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Existe-t-il vraiment une psychopathologie du rabâchage chez le sujet agé ?

Abstract : Repetitive talk has not been widely studied from the semeiotic and neuro-psychological angle, although it is a marker in the loss of control of the environment with old age. In this study a group of elderly, anxious subjects, a group of elderly subjects with cognitive disturbances and a group of elderly controls were compared. A quantitative analysis of repetitive speech, using the SRI (Stereotyping Rating Inventory) was performed, followed by a qualitative analysis, using indicators of memory, executive functions (updating; flexibility; inhibition) personality, anxiety and depression. Among subjects with cognitive and anxious disturbances, repetitive talk comprised stories (more than 2 or 3 sentences) or sentences, but there was no repetition of words or songs. The encounter with others is affected by this repetitive talk, and results from the fact that either the discourse is centered on completed events (because of difficulties in updating in the cognitive disturbance group), or it incorporates superfluous, diffuse events, also resulting from an impairment in updating abilities, but also from inhibition and mental flexibility problems in the group of anxious subjects.
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D. Léger, J.-L Pharose, F. Rigalleau, S Kalenzaga, T Leger, et al.. Existe-t-il vraiment une psychopathologie du rabâchage chez le sujet agé ?. NPG: Neurologie - Psychiatrie - Gériatrie, LDAM éd, 2019, 19 (114), pp.349-357. ⟨10.1016/j.npg.2019.07.003⟩. ⟨hal-02457326⟩



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