language, but we found the opposite for a composite measure of spoken utterances produced in the OPI that included revisions, repetitions, and filled pauses (RRFPs), which were especially sensitive to AD risk in the nondominant language. Errors produced on language switch trials best discriminated decliners from controls (in receiver operating characteristic curves), and though the nonlinguistic switching task was also sensitive to AD risk, it elicited more errors overall and was also negatively affected by increased age and low education level. CONCLUSIONS: Speaking a nondominant language and errors in cued language switching provided sensitive and specific markers of pending cognitive decline and AD risk in bilinguals. These measures may reflect early decline in executive control abilities that are needed to plan and monitor the production of connected speech and to manage competition for selection between languages. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

New insights on what leads bilinguals to be able to name some pictures only in their nondominant language: Immersion, dominance reversal, and balanced bilingualism.

OBJECTIVE: The present study asked if bilinguals who are immersed in their nondominant language are more likely to know some words only in their nondominant language. METHOD: The either-language scoring benefit (ELSB) reflects how many more points bilinguals get when credited for pictures named regardless of which language is used. We asked if the ELSB varies with self-rated proficiency level of the nondominant language in young English-dominant (n = 68) compared to Spanish-dominant (n = 33) bilinguals, and in older English-dominant (n = 36) compared to Spanish-dominant (n = 32) bilinguals. All bilinguals were immersed in English (in the USA) at the time of testing. RESULTS: Spanish-dominant bilinguals showed a larger ELSB than English-dominant bilinguals (in both young and older groups), but simple correlations showed that the degree of Spanish dominance was associated with a higher ELSB only in young bilinguals. Additionally, the ELSB was larger for bilinguals with more years of immersion and for more balanced bilinguals, whether measured by naming scores or self-rated balance (in both age groups). Nearly half (n = 14/33) of the young bilinguals who said they were Spanish-dominant scored higher in English than in Spanish, and on average these participants had similar naming scores in English and Spanish. CONCLUSIONS: Either-language scoring benefits bilinguals with higher proficiency level in the nondominant language, which is more likely in bilinguals with extended immersion in the nondominant language, who also tend to be more balanced bilinguals, and for young adult bilinguals who may be in the process of a switch in which language is dominant.

The MINT Sprint 2.0: A picture naming test for detection of naming impairments in Alzheimer's disease and in preclinical AD.

INTRODUCTION: Evidence on the onset of naming deficits in Alzheimer's disease (AD) is mixed. Some studies showed an early decline, but others did not. The present study introduces evidence from a novel naming test. METHODS: Cognitively normal (n = 138), mild cognitive impairment (MCI; n = 21), and Alzheimer's disease (AD; n = 31) groups completed an expanded Multilingual Naming Test with a time-pressured administration procedure (MINT Sprint 2.0). Cerebrospinal fluid biomarkers classified participants as true controls (n = 61) or preclinical AD (n = 26). RESULTS: Total correct MINT Sprint 2.0 scores exhibited good sensitivity and specificity (>0.85) for discriminating true controls from cognitively impaired (MCI/AD) groups and showed significant differences between true controls and preclinical AD groups. Time measurement did not improve classification, but percent resolved scores exhibited promise as an independent AD marker. DISCUSSION: Naming deficits can be detected in the earliest stages of AD with tests and procedures designed for this purpose.

Competition accumulates in successive retrieval of proper names.

Proper names are especially prone to retrieval failures and tip-of-the-tongue states (TOTs)-a phenomenon wherein a person has a strong feeling of knowing a word but cannot retrieve it. Current research provides mixed evidence regarding whether related names facilitate or compete with target-name retrieval. We examined this question in two experiments using a novel paradigm where participants either read a prime name aloud (Experiment 1) or classified a written prime name as famous or non-famous (Experiment 2) prior to naming a celebrity picture. Successful retrievals decreased with increasing trial number (and was dependent on the number of previously presented similar famous people) in both experiments, revealing a form of accumulating interference between multiple famous names. However, trial number had no effect on TOTs, and within each trial famous prime names increased TOTs only in Experiment 2. These results can be explained within a framework that assumes competition for selection at the point of lexical retrieval, such that successful retrievals decrease after successive retrievals of proper names of depicted faces of semantically similar people. By contrast, the effects of written prime words only occur when prime names are sufficiently processed, and do not provide evidence for competition but may reflect improved retrieval relative to a "don't know" response.

