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轻度阿尔茨海默病患者的自传体叙事:专注、反思和娱乐;一项对比研究。

Autobiographical Storytelling in Patients with Mild Alzheimer's Disease: Focused, Reflected, and Entertaining; A Comparative Study.

机构信息

Clinical Gerontology Department, CHU Nantes, Nantes, France.

Univ.Lille, CNRS, CHU Lille, UMR 9193 SCA Lab - Sciences Cognitives et Sciences Affectives, Lille, France.

出版信息

Clin Gerontol. 2024 Oct-Dec;47(5):820-831. doi: 10.1080/07317115.2024.2378773. Epub 2024 Jul 11.

DOI:10.1080/07317115.2024.2378773
PMID:38992935
Abstract

OBJECTIVES

We assessed whether individuals with mild Alzheimer's disease (AD), despite some deficits in autobiographical memory, could effectively convey their personal experiences through storytelling.

METHODS

We invited 37 individuals with mild AD and 37 control participants to share their personal experiences. We rated these narratives based on five characteristics of storytelling: focus, reflection, entertainment, structure, and specificity.

RESULTS

Analyses demonstrated that individuals with AD conveyed more general than specific memories, and no significant differences were observed between structured and unstructured memories. Importantly, individuals with AD recounted more memories with focus than without, with reflection than without, and that were entertaining than were not. Compared with those of the control participants, the narratives of the individuals with AD were less focused, structured, and specific. However, no significant differences were observed between the two samples regarding reflection or entertainment.

CONCLUSIONS AND CLINICAL IMPLICATIONS

Individuals with mild AD can have difficulties in retrieving specific memories, but their storytelling of personal experience can be focused, exhibit reflection, and be entertaining. Individuals with mild AD can engage in reflective and entertaining autobiographical storytelling, potentially contributing to their sense of identity and connection with others.

摘要

目的

我们评估了轻度阿尔茨海默病(AD)患者,尽管在自传体记忆方面存在一些缺陷,是否能够通过讲故事有效地传达他们的个人经历。

方法

我们邀请了 37 名轻度 AD 患者和 37 名对照组参与者分享他们的个人经历。我们根据讲故事的五个特征对这些叙述进行了评分:焦点、反思、娱乐、结构和具体性。

结果

分析表明,AD 患者传达的记忆更笼统而不是具体,并且在结构化和非结构化记忆之间没有观察到显著差异。重要的是,AD 患者讲述的记忆更有焦点而不是没有焦点,有反思而不是没有反思,并且更有趣味性。与对照组参与者的叙述相比,AD 患者的叙述焦点、结构和具体性较差。然而,在反思或娱乐方面,两个样本之间没有观察到显著差异。

结论和临床意义

轻度 AD 患者可能难以检索具体记忆,但他们对个人经历的故事讲述可以集中注意力、体现反思,并具有娱乐性。轻度 AD 患者可以进行反思和有趣的自传体故事讲述,这可能有助于他们的认同感和与他人的联系。

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