Esmeralda Matute

Illiteracy: The neuropsychology of cognition without reading

Illiterates represent a significant proportion of the worlds population. Written language not only plays a role in mediating cognition, but also extends our knowledge of the world. Two major reasons for illiteracy can be distinguished, social (e.g., absence of schools), and personal (e.g., learning difficulties). Without written language, our knowledge of the external world is partially limited by immediate sensory information and concrete environmental conditions. Literacy is significantly associated with virtually all neuropsychological measures, even though the correlation between education and neuropsychological test scores depends on the specific test. The impact of literacy is reflected in different spheres of cognitive functioning. Learning to read reinforces and modifies certain fundamental abilities, such as verbal and visual memory, phonological awareness, and visuospatial and visuomotor skills. Functional imaging studies are now demonstrating that literacy and education influence the pathways used by the brain for problem-solving. The existence of partially specific neuronal networks as a probable consequence of the literacy level supports the hypothesis that education impacts not only the individuals day-to-day strategies, but also the brain networks. A review of the issues related to dementia in illiterates is presented, emphasizing that the association between the education level and age-related cognitive changes and education remains controversial. The analysis of the impact of illiteracy on neuropsychological test performance represents a crucial approach to understanding human cognition and its brain organization under normal and abnormal conditions.

NEUROPSI ATTENTION AND MEMORY: a neuropsychological test battery in Spanish with norms by age and educational level.

Health care professionals are now faced with a growing number of patients from different ethnic groups, and from different socioeconomical backgrounds. In the field of neuropsychology there is an increasing need of reliable and culturally fair assessment measures. Spanish is the official language in more than 20 countries and the second most spoken language in the world. The purpose of this research was to develop and standardize the neuropsychological battery NEUROPSI ATTENTION AND MEMORY, designed to assess orientation, attention and concentration, executive functions, working memory and immediate and delayed verbal and visual memory. The developmental sequences of attention and memory as well as the educational effects were analyzed in a sample of 521 monolingual Spanish Speaking subjects, aged 6 to 85 years. Educational level ranged from 0 to 22 years of education. The consideration of the developmental sequence, and the effects of education, can improve the sensitivity and specificity of neuropsychological measures.

Verbal and nonverbal fluency in Spanish-speaking children

Fluency measures are commonly used in clinical developmental neuropsychology to assess executive functions. Little is known about the effect of age on performance in these tests. This article analyzes the effect of age on measures of verbal (semantic and phonologic) and nonverbal (semantic and nonsemantic) fluency in 171 children (81 boys, 90 girls) between ages 6 and 15. Participants were selected from public and private schools in Guadalajara and Tijuana, Mexico. A significant age effect was found on all tests but no interaction between age and type of test was found. Significant correlations among the 4 fluency tasks ranged from .36 to .46. Results are consistent with the findings of normative studies carried out in other countries and support the cross-language validity of verbal fluency tests.

Gender differences in cognitive development.

The potential effect of gender on intellectual abilities remains controversial. The purpose of this research was to analyze gender differences in cognitive test performance among children from continuous age groups. For this purpose, the normative data from 7 domains of the newly developed neuropsychological test battery, the Evaluación Neuropsicológica Infantil [Child Neuropsychological Assessment] (Matute, Rosselli, Ardila, & Ostrosky-Solis, 2007), were analyzed. The sample included 788 monolingual children (350 boys, 438 girls) ages 5 to 16 years from Mexico and Colombia. Gender differences were observed in oral language (language expression and language comprehension), spatial abilities (recognition of pictures seen from different angles), and visual (Object Integration Test) and tactile perceptual tasks, with boys outperforming girls in most cases, except for the tactile tasks. Gender accounted for only a very small percentage of the variance (1%-3%). Gender x Age interactions were observed for the tactile tasks only. It was concluded that gender differences during cognitive development are minimal, appear in only a small number of tests, and account for only a low percentage of the score variance.

Memory Abilities in Children With Subtypes of Dyscalculia

This study examines (a) mathematical skills of 2 subgroups of children with developmental dyscalculia (DD)—1 group with DD only and a second group with DD plus reading disorders (RDD)—and (b) analyzes the memory skills of both groups of children. Fifty 11- and 12-year-old children were selected from public schools in Guadalajara, Mexico. Seventeen children had DD only, 13 had RDD, and 20 were normal controls. Testing included 10 calculation and 6 memory subtests taken from the Evaluacion Neuropsicologica Infantil (Matute, Rosselli, Ardila, & Ostrosky, in press). Results indicated that children with DD and children with RDD show a similar pattern of mathematical impairment. Both subgroups had significantly lower scores than the control group in working memory tasks. In addition, the RDD group had significantly lower scores than the control group in visual learning and semantic memory. Although the RDD group scored lower than the DD group in most memory tests, this difference did not reach significance. Working memory tests (digits backwards and sentence repetition) appeared to be the best predictors of mathematical test scores and may represent a major cognitive defect in children with specific defects in mathematics.