Disruption of the serial position effect as an early marker of Alzheimer's disease in Spanish-English bilinguals.

OBJECTIVES: The present study examined if disruption of serial position effects in list recall could serve as an early marker of Alzheimer's disease (AD) in Spanish-English bilinguals. METHODS: We tested 20 participants initially diagnosed as cognitively normal or with mild cognitive impairment who declined and eventually received a diagnosis of AD (decliners), and 37 who remained cognitively stable (controls) over at least 2 years. Participants were tested on the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Word List Learning Test in English or Spanish as part of an annual neuropsychological evaluation. RESULTS: Compared to controls, decliners exhibited significantly reduced recall including reduced primacy scores (i.e., items recalled from the first three list items on Trial 1), whereas recency scores (i.e., items recalled from the last 3 list items on Trial 1) were equivalent in decliners and controls. Further analyses suggested that the sensitivity of the primacy effect to preclinical AD was initially stronger in participants tested in Spanish, a surprising finding given that the CERAD was developed for English speakers. However, in the subsequent year of testing, primacy scores declined to the same level regardless of language of testing. CONCLUSIONS: Several list learning measures may facilitate early diagnosis of AD in Spanish-English bilinguals, possibly including the relatively understudied primacy effect. Additional studies are needed to investigate the possibility that linguistic or demographic variables might modulate sensitivity of list learning tests to preclinical AD, which could lead to broader improvements in their utility for early diagnosis of AD in all populations.

Different language control mechanisms in comprehension and production: Evidence from paragraph reading.

Chinese-English bilinguals read paragraphs with language switches using a rapid serial visual presentation paradigm silently while ERPs were measured (Experiment 1) or read them aloud (Experiment 2). Each paragraph was written in either Chinese or English with several function or content words switched to the other language. In Experiment 1, language switches elicited an early, long-lasting positivity when switching from the dominant language to the nondominant language, but when switching to the dominant language, the positivity started later, and was never larger than when switching to the nondominant language. In addition, switch effects on function words were not significantly larger than those on content words in any analyses. In Experiment 2, participants produced more cross-language intrusion errors when switching to the dominant than to the nondominant language, and more errors on function than content words. These results implicate different control mechanisms in bilingual language selection across comprehension and production.

Which language is more affected in bilinguals with Alzheimer's disease? Diagnostic sensitivity of the Multilingual Naming Test.

OBJECTIVE: This study examined the joint consequences of bilingualism and Alzheimer's disease (AD) for picture naming ability to determine which language is more affected by AD and what scoring methods best distinguish patients from controls. METHOD: Sixty-five Spanish-English bilinguals including 26 with dementia and 39 controls with equivalent age, education, and bilingual proficiency level, were tested on the Multilingual Naming Test (Gollan et al., 2012). RESULTS: Bilinguals with AD named fewer pictures than controls, and overall AD seemed to affect both languages about equally, but exploratory analyses suggested that this varied with item difficulty. In the dominant language difficult items exhibited a larger effect of AD than easy items (which were at ceiling for both patients and controls), whereas in the nondominant language items of all difficulty levels were about equally affected by AD. An "either-language" scoring procedure (that counted items as correct if produced only in one of the two languages) increased naming scores especially in balanced bilinguals, and to an equal extent in patients and controls. Receiver Operating Characteristic analyses revealed that dominant language and either-language naming scores classified bilinguals as patients versus controls equally well and adding nondominant language scores did not improve diagnostic sensitivity. CONCLUSIONS: Testing primarily or exclusively in the dominant language is best for detecting AD naming impairments in bilinguals. However, AD affects the ability to access names in both languages, possibly for different reasons, and simple descriptions of language decline as "parallel" or "asymmetrical" (i.e., AD affecting one language more than the other) may be misleading in terms of the theoretical implications for bilingual language processing. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Inhibitory control of the dominant language: Reversed language dominance is the tip of the iceberg.

