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Characteristics of facial expression recognition ability in patients with Lewy body disease

BACKGROUND: The facial expression of medical staff has been known to greatly affect the psychological state of patients, making them feel uneasy or conversely, cheering them up. By clarifying the characteristics of facial expression recognition ability in patients with Lewy body disease, the aim of...

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Autores principales: Kojima, Yuriko, Kumagai, Tomohiro, Hidaka, Tomoo, Kakamu, Takeyasu, Endo, Shota, Mori, Yayoi, Tsukamoto, Tadashi, Sakamoto, Takashi, Murata, Miho, Hayakawa, Takehito, Fukushima, Tetsuhito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052637/
https://www.ncbi.nlm.nih.gov/pubmed/30021532
http://dx.doi.org/10.1186/s12199-018-0723-2
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author Kojima, Yuriko
Kumagai, Tomohiro
Hidaka, Tomoo
Kakamu, Takeyasu
Endo, Shota
Mori, Yayoi
Tsukamoto, Tadashi
Sakamoto, Takashi
Murata, Miho
Hayakawa, Takehito
Fukushima, Tetsuhito
author_facet Kojima, Yuriko
Kumagai, Tomohiro
Hidaka, Tomoo
Kakamu, Takeyasu
Endo, Shota
Mori, Yayoi
Tsukamoto, Tadashi
Sakamoto, Takashi
Murata, Miho
Hayakawa, Takehito
Fukushima, Tetsuhito
author_sort Kojima, Yuriko
collection PubMed
description BACKGROUND: The facial expression of medical staff has been known to greatly affect the psychological state of patients, making them feel uneasy or conversely, cheering them up. By clarifying the characteristics of facial expression recognition ability in patients with Lewy body disease, the aim of this study is to examine points to facilitate smooth communication between caregivers and patients with the disease whose cognitive function has deteriorated. METHODS: During the period from March 2016 to July 2017, we examined the characteristics of recognition of the six facial expressions of “happiness,” “sadness,” “fear,” “anger,” “surprise,” and “disgust” for 107 people aged 60 years or more, both outpatient and inpatient, who hospital specialists had diagnosed with Lewy body diseases of Parkinson’s disease, Parkinson’s disease with dementia, and dementia with Lewy bodies. Based on facial expression recognition test results, we classified them by cluster analysis and clarified features of each type. RESULTS: In patients with Lewy body disease, happiness was kept unaffected by aging, age of onset, duration of the disease, cognitive function, and apathy; however, recognizing the facial expression of fear was difficult. In addition, due to aging, cognitive decline, and apathy, the facial expression recognition ability for sadness and anger decreased. In particular, cognitive decline reduced recognition of all of the facial expressions except for happiness. The test accuracy rates were classified into three types using the cluster analysis: “stable type,” “mixed type,” and “reduced type”. In the “reduced type”, the overall facial recognition ability declined except happiness, and in the mixed type, recognition ability of anger particularly declined. CONCLUSION: There were several facial expressions that the Lewy body disease patients were unable to accurately identify. Caregivers are recommended to make an effort to compensate for such situations with language or body contact, etc., as a way to convey correct feeling to the patients of each type.
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spelling pubmed-60526372018-07-23 Characteristics of facial expression recognition ability in patients with Lewy body disease Kojima, Yuriko Kumagai, Tomohiro Hidaka, Tomoo Kakamu, Takeyasu Endo, Shota Mori, Yayoi Tsukamoto, Tadashi Sakamoto, Takashi Murata, Miho Hayakawa, Takehito Fukushima, Tetsuhito Environ Health Prev Med Research Article BACKGROUND: The facial expression of medical staff has been known to greatly affect the psychological state of patients, making them feel uneasy or conversely, cheering them up. By clarifying the characteristics of facial expression recognition ability in patients with Lewy body disease, the aim of this study is to examine points to facilitate smooth communication between caregivers and patients with the disease whose cognitive function has deteriorated. METHODS: During the period from March 2016 to July 2017, we examined the characteristics of recognition of the six facial expressions of “happiness,” “sadness,” “fear,” “anger,” “surprise,” and “disgust” for 107 people aged 60 years or more, both outpatient and inpatient, who hospital specialists had diagnosed with Lewy body diseases of Parkinson’s disease, Parkinson’s disease with dementia, and dementia with Lewy bodies. Based on facial expression recognition test results, we classified them by cluster analysis and clarified features of each type. RESULTS: In patients with Lewy body disease, happiness was kept unaffected by aging, age of onset, duration of the disease, cognitive function, and apathy; however, recognizing the facial expression of fear was difficult. In addition, due to aging, cognitive decline, and apathy, the facial expression recognition ability for sadness and anger decreased. In particular, cognitive decline reduced recognition of all of the facial expressions except for happiness. The test accuracy rates were classified into three types using the cluster analysis: “stable type,” “mixed type,” and “reduced type”. In the “reduced type”, the overall facial recognition ability declined except happiness, and in the mixed type, recognition ability of anger particularly declined. CONCLUSION: There were several facial expressions that the Lewy body disease patients were unable to accurately identify. Caregivers are recommended to make an effort to compensate for such situations with language or body contact, etc., as a way to convey correct feeling to the patients of each type. BioMed Central 2018-07-18 2018 /pmc/articles/PMC6052637/ /pubmed/30021532 http://dx.doi.org/10.1186/s12199-018-0723-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kojima, Yuriko
Kumagai, Tomohiro
Hidaka, Tomoo
Kakamu, Takeyasu
Endo, Shota
Mori, Yayoi
Tsukamoto, Tadashi
Sakamoto, Takashi
Murata, Miho
Hayakawa, Takehito
Fukushima, Tetsuhito
Characteristics of facial expression recognition ability in patients with Lewy body disease
title Characteristics of facial expression recognition ability in patients with Lewy body disease
title_full Characteristics of facial expression recognition ability in patients with Lewy body disease
title_fullStr Characteristics of facial expression recognition ability in patients with Lewy body disease
title_full_unstemmed Characteristics of facial expression recognition ability in patients with Lewy body disease
title_short Characteristics of facial expression recognition ability in patients with Lewy body disease
title_sort characteristics of facial expression recognition ability in patients with lewy body disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052637/
https://www.ncbi.nlm.nih.gov/pubmed/30021532
http://dx.doi.org/10.1186/s12199-018-0723-2
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