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创伤性脑损伤康复服务中的面部表情识别困难

Facial affect recognition difficulties in traumatic brain injury rehabilitation services.

作者信息

Biszak Angela M, Babbage Duncan R

机构信息

School of Psychology, Massey University , Wellington , New Zealand and.

出版信息

Brain Inj. 2014;28(1):97-104. doi: 10.3109/02699052.2013.856475.

DOI:10.3109/02699052.2013.856475
PMID:24328805
Abstract

PRIMARY OBJECTIVE

The occurrence of facial affect recognition difficulties in a sample of people accessing traumatic brain injury (TBI) rehabilitation services was examined. It was hypothesized that between 13-39% of participants would demonstrate clinically significant impairment in facial affect recognition.

RESEARCH DESIGN

Cross-sectional sample of eligible participants who were current clients of eight brain injury services were invited to participate.

METHODS AND PROCEDURES

Forty-five participants with mild-to-severe TBI were assessed for facial affect recognition difficulties using the facial affect discrimination, naming, selection and matching sub-tests of the Florida Affect Battery.

MAIN OUTCOMES AND RESULTS

Fifty-one per cent of participants had at least moderate difficulties with facial affect recognition.

CONCLUSIONS

The current sample was not a random selection from the population of people with TBI, so the results do not establish a formal estimate of prevalence. Nonetheless, the data indicate that when assessing typical clients with severe brain injuries presenting to neurorehabilitation services, there is likely to be a high frequency of occurrence of facial affect recognition difficulties. Rehabilitation outcomes may be improved by screening for and treating facial affect recognition difficulties following TBI. Further examination and development of treatment options is warranted.

摘要

主要目标

对接受创伤性脑损伤(TBI)康复服务的人群样本中面部表情识别困难的发生率进行了研究。研究假设,13%至39%的参与者在面部表情识别方面会表现出具有临床意义的损伤。

研究设计

邀请了八家脑损伤服务机构的现有合格参与者组成横断面样本参与研究。

方法与程序

使用佛罗里达情感量表的面部表情辨别、命名、选择和匹配子测试,对45名轻度至重度TBI患者的面部表情识别困难进行评估。

主要结果

51%的参与者在面部表情识别方面至少存在中度困难。

结论

当前样本并非从TBI人群中随机抽取,因此结果并未确定患病率的正式估计值。尽管如此,数据表明,在评估接受神经康复服务的重度脑损伤典型患者时,面部表情识别困难的发生率可能很高。通过在TBI后筛查和治疗面部表情识别困难,康复结果可能会得到改善。有必要进一步研究和开发治疗方案。

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