Theories of speech production have proposed that in contexts where multiple languages are produced, bilinguals inhibit the dominant language with the goal of making both languages equally accessible. This process often overshoots this goal, leading to a surprising pattern: better performance in the nondominant vs. dominant language, or reversed language dominance effects. However, the reliability of this effect in single word production studies with cued language switches has been challenged by a recent meta-analysis. Correcting for errors in this analysis, we find that dominance effects are reliably reduced and reversed during language mixing. Reversed dominance has also consistently been reported in the production of connected speech elicited by reading aloud of mixed language paragraphs. When switching, bilinguals produced translation-equivalent intrusion errors (e.g., saying pero instead of but) more often when intending to produce words in the dominant language. We show this dominant language vulnerability is not exclusive to switching out of the nondominant language and extends to non-switch words, linking connected speech results to patterns first reported in single word studies. Reversed language dominance is a robust phenomenon that reflects the tip of the iceberg of inhibitory control of the dominant language in bilingual language production.

Autocorrection if→of function words in reading aloud: A novel marker of Alzheimer's risk.

OBJECTIVE: The present study investigated cognitive mechanisms underlying the ability to stop "autocorrect" errors elicited by unexpected words in a read-aloud task, and the utility of autocorrection for predicting Alzheimer's disease (AD) biomarkers. METHOD: Cognitively normal participants (total n = 85; n = 64 with cerebrospinal fluid [CSF] biomarkers) read aloud six short paragraphs in which 10 critical target words were replaced with autocorrect targets, for example, The player who scored that final [paint] for the local team reported [him] experience. Autocorrect targets either replaced the most expected/dominant completion (i.e., point) or a less expected/nondominant completion (i.e., basket), and within each paragraph half of the autocorrect targets were content words (e.g., point/paint) and half were function words (e.g., his/him). Participants were instructed to avoid autocorrecting. RESULTS: Participants produced more autocorrect errors in paragraphs with dominant than with nondominant targets, and with function than with content targets. Cognitively normal participants with high CSF Tau/Aß42 (i.e., an AD-like biomarker profile) produced more autocorrect total errors than those below the Tau/Aß42 threshold, an effect also significant with dominant-function targets alone (e.g., saying his instead of him). A logistic regression model with dominant-function errors and age showed errors as the stronger predictor of biomarker status (sensitivity 83%; specificity 85%). CONCLUSIONS: Difficulty stopping autocorrect errors is associated with biomarkers indicating preclinical AD, and reveals promise as a diagnostic tool. Greater vulnerability of function over content words to autocorrection in individuals with AD-like biomarkers implicates monitoring and attention (rather than semantic processing) in the earliest of cognitive changes associated with AD risk. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Language-switch Costs from Comprehension to Production Might Just Be Task-switch Costs.

Spanish-English bilinguals switched between naming pictures in one language and either reading-aloud or semantically classifying written words in both languages. When switching between reading-aloud and picture-naming, bilinguals exhibited no language switch costs in picture naming even though they produced overt language switches in speech. However, when switching between semantic classification and picture naming, bilinguals, especially unbalanced bilinguals, exhibited switch costs in the dominant language and switch facilitation in the nondominant language even though they never switched languages overtly. These results reveal language switching across comprehension and production can be cost-free when the intention remains the same. Assuming switch costs at least partially reflect inhibition of the nontarget language, this implies such language control mechanisms are recruited only under demanding task conditions, especially for unbalanced bilinguals. These results provide striking demonstration of adaptive control mechanisms and call into question previous claims that language switch costs necessarily transfer from comprehension to production.

The MINT Sprint: Exploring a Fast Administration Procedure with an Expanded Multilingual Naming Test.

