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Does bilingualism contribute to cognitive reserve? Cognitive and neural perspectives
Journal article   Open access   Peer reviewed

Does bilingualism contribute to cognitive reserve? Cognitive and neural perspectives

Edmarie Guzmán-Vélez and Daniel Tranel
Neuropsychology, Vol.29(1), pp.139-150
01/2015
DOI: 10.1037/neu0000105
PMCID: PMC4353628
PMID: 24933492

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Abstract

Cognitive reserve refers to how individuals actively utilize neural resources to cope with neuropathology to maintain cognitive functioning. The present review aims to critically examine the literature addressing the relationship between bilingualism and cognitive reserve to elucidate whether bilingualism delays the onset of cognitive and behavioral manifestations of dementia. Potential neural mechanisms behind this relationship are discussed. PubMed and PsycINFO databases were searched (through January 2014) for original research articles in English or Spanish languages. The following search strings were used as keywords for study retrieval: "bilingual AND reserve," "reserve AND neural mechanisms," and "reserve AND multilingualism." Growing scientific evidence suggests that lifelong bilingualism contributes to cognitive reserve and delays the onset of Alzheimer's disease symptoms, allowing bilingual individuals affected by Alzheimer's disease to live an independent and richer life for a longer time than their monolingual counterparts. Lifelong bilingualism is related to more efficient use of brain resources that help individuals maintain cognitive functioning in the presence of neuropathology. We propose multiple putative neural mechanisms through which lifelong bilinguals cope with neuropathology. The roles of immigration status, education, age of onset, proficiency, and frequency of language use on the relationship between cognitive reserve and bilingualism are considered. Implications of these results for preventive practices and future research are discussed.
Alzheimer Disease - physiopathology Multilingualism Dementia - psychology Brain - physiopathology Humans Male Cognition Educational Status Alzheimer Disease - pathology Neuropsychological Tests Confounding Factors (Epidemiology) Language Alzheimer Disease - prevention & control Emigrants and Immigrants - psychology Age of Onset Brain - pathology Cognitive Reserve Female Dementia - prevention & control Alzheimer Disease - psychology

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