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帕金森病患者的女性和男性表达行为中的情绪线索。

Emotional cues from expressive behavior of women and men with Parkinson's disease.

机构信息

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

Department of Occupational Therapy, School of Arts and Sciences, Tufts University, Medford, Massachusetts, United States of America.

出版信息

PLoS One. 2018 Jul 2;13(7):e0199886. doi: 10.1371/journal.pone.0199886. eCollection 2018.

DOI:10.1371/journal.pone.0199886
PMID:29965984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6028092/
Abstract

OBJECTIVE

Emotional experience of people with Parkinson's disease is prone to being misunderstood by observers and even healthcare practitioners, which affects treatment effectiveness and makes clients suffer distress in their social lives. This study was designed to identify reliable emotional cues from expressive behavior in women and men with Parkinson's disease.

METHOD

Videotaped expressive behavior of 96 participants during an interview of discussing enjoyable events was rated using the Interpersonal Communication Rating Protocol. Indices from emotional measures were represented in three components. Correlational analyses between expressive behavior domains and emotional components were conducted for the total sample and by gender separately.

RESULTS

More gross motor expressivity and smiling/laughing indicated more positive affect in the total sample. Less conversational engagement indicated more negative affect in women. However, women with more negative affect and depression appeared to smile and laugh more.

CONCLUSION

This study identified reliable cues from expressive behavior that could be used for assessment of emotional experience in people with Parkinson's disease. For women, because smiling/laughing may convey two possible meanings, that is, more positive and more negative affect, this cue needs to be interpreted cautiously and be used for detecting the intensity, not the type, of emotional experience. Healthcare practitioners should be sensitive to valid cues to make an accurate evaluation of emotion in people with Parkinson's disease.

摘要

目的

帕金森病患者的情绪体验容易被观察者甚至医疗保健从业者误解，这会影响治疗效果，使患者在社交生活中感到痛苦。本研究旨在识别女性和男性帕金森病患者表达行为中的可靠情绪线索。

方法

对 96 名参与者在讨论愉快事件的访谈中进行录像表达行为，并使用人际交流评分协议进行评分。使用三个组成部分表示情感指标。对总样本和按性别分别进行了表达行为域与情感成分之间的相关分析。

结果

总样本中，更多的粗大运动表现力和微笑/大笑表明有更多的积极情绪。较少的会话参与表明女性有更多的负面情绪。然而，情绪更消极和抑郁的女性似乎笑得更多。

结论

本研究从表达行为中识别出可靠的线索，可用于评估帕金森病患者的情绪体验。对于女性，因为微笑/大笑可能传达两种可能的含义，即更多的积极和更消极的情绪，因此需要谨慎解释这个线索，并用于检测情绪体验的强度，而不是类型。医疗保健从业者应该对有效线索保持敏感，以对帕金森病患者的情绪进行准确评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aba/6028092/92af68ed0dc9/pone.0199886.g010.jpg
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