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1.
Artículo en Inglés | MEDLINE | ID: mdl-34071535

RESUMEN

(1) Background: The COVID-19 pandemic has created a great impact on mental health in society. Considering the little attention paid by scientific studies to either students or university staff during lockdown, the current study has two aims: (a) to analyze the evolution of mental health and (b) to identify predictors of educational/professional experience and online learning/teaching experience. (2) Methods: 1084 university students and 554 staff in total from four different countries (Spain, Colombia, Chile and Nicaragua) participated in the study, affiliated with nine different universities, four of them Spanish and one of which was online. We used an online survey known as LockedDown, which consists of 82 items, analyzed with classical multiple regression analyses and machine learning techniques. (3) Results: Stress level and feelings of anxiety and depression of students and staff either increased or remained over the weeks. A better online learning experience for university students was associated with the age, perception of the experience as beneficial and support of the university. (4) Conclusions: The study has shown evidence of the emotional impact and quality of life for both students and staff. For students, the evolution of feelings of anxiety and depression, as well as the support offered by the university affected the educational experience and online learning. For staff who experienced a positive professional experience, with access to services and products, the quality-of-life levels were maintained.


Asunto(s)
COVID-19 , Educación a Distancia , Chile , Colombia , Control de Enfermedades Transmisibles , Humanos , Nicaragua , Pandemias , Calidad de Vida , SARS-CoV-2 , España , Estudiantes , Universidades
2.
Catheter Cardiovasc Interv ; 98(2): 365-370, 2021 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-33890713

RESUMEN

OBJECTIVES: The objective was to evaluate the results of valve-in-valve procedures performed with the Allegra device. BACKGROUND: Transcatheter aortic valve implantation to treat degenerated biological aortic valves (valve-in-valve) is an established procedure in most catheterization laboratories, but the results are poorer than procedures done in native aortic stenosis. The Allegra device (Biosensors, Morges, Switzerland) has an excellent design to treat these patients. METHODS: All patients with severely degenerated biological aortic valve treated with the Allegra device in centers from Spain until December 2020 were included (n = 29). Hemodynamic results and 30-day clinical outcomes were evaluated. The predominant hemodynamic failure was stenosis in 15, regurgitation in 11, and a combination of both in 3 cases. Time from aortic valve replacement to valve-in-valve procedure was 8.4 ± 3.9 years (range 3.3-22.1). RESULTS: After the procedure, maximum and mean trans-valvular gradients were 17.4 ± 12.3 and 8.4 ± 6.1 mmHg, respectively. Device success was obtained in 28 patients (96.6%). In one patient with a degenerated 19 mm prosthetic valve, mean gradient after the procedure was 22 mmHg. No patients had a para-valvular leak grade >1. There were no deaths during the hospitalization or at 30 days and one patient suffered a stroke. CONCLUSIONS: The Allegra trans-catheter aortic valve offers optimal hemodynamic results in patients with severely degenerated biological aortic valve.


Asunto(s)
Estenosis de la Válvula Aórtica , Bioprótesis , Implantación de Prótesis de Válvulas Cardíacas , Prótesis Valvulares Cardíacas , Reemplazo de la Válvula Aórtica Transcatéter , Válvula Aórtica/diagnóstico por imagen , Válvula Aórtica/cirugía , Estenosis de la Válvula Aórtica/diagnóstico por imagen , Estenosis de la Válvula Aórtica/cirugía , Catéteres , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Humanos , Diseño de Prótesis , Sistema de Registros , Terfenadina/análogos & derivados , Reemplazo de la Válvula Aórtica Transcatéter/efectos adversos , Resultado del Tratamiento
3.
Artículo en Inglés | MEDLINE | ID: mdl-33803993

RESUMEN

This study aims to evaluate the costs of informal care for children with neuromuscular disease and evaluate how physical and psychological health is associated with socio-demographic variables. A cross sectional design was used with a convenience sample of 110 carers that participated in this study. Participants were recruited from Spanish hospitals and rare diseases organizations. Economic costs and sociodemographic aspects were assessed using the economic costs questionnaire and the sociodemographic questionnaire. Physical and psychological health was evaluated using the CarerQol-7D, PHQ-15, Barthel Index, Zarit Overload Scale and Satisfaction with Life Scale. Carers of children with neuromuscular disease spent a large percentage of their annual income in physical therapy, psychological care and speech therapy. Informal costs differed according to the degree of dependency of the child. These were higher in those caregivers whose child under their care presented low functional independence. The loss of work productivity was related to marital status, use of professional services and the child's dependency. Finally, carers who were female, single or separated and without a job showed worse physical and psychological health. The results highlighted that carers have to face a number of high costs because of the non-existence of social protection and due to the child's diagnosis.


