Boston University College of Health and Rehabilitation Sciences: Sargent College, Boston, MA, USA.
Am J Occup Ther. 2010 May-Jun;64(3):484-95. doi: 10.5014/ajot.2010.09078.
Parkinson's disease affects the ability to express motivation through face, body, and voice; contextual factors may facilitate or inhibit expressive behavior. The purpose of this study was to determine whether qualities of the interview context are associated with client motivational behavior in Parkinson's disease.
Men and women with Parkinson's disease (N = 106) discussed 2 topics (enjoyable activity vs. frustrating activity) during an assessment with a female or male interviewer. From videotaped clips, displays of 4 categories of motivation and 12 verbal and 18 nonverbal, behavioral patterns were rated.
During the discussion of enjoyable activities, participants used more positive words, smiled more, and were more facially expressive. Participants were less talkative about their negative feelings and appeared to be more apathetic with the same-gender interviewer.
Occupational therapy practitioners should vary the emotional tone of their questions to improve the validity of motivation assessments.
帕金森病会影响通过面部、身体和声音表达动机的能力；语境因素可能会促进或抑制表达行为。本研究旨在确定访谈环境的特点是否与帕金森病患者的患者动机行为相关。
106 名男性和女性帕金森病患者（N=106）在与女性或男性访谈者的评估中讨论了 2 个主题（愉快的活动与令人沮丧的活动）。从视频剪辑中，评估了 4 类动机和 12 个言语和 18 个非言语行为模式的展示。
在讨论愉快的活动时，参与者使用了更多积极的词语，笑容更多，面部表情更丰富。参与者较少谈论自己的负面感受，并且在与同性访谈者交谈时显得更加冷漠。
职业治疗师应改变问题的情绪基调，以提高动机评估的有效性。
