在有认知投诉的老年人中识别面部情绪
1Department of Neurology, The Catholic University of Korea, Eunpyeong St. Mary's Hospital, Seoul, Korea.
Dementia and neurocognitive disorders
|November 29, 2023
概括
面部情绪识别随着认知障碍的下降而下降,从主观认知衰退到阿尔茨海默氏症痴呆症的恶化. 这些缺陷,特别是对负面情绪的缺陷,与执行功能障碍相关.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 老年病的医生 老年病的医生
背景情况:
- 面部情感识别 (FER) 缺陷显著影响日常生活,特别是在阿尔茨海默病 (AD) 患者中.
- 评估FER对于理解认知衰退进展至关重要.
- 早期发现FER缺陷可能有助于控制神经退行性疾病.
研究的目的:
- 评估主观认知衰退 (SCD),轻度认知障碍 (MCI) 和轻度阿尔茨海默氏症痴呆症 (AD) 患者的面部情绪识别 (FER) 缺陷.
- 在这些群体中调查FER能力和认知表现之间的关系.
主要方法:
- 利用韩国版本的佛罗里达面部影响电池 (K-FAB) 来评估72名SCD,76名MCI和76名轻度AD参与者的FER.
- 用人协差分析 (ANCOVA) 调整年龄和性别以比较组.
- 通过微型心理状态检查 (MMSE) 评估全球认知状态,并使用首尔神经心理查电池 (SNSB) 评估详细的认知功能.
主要成果:
- 在K-FAB第3,4和5次测试中观察到显著差异 (p<0.005),特别是在识别愤怒和恐惧方面.
- "愤怒"的识别显著下降,从SCD到MCI到轻度AD.
- 在控制年龄和教育后,FER缺陷,特别是在K-FAB子试验5中,与MMSE得分和前额执行功能有关.
结论:
- 情绪识别缺陷从SCD通过MCI升级到轻度的AD,识别负面情绪的明显下降.
- 复杂的FER任务 (匹配,选择,命名) 显示出更大的缺口.
- 这些FER障碍与更广泛的认知衰退有关,特别是前额执行功能障碍.
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