Asunto(s)
Cuidadores , Enfermedades Neuromusculares , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Calidad de Vida , Encuestas y Cuestionarios
4.
Orphanet J Rare Dis ; 15(1): 293, 2020 10 19.
Artículo en Inglés | MEDLINE | ID: mdl-33076957

RESUMEN

BACKGROUND: Wolf-Hirschhorn Syndrome (WHS) is a rare, congenital disease characterized by a distinctive facial phenotype, seizures, intellectual disability and developmental delay, and pre and postnatal growth requiring lifelong care. The psychosocial status of the family caregivers of children diagnosed with WHS is unknown. This study aims to characterize the sociodemographic and psychosocial profile of WHS caregivers and analyze how these variables impact their quality of life (QoL) and well-being. RESULTS: The sociodemographic and clinical profile of 22 Spanish caregivers of children with WHS and the characteristics of those affected have been described. Significant relationships were found between sociodemographic and psychosocial characteristics among caregivers. The impact on the parents' QoL and negative relationship with the symptomatology were assessed. The use of engagement strategies such as problem focused coping was associated with improved psychological QoL and social support. CONCLUSIONS: WHS caregivers share similarities in their profile and needs with caregivers of children with other rare diseases. Pychosocial support groups involving parents caring for children with the same disease could improve caregivers' well-being and QoL by strengthening their social support network and using positive coping styles.


Asunto(s)
Síndrome de Wolf-Hirschhorn , Adaptación Psicológica , Cuidadores , Cromosomas Humanos Par 4 , Humanos , Fenotipo , Calidad de Vida
5.
PLoS One ; 15(5): e0233349, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32469951

RESUMEN

BACKGROUND: Numerous studies have noted the presence of a dysexecutive component of the ALS-FTD. The most widely replicated result refers to the significantly reduced verbal fluency of ALS patients when compared to healthy people. As ALS patients have motor alterations that interfere with production, qualitative studies have the advantage of being independent of the degree of motor disability and revealing patients' cognitive state. This study examined the production differences between 42 ALS patients who presented with different degrees of dementia and motor impairment and 42 healthy people. Production processes were studied by extending the administration time of a letter fluency task to 2 minutes for the phonemic verbal fluency (PVF) and semantic verbal fluency (SVF) categories. This ensured that the qualitative aspects of verbal fluency were addressed, paying special attention to the new perseverations and intrusions, as well as any clinical correlates that may exist. RESULTS: The ALS patients produced a significantly lower number of responses in PVF (p = .017) and SVF (p = .008). The rest of the indicators for frontal lobe alteration also suggested the existence of a dysfunction. The most remarkable results were the number of intrusions on the PVF task, which was much higher in the ALS group (p = .002). However, the number of perseverations did not differ significantly. CONCLUSIONS: This study highlights the value of intrusions in addressing cognitive deterioration in ALS patients. This deterioration seems to be independent of the degree of motor impairment and of behavioural alterations. Therefore, the value of the intromissions on the verbal fluency task was highlighted as an indicator of a new cognitive alteration, which can be easily evaluated, even retrospectively.


Asunto(s)
Esclerosis Amiotrófica Lateral/fisiopatología , Trastornos del Conocimiento/epidemiología , Trastornos del Lenguaje/epidemiología , Trastornos Motores/epidemiología , Semántica , Conducta Verbal , Estudios de Casos y Controles , Niño , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , España/epidemiología
6.
JMIR Serious Games ; 8(2): e12971, 2020 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-32238330

RESUMEN

BACKGROUND: Given the interactive media characteristics and intrinsically motivating appeal, virtual serious games are often praised for their potential for assessment and treatment. OBJECTIVE: This study aims to validate and develop normative data for a virtual serious game (Deusto-e-motion1.0) for the evaluation of emotional facial expression recognition and social skills, both of which are components of the theory of mind. METHODS: A total of 1236 children took part in the study. The children were classified by age (8-12 years old), gender (males=639, females=597), and educational level (between the third and sixth years of Primary Education). A total of 10 schools from the Basque Country and 20 trained evaluators participated in this study. RESULTS: Differences were found in Deusto-e-motion1.0 scores between groups of children depending on age and gender. Moreover, there was a moderately significant correlation between the emotional recognition scores of Deusto-e-motion1.0 and those of the Feel facial recognition test. CONCLUSIONS: Deusto-e-motion1.0 shows concurrent validity with instruments that assess emotional recognition. Results support the adequacy of Deusto-e-motion1.0 in assessing components of the theory of mind in children.