OBJECTIVES: The present study examined if time-pressured administration of an expanded Multilingual Naming Test (MINT) would improve or compromise assessment of bilingual language proficiency and language dominance. METHODS: Eighty Spanish-English bilinguals viewed a grid with 80 MINT-Sprint pictures and were asked to name as many pictures as possible in 3 min in each language in counterbalanced order. An Oral Proficiency Interview rated by four native Spanish-English bilinguals provided independent assessment of proficiency level. Bilinguals also self-rated their proficiency, completed two subtests of the Woodcock-Muñoz, and a speeded translation recognition test. We compared scores after 2 min, a first-pass through all the pictures, and a second-pass in which bilinguals were prompted to try to name skipped items. RESULTS: The MINT Sprint and a subset score including original MINT items were highly correlated with Oral Proficiency Interview scores for predicting the degree of language dominance - matching or outperforming all other measures. Self-ratings provided weaker measures (especially of degree of balance - i.e., bilingual index scores) and did not explain any unique variance in measuring the degree of language dominance when considered together with second-pass naming scores. The 2-min scoring procedure did not improve and appeared not to hamper assessment of absolute proficiency level but prompting to try to name skipped items improved assessment of language dominance and naming scores, especially in the nondominant language. CONCLUSIONS: Time-pressured rapid naming saves time without significantly compromising assessment of proficiency level. However, breadth of vocabulary knowledge may be as important as retrieval speed for maximizing the accuracy in proficiency assessment.

Older bilinguals reverse language dominance less than younger bilinguals: Evidence for the inhibitory deficit hypothesis.

Inhibitory control is thought to play a key role in how bilinguals switch languages and may decline in aging. We tested these hypotheses by examining age group differences in the reversed language dominance effect-a signature of inhibition of the dominant language that leads bilinguals to name pictures more slowly in the dominant than the nondominant language in mixed-language testing blocks. Twenty-five older and 48 younger Spanish-English bilinguals completed a cued language-switching task. To test if inhibition is applied at the whole-language or lexical level, we first presented one set of pictures repeatedly, then introduced a second list halfway through the experiment. Younger bilinguals exhibited significantly greater reversed language dominance effects than older bilinguals (who exhibited nonsignificant language dominance effects). In younger bilinguals, dominance reversal transferred to, and was even larger in, the second list (compared to the first). The latter result may suggest that inhibition is partially offset by repetition in ways that are not yet fully understood. More generally, these results support the hypotheses that aging impairs inhibitory control of the dominant language, which young bilinguals rely on to switch languages. Additionally, inhibition is applied primarily at the whole-language level, and speculatively, this form of language control may be analogous to nonlinguistic proactive control. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Order effects in bilingual recognition memory partially confirm predictions of the frequency-lag hypothesis.

The present study examined task order, language, and frequency effects on list memory to investigate how bilingualism affects recognition memory. In Experiment 1, 64 bilinguals completed a recognition memory task including intermixed high and medium frequency words in English and another list in Spanish. In Experiment 2, 64 bilinguals and 64 monolinguals studied lists with only high frequency English words and a separate list with only low frequency English words, in counterbalanced order followed by a recognition test. In Experiment 1, bilinguals who completed the task in the dominant language first outperformed bilinguals tested in the nondominant language first, and order effects were not stronger in the dominant language. In Experiment 2, participants who were tested with high frequency word lists first outperformed those tested with low frequency word lists first. Regardless of language and testing order, memory for English and high frequency words was lower than memory for Spanish and medium frequency (in Experiment 1) or low frequency (in Experiment 2) words. Order effects on recognition memory patterned differently from previously reported effects on picture naming in ways that do not suggest between language interference and instead invite an analogy between language dominance and frequency of use (i.e., dominant language = higher frequency) as the primary factor affecting bilingual recognition memory.

What Cognates Reveal about Default Language Selection in Bilingual Sentence Production.