Does literacy have an effect on stick construction tasks

Since constructional apraxia is often concomitant with brain lesions, the study of constructional tasks in the non-brain-damaged population might be useful in helping to disentangle other causal factors. This paper explores the performance of illiterate individuals (N = 29) as compared to that of semiliterates (N = 21) and literates (N = 23) in order to see the effect of reading and writing abilities on constructional tasks. Each participant was asked to construct 4 figures based upon models having varying degrees of complexity. A global criterion of lack of fidelity and several analytic criteria (related to distortion, rotation, and disarticulation errors) were used to evaluate performance. Although illiterates generally made more errors than semiliterates and semiliterates more than literates, only some of these differences were statistically significant. Significant differences were found for lack of global fidelity and disarticulation errors when all 4 figures were considered together. Subtler data emerged with respect to single figures.

Gender Differences and Cognitive Correlates of Mathematical Skills in School-Aged Children

Published information concerning the influence of gender on mathematical ability tests has been controversial. The present study examines the performance of school-aged boys and girls from two age groups on several mathematical tasks and analyzes the predictive value of a verbal fluency test and a spatial test on those mathematical tasks. More specifically, our research attempts to answer the following two questions: (1) Are gender differences in mathematical test performance among children interrelated with age and (2) do verbal and spatial nonmathematical tests mediate gender effects on mathematical test performance? Two hundred and seventy-eight 7- to 10-year-old children and 248 13- to 16-year-olds were selected from schools in Colombia and Mexico (231 boys and 295 girls). The age effect was found to be significant for all measures, with scores improving with age. Results showed that boys and girls in both age groups scored similarly in most subtests, but that differences emerged in the performance of mental mathematical operations and in resolving arithmetical problems. In the latter – but not in mental math – older boys outperformed older girls, whereas no gender differences were observed in the younger groups. After controlling for age, it was found that the spatial test was, indeed, a significant mediator of gender effects, while the verbal task was not.

Performance of Spanish/English Bilingual Children on a Spanish-Language Neuropsychological Battery: Preliminary Normative Data

Despite a population of close to 40 million Hispanics/Latinos in the USA who have at least some level of Spanish/English bilingualism, there are few neuropsychological tests and norms available for this group, especially when assessing Spanish/English bilingual children. The purpose of the present research was to provide preliminary normative data for a bilingual population on a comprehensive neuropsychological battery developed for Spanish-speaking children (Evaluación Neuropsicológica Infantil). Norms by age are presented on the performance of 108 Spanish/English bilingual children (ages 5-14 years) and are expected to be useful when testing other Spanish/English bilingual children in the USA.

The fifth female patient with Myhre syndrome: further delineation

We report the fifth female patient with Myhre syndrome (MS) and review the literature. She is a 13-year-old Mexican girl whose phenotype fulfills all the clinical and radiological criteria reported in MS such as typical facies, short stature, limited joint mobility, and short hands and feet. The physical habitus of MS is described and a square body shape is clearly distinguished in all cases. As the typical muscular build is present mainly in male patients, the MS muscular appearance may be hormonally influenced.

Effect of chronic iron deficiency on neuropsychological domains in infants.

The aim of this study was to assess the effects of chronic iron deficiency on neuropsychological traits in infants. We established the nutritional iron status and assessed the neuropsychological characteristics of 58 Mexican 14- to 18-month-old infants. The Bayley Scales of Infant Development, preschool language scales and an environmental sound perception task designed expressly for the study, were used. The infants’ mothers were asked to fill out 2 questionnaires concerning their child’s sociodemographic background. Six different neuropsychological domains were analyzed. Results showed that the chronic iron deficiency group did show significantly lower scores on language, environmental sound perception, and motor measures, when compared with infants with normal nutritional iron status at 6 and 14 to 18 months. Our conclusion is that the development of language and motor skills and environmental sound perception appeared to be sensitive to the effects of chronic iron deficiency in infants.