The longitudinal effect of Alzheimer's disease on language functions h
as rarely been investigated. Through support from the National Institu
te of Mental Health, language functions were comprehensively assessed
in 94 Alzheimer's patients and 53 normal control participants in a 3-y
ear study. Rate of decline of language abilities was calculated and re
lated to overall dementia severity, family history of the disease, and
age-at-onset. Linguistic communication inexorably declined during the
disease course and was highly associated with increased dementia seve
rity. However, rate of language decline was unrelated to either age at
disease onset or family history of the disease. Notably, results fail
ed to substantiate the existence of a clinically unique subgroup of Al
zheimer's patients for whom language is particularly impaired, as was
suggested by Faber-Langendoen, in the most detailed investigation of t
he longitudinal effects of Alzheimer's disease on language.