When producing connected speech, bilinguals often select a default-language as the primary force driving the utterance. The present study investigated the cognitive mechanisms underlying default language selection. In three experiments, Spanish-English bilinguals named pictures out of context, or read aloud sentences with a single word replaced by a picture with a cognate (e.g., lemon-limón) or noncognate name (e.g., table-mesa). Cognates speeded naming and significantly reduced switching costs. Critically, cognate effects were not modulated by sentence context. However, switch costs were larger in sentence context, which also exhibited significant language dominance effects, asymmetrical switch costs, and asymmetrical cognate facilitation effects, which were absent or symmetrical respectively in bare picture naming. These results suggest that default-language selection is driven primarily by boosting activation of the default language, not by proactive inhibition of the nondefault language. However, relaxation of proactive control in production of connected speech leads to greater reliance on reactive control to produce language switches relative to out-of-context naming, a contextually driven dynamic tradeoff in language control mechanisms.

Do All Switches Cost the Same? Reliability of Language Switching and Mixing Costs.

The current study examined the reliability and consistency of switching and mixing costs in the language and the color-shape tasks in three pre-existing data sets, to assess whether they are equally well suited for the study of individual differences. Specifically, we considered if the language task is as reliable as the color-shape task - an important question given the wide use of language switching tasks but little information available to address this question. Switching costs had low to moderate reliability and internal consistency, and these were similar for the language and the color-shape tasks. Mixing costs were more reliable in the language task than in the color-shape task when tested twice on the same day and trended in the same direction when tested a week apart. In addition, mixing costs were larger and more consistent than switching costs in all data sets and they were also were more reliable than switching costs in the language task when tested on the same day. These results reveal the language task to be as good as the color-shape task for measuring switching and mixing ability. Low variability of switching costs may decrease their reliability and consistency, in turn interfering with the chance of detecting cross task correlations. We advocate for exploring procedures to increase the variability of switching costs, which might increase reliability and consistency of these measures, and improve the ability to determine if bilingual language use relies on cognitive mechanisms that overlap with those underlying nonlinguistic multi-tasking.

Gesture Helps, Only If You Need It: Inhibiting Gesture Reduces Tip-of-the-Tongue Resolution for Those With Weak Short-Term Memory.

People frequently gesture when a word is on the tip of their tongue (TOT), yet research is mixed as to whether and why gesture aids lexical retrieval. We tested three accounts: the lexical retrieval hypothesis, which predicts that semantically related gestures facilitate successful lexical retrieval; the cognitive load account, which predicts that matching gestures facilitate lexical retrieval only when retrieval is hard, as in the case of a TOT; and the motor movement account, which predicts that any motor movements should support lexical retrieval. In Experiment 1 (a between-subjects study; N = 90), gesture inhibition, but not neck inhibition, affected TOT resolution but not overall lexical retrieval; participants in the gesture-inhibited condition resolved fewer TOTs than participants who were allowed to gesture. When participants could gesture, they produced more representational gestures during resolved than unresolved TOTs, a pattern not observed for meaningless motor movements (e.g., beats). However, the effect of gesture inhibition on TOT resolution was not uniform; some participants resolved many TOTs, while others struggled. In Experiment 2 (a within-subjects study; N = 34), the effect of gesture inhibition was traced to individual differences in verbal, not spatial short-term memory (STM) span; those with weaker verbal STM resolved fewer TOTs when unable to gesture. This relationship between verbal STM and TOT resolution was not observed when participants were allowed to gesture. Taken together, these results fit the cognitive load account; when lexical retrieval is hard, gesture effectively reduces the cognitive load of TOT resolution for those who find the task especially taxing.

Translation Distractors Facilitate Production in Single- and Mixed-Language Picture Naming.

In the picture-word interference (PWI) task, semantically related distractors slow production, while translation-equivalent distractors speed it, possibly implying a language-specific bilingual production system (Costa, Miozzo & Caramazza, 1999). However, in most previous PWI studies bilinguals responded in just one language, an artificial task restriction. We investigated translation facilitation effects in PWI with language switching. Spanish-English bilinguals named pictures in single- or mixed-language-response blocks, with distractors in the target language (Experiment 1), or in the non-target language (Experiment 2). Both experiments replicated previously reported translation facilitation effects in both single-language and mixed-language-response blocks. However, language dominance was reversed in mixed-language response blocks, implying inhibition of the dominant language and competition between languages. These results may be explained by a language non-specific selection model in which bilinguals do not restrict selection to one language, with translation facilitation being caused by facilitation at the semantic level offsetting competition at the lexical level.

