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轻度缺血性脑卒中后视觉情绪识别障碍。

Impaired Visual Emotion Recognition After Minor Ischemic Stroke.

机构信息

Medisch Spectrum Twente, Department of Medical Psychology, Enschede; GGNet, Apeldoorn.

Medisch Spectrum Twente, Department of Medical Psychology, Enschede.

出版信息

Arch Phys Med Rehabil. 2022 May;103(5):958-963. doi: 10.1016/j.apmr.2021.10.024. Epub 2021 Nov 21.

DOI:10.1016/j.apmr.2021.10.024
PMID:34813741
Abstract

OBJECTIVE

To assess the prevalence of impaired visual emotion recognition in patients who have experienced a minor ischemic stroke in the subacute phase and to determine associated factors of impaired visual emotion recognition.

DESIGN

A prospective observational study.

SETTING

Stroke unit of a teaching hospital.

PARTICIPANTS

Patients with minor ischemic stroke (N=112).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Patients with minor stroke underwent a neuropsychological assessment in the subacute phase for visual emotion recognition by the Ekman 60 Faces Test and for general cognition. Univariable linear regression analyses were performed to identify associated factors of emotion recognition impairment.

RESULTS

In 112 minor stroke patients, we found a prevalence of 25% of impaired visual emotion recognition. This was significantly correlated with impaired general cognition. Nevertheless, 10.9% of patients with normal general cognition still had impaired emotion recognition. Mood was negatively associated. Stroke localization, hemisphere side, and sex were not associated.

CONCLUSION

Impaired visual emotion recognition is found in about one-quarter of patients with minor ischemic stroke.

摘要

目的

评估亚急性期经历小缺血性卒中患者的视觉情绪识别受损的发生率,并确定视觉情绪识别受损的相关因素。

设计

前瞻性观察研究。

地点

教学医院的卒中病房。

参与者

小缺血性卒中患者(N=112)。

干预措施

无。

主要观察指标

小卒中患者在亚急性期接受神经心理学评估,通过 Ekman 60 张面孔测试评估视觉情绪识别和一般认知。进行单变量线性回归分析以确定情绪识别障碍的相关因素。

结果

在 112 例小卒中患者中,我们发现视觉情绪识别受损的患病率为 25%。这与一般认知受损显著相关。然而,仍有 10.9%的一般认知正常的患者存在情绪识别受损。情绪与该结果呈负相关。卒中定位、大脑半球侧和性别与该结果无相关性。

结论

小缺血性卒中患者中约有四分之一存在视觉情绪识别受损。

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