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Assessment of Naming in Non-native English Speakers with Epilepsy

Published online by Cambridge University Press:  04 September 2018

Amanda Gooding ,
Jeffrey R. Cole  and
Marla J. Hamberger
Amanda Gooding*
Affiliation:
Department of Psychiatry, University of California, San Diego, California
Jeffrey R. Cole
Affiliation:
Department of Neurology, Columbia University Medical Center, New York, New York
Marla J. Hamberger
Affiliation:
Department of Neurology, Columbia University Medical Center, New York, New York
*
Correspondence and reprint requests to: Amanda Gooding, Department of Psychiatry, University of California, San Diego Medical Center, 140 Arbor Drive, #0851, San Diego, CA 92103. E-mail: agooding@ucsd.edu
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Abstract

Objectives: Naming assessment is a core component of neuropsychological evaluation, particularly in the surgical work up for patients with pharmacologically refractory epilepsy. Specifically, naming deficits are typically associated with left, but not right hemisphere epilepsy, thereby assisting with lateralization of seizure onset. We sought to determine whether bilingual (English as second language, ESL) and monolingual epilepsy patients with comparable education, intelligence, and objective vocabulary performance would perform similarly on standard naming measures, and whether ESL patients would demonstrate laterality effects in naming, similar to that observed in monolingual patients. Methods: Participants were 242 adults with epilepsy (186 native, 56 ESL) who underwent neuropsychological evaluation and obtained normal range or higher scores on the Wechsler Adult Intelligence Scale (R/III/IV) Vocabulary subtest (scaled score≥8). Groups were compared on demographic factors and language performances (i.e., Boston Naming Test, Auditory & Visual Naming Test, word reading, fluency). Results: Groups did not differ with respect to age, education, FSIQ, vocabulary, reading, or verbal fluency. However, ESL speakers earned poorer scores than native English speakers on all naming measures. Moreover, among ESL participants with unilateral epilepsy, a significant proportion of right hemisphere patients scored below cutoff for impairment. This contrasted with the more typical finding among native English speakers, whereby a significant proportion of left patients demonstrated naming impairment. Conclusions: These results underscore the complexity of verbal assessment in bilinguals, suggesting that naming performances by ESL individuals, even those considered proficient, with strong performances on other English verbal measures, cannot be interpreted by the same standards applied for native speakers. (JINS, 2018, 24, 1057–1063)

Keywords

EpilepsyNamingBilingualismESLLanguageAssessment
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 24 , Issue 10 , November 2018 , pp. 1057 - 1063
Copyright
Copyright © The International Neuropsychological Society 2018 

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