Yamaguchi Facial Expression-Making Task in Alzheimer's Disease: A Novel and Enjoyable Make-a-Face Game.

Yamaguchi Facial Expression-Making Task in Alzheimer's Disease: A Novel and Enjoyable Make-a-Face Game.
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DOI:
10.1159/000339425
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发表时间:
2012-01
影响因子:
2.3
通讯作者:
Yamaguchi H
Yamaguchi H
中科院分区:
其他
文献类型:
--
作者:
Yamaguchi T;Maki Y;Yamaguchi H

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为了评估情绪面部表情的能力,我们新开发了山口面部表情制作任务(Y-FEMT)。我们招募了20名正常对照和61名门诊患者:10名遗忘型轻度认知障碍(aMCI),34名轻度阿尔茨海默病(AD)和17名中度AD。在Y-FEMT中,微笑和愤怒的表情是通过排列面部部位来实现的。我们研究了每个Y-FEMT评分和简易精神状态检查(MMSE)评分或重叠图形识别测试(Fig-test)之间的关系。对照组的总评分(0-20)几乎达到(18.9 ± 1.4),并随AD进展而下降(aMCI 17.2 ± 2.4,轻度AD 15.7 ± 2.6,中度AD 12.3 ± 2.7)。在轻度和中度AD中,愤怒评分(0 -10)显著低于微笑评分(0-10)(分别为p = 0.007和p = 0.006)。结构评分(各0-6)与MMSE评分(r = 0.44,p < 0.001)和Fig-test(r = 0.45,p < 0.001)均相关良好,而表达评分(各0-4)仅与MMSE评分相关(r = 0.33,p = 0.01)。由10名治疗师评定的主观评分(0-4分)与总分高度相关。此外,Y-FEMT促进了笑声和欢乐的气氛。Y-FEMT愉快地评估了在没有特殊设备的情况下做出情感面部表情的能力。此外,Y-FEMT可以为照顾者提供有用的线索,以实现与AD患者的良好沟通,更好地照顾。
To assess the ability to make emotional facial expressions, we newly developed the Yamaguchi facial expression-making task (Y-FEMT). We recruited 20 normal controls and 61 outpatients: 10 with amnestic mild cognitive impairment (aMCI), 34 with mild Alzheimer's disease (AD), and 17 with moderate AD. In the Y-FEMT, smile and anger expressions were made by arranging face parts. We examined the relationship between each Y-FEMT score and the Mini-Mental State Examination (MMSE) score or overlapping figure identification test (Fig-test). The Total score (0–20) was nearly achieved in controls (18.9 ± 1.4) and declined with AD progression (aMCI 17.2 ± 2.4, mild AD 15.7 ± 2.6, moderate AD 12.3 ± 2.7). The Anger score (0–10) was significantly lower than the Smile score (0–10) in mild and moderate AD (p = 0.007 and p = 0.006, respectively). The Structure score (0–6 each) correlated well with both the MMSE score (r = 0.44, p < 0.001) and Fig-test (r = 0.45, p < 0.001), whereas the Expression score (0–4 each) correlated only with the MMSE score (r = 0.33, p = 0.01). The Subjective scores (0–4), evaluated by 10 therapists, highly correlated with the Total score. Additionally, the Y-FEMT promoted laughter and a convivial atmosphere. The Y-FEMT pleasantly assessed the ability to make emotional facial expressions without special equipment. Furthermore, the Y-FEMT may provide helpful clues for caregivers to achieve good communication with AD patients for better care.
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