Which bilinguals reverse language dominance and why?

When naming pictures in mixed-language blocks, bilinguals sometimes exhibit reversed language dominance effects. These have been attributed to proactive inhibitory control of the dominant language, or adaptation of language-specific selection thresholds. Even though reversed dominance arguably provides the most striking evidence of inhibition, few studies have focused on when and why this effect occurs. We investigated this topic in a large data set (>400 bilinguals) using a continuous and objective measure of language dominance. We found larger reversed language dominance effects in more (vs. less) balanced bilinguals in mixed-language blocks. However, after taking into account standard language dominance effects in single-language blocks, the extent to which dominance effects changed across block types was actually significantly smaller for more balanced bilinguals, which is in line with the inhibitory control account. Interestingly, dominance reversal was not associated with increased overall speed in the mixed-language block. Thus, dominance reversal is more likely in balanced bilinguals not because they are better at applying proactive control, but because they are more likely to overshoot when the goal is to make both languages about equally accessible - and overall, unbalanced bilinguals apply more proactive control than balanced bilinguals to facilitate picture naming in mixed-language blocks.

Failure to stop autocorrect errors in reading aloud increases in aging especially with a positive biomarker for Alzheimer's disease.

The present study examined the effects of aging and CSF biomarkers of Alzheimer's disease (AD) on the ability to control production of unexpected words in connected speech elicited by reading aloud. Fifty-two cognitively healthy participants aged 66-86 read aloud 6 paragraphs with 10 malapropisms including 5 on content words (e.g., "window cartons" that elicited autocorrect errors to "window curtains") and 5 on function words (e.g., "thus concept" that elicited autocorrections to "this concept") and completed a battery of neuropsychological tests including a standardized Stroop task. Reading aloud elicited more autocorrect errors on function than content words, but these were equally correlated with age and Aß1-42 levels. The ability to stop autocorrect errors declined in aging and with lower (more AD-like) levels of Aß1-42, and multiplicatively so, such that autocorrect errors were highest in the oldest-old with the lowest Aß1-42 levels. Critically, aging effects were significant even when controlling statistically for Aß1-42. Finally, both autocorrect and Stroop errors were correlated with Aß1-42, but only autocorrect errors captured unique variance in predicting Aß1-42 levels. Reading aloud requires simultaneous planning and monitoring of upcoming speech. These results suggest that healthy aging leads to decline in the ability to intermittently monitor for and detect conflict during speech planning and that subtle cognitive changes in preclinical AD magnify this aging deficit. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Minimal Overlap in Language Control Across Production And Comprehension: Evidence from Read-Aloud Versus Eye-Tracking Tasks.

Bilinguals are remarkable at language control-switching between languages only when they want. However, language control in production can involve switch costs. That is, switching to another language takes longer than staying in the same language. Moreover, bilinguals sometimes produce language intrusion errors, mistakenly producing words in an unintended language (e.g., Spanish-English bilinguals saying "pero" instead of "but"). Switch costs are also found in comprehension. For example, reading times are longer when bilinguals read sentences with language switches compared to sentences with no language switches. Given that both production and comprehension involve switch costs, some language-control mechanisms might be shared across modalities. To test this, we compared language switch costs found in eye-movement measures during silent sentence reading (comprehension) and intrusion errors produced when reading aloud switched words in mixed-language paragraphs (production). Bilinguals who made more intrusion errors during the read-aloud task did not show different switch cost patterns in most measures in the silent-reading task, except on skipping rates. We suggest that language switching is mostly controlled by separate, modality-specific processes in production and comprehension, although some points of overlap might indicate the role of domain general control and how it can influence individual differences in bilingual language control.