Can the Ability to Recognize Facial Emotions in Individuals With Neurodegenerative Disease be Improved? A Systematic Review and Meta-analysis.

IF 1.3 4区医学 Q4 BEHAVIORAL SCIENCES Cognitive and Behavioral Neurology Pub Date : 2023-12-01 DOI:10.1097/WNN.0000000000000348

Naz Mirzai, Kévin Polet, Adeline Morisot, Solange Hesse, Alain Pesce, Sandrine Louchart de la Chapelle, Galina Iakimova

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Abstract

Background: Facial emotion recognition (FER) is commonly impaired in individuals with neurodegenerative disease (NDD). This impairment has been linked to an increase in behavioral disorders and caregiver burden.

Objective: To identify interventions targeting the improvement of FER ability in individuals with NDD and investigate the magnitude of the efficacy of the interventions. We also wanted to explore the duration of the effects of the intervention and their possible impacts on behavioral and psychological symptoms of dementia and caregiver burden.

Method: We included 15 studies with 604 individuals who had been diagnosed with NDD. The identified interventions were categorized into three types of approach (cognitive, neurostimulation, and pharmacological) as well as a combined approach (neurostimulation with pharmacological).

Results: The three types of approaches pooled together had a significant large effect size for FER ability improvement (standard mean difference: 1.21, 95% CI = 0.11, 2.31, z = 2.15, P = 0.03). The improvement lasted post intervention, in tandem with a decrease in behavioral disorders and caregiver burden.

Conclusion: A combination of different approaches for FER ability improvement may be beneficial for individuals with NDD and their caregivers.

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神经退行性疾病患者识别面部情绪的能力可以提高吗?系统回顾和荟萃分析。

背景:面部情绪识别(FER)通常在神经退行性疾病(NDD)患者中受损。这种损害与行为障碍和照顾者负担的增加有关。目的:确定旨在改善NDD患者生活自理能力的干预措施，并探讨干预措施的有效性。我们还想探索干预效果的持续时间及其对痴呆行为和心理症状以及照顾者负担的可能影响。方法:我们纳入了15项研究，604名被诊断为NDD的个体。确定的干预措施分为三种类型的方法(认知，神经刺激和药理学)以及联合方法(神经刺激与药理学)。结果:三种方法合并对FER能力的改善有显著的效应量(标准平均差:1.21,95% CI = 0.11, 2.31, z = 2.15, P = 0.03)。这种改善在干预后持续存在，同时行为障碍和照顾者负担也在减少。结论:对NDD患者及其照护者来说，联合使用不同的方法来提高FER能力可能是有益的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cognitive and Behavioral Neurology 医学-行为科学

CiteScore

2.40

自引率

7.10%

发文量

审稿时长

>12 weeks

期刊介绍： Cognitive and Behavioral Neurology (CBN) is a forum for advances in the neurologic understanding and possible treatment of human disorders that affect thinking, learning, memory, communication, and behavior. As an incubator for innovations in these fields, CBN helps transform theory into practice. The journal serves clinical research, patient care, education, and professional advancement. The journal welcomes contributions from neurology, cognitive neuroscience, neuropsychology, neuropsychiatry, and other relevant fields. The editors particularly encourage review articles (including reviews of clinical practice), experimental and observational case reports, instructional articles for interested students and professionals in other fields, and innovative articles that do not fit neatly into any category. Also welcome are therapeutic trials and other experimental and observational studies, brief reports, first-person accounts of neurologic experiences, position papers, hypotheses, opinion papers, commentaries, historical perspectives, and book reviews.