7.
Cerebellum ; 19(3): 392-400, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32048182

RESUMEN

Chiari malformation type I (CM-I) is a neurological disorder in which cerebellar tonsils are herniated through the foramen magnum into the spinal canal. A wide spectrum of cognitive deficits underlying this pathology has been reported, but the literature about social cognition is insufficient. Clinical research has pointed out the cerebellar role in Theory of Mind (ToM), indicating that there are several disorders with cerebellar pathology that reveal a poorer performance in social cognition tasks. The main purpose of this study is to compare the performance on ToM tasks between CM-I patients and healthy controls. The protocol includes Faux Pas test, Happé's Strange Stories test, Ice-Cream Van task, the FEEL test, and the Word Accentuation Test. In order to eliminate the possible influence of covariables, physical pain and anxious-depressive symptomatology have been controlled for. According to the results, CM-I patients performed worse than matched healthy controls on ToM tasks, except for facial emotion recognition. These differences remained even after controlling for the neuropsychiatric variables and physical pain. Thus, it can be suggested that patients with CM-I are impaired in their social skills related to their performance on ToM tasks. These findings can be considered to be a preliminary approach to the specific study of social cognition in relation to CM-I since it is similar to other cerebellar pathologies and to previous literature on the cerebellum's role in social cognition.


Asunto(s)
Malformación de Arnold-Chiari/diagnóstico , Malformación de Arnold-Chiari/psicología , Desempeño Psicomotor/fisiología , Cognición Social , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad
8.
Cerebellum ; 19(1): 6-15, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31286383

RESUMEN

The involvement of the cerebellum in visuospatial abilities has been evidenced in numerous studies, based on the cerebellar-cortical circuitry. This domain has been evaluated in several patients with cerebellar disorders, but the assessment of visuospatial processing in Chiari malformation type I (CM-I) is scarce. The aim of this study is to analyze the visuospatial performance between CM-I adult patients and healthy controls. Participants have been tested using Block Design and Visual Puzzles subtests of the Wechsler Adult Intelligence Scale (WAIS), the Benton Judgment of Line Orientation test, and the Rey-Osterrieth Complex Figure test. The anxious-depressive symptomatology, the physical pain, and the premorbid intelligence have been controlled for, as well. The CM-I patients showed a significantly lower performance; however, after analyzing and controlling for the effect of clinical variables and psychopathological symptomatology, the main effect was maintained for visual puzzles and line orientation tasks. The findings suggest that CM-I patients show a poorer performance in tasks that require an exercise of perceptual reasoning without motor demand, accompanied by visualization and mental imagery of the stimuli. This study contributes towards the reinforcement of the evidence on the cognitive alterations associated to CM-I.


Asunto(s)
Malformación de Arnold-Chiari/diagnóstico por imagen , Malformación de Arnold-Chiari/psicología , Desempeño Psicomotor/fisiología , Percepción Espacial/fisiología , Percepción Visual/fisiología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estimulación Luminosa/métodos , Navegación Espacial/fisiología
9.
Appl Neuropsychol Adult ; : 1-7, 2019 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-31612730

RESUMEN

About 30% of patients with amyotrophic lateral sclerosis (ALS) suffer from cognitive impairment and 10-15% suffer from frontotemporal dementia (FTD). Due to the patients' reduced motor function, a neuropsychological assessment with a low motor demand can be an advantage when evaluating patients, aiding its application. The present work has studied the usefulness of the Faces subtest of the Wechsler Memory Scale in 42 patients with ALS and 42 healthy volunteers applying Holdnack's Two-High Threshold model. The ALS group performed significantly worse in immediate and delayed discriminability. With respect to the presence of cognitive impairment, it seemed to be independent of the indexes proposed by Holdnack and Delis. On the other hand, motor problems were associated with delayed recognition while behavior alterations were linked to problems with delayed discriminability. ALS patients do not express differences in the bias index, in line with other types of previously studied pathologies.

10.
Int J Rehabil Res ; 42(4): 322-329, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31425370

RESUMEN

This study aimed to create a valid and reliable instrument to measure people with disabilities' perceptions regarding the extent of application of international standards issued by the Council of Europe, International Labour Organization, and the International Classification of Functioning, Disability and Health in vocational rehabilitation centers in the Basque country, Spain. The instrument items were selected from international recommendations and conventions issued by the International Labour Organization, Council of Europe, International Classification of Functioning, Disability and Health, and a vocational rehabilitation literature review. The instrument was translated from English to Spanish, and the content validity index of an expert panel survey was used to assess content validity. For the Spanish version of the instrument, internal consistency reliability, confirmatory factor analysis and factor analysis were examined with 186 people with disabilities in 10 vocational rehabilitation centers in the Basque country. The coefficient alpha estimate was 0.945, indicating excellent internal consistency. Three factors were identified: job-related services, aims of vocational rehabilitation center, and vocational rehabilitation guidance. The instrument appears to have good validity and reliability but requires further validation. Support is provided for its use in both English and Spanish. Implications for vocational rehabilitation practice and suggestions for future research are provided.


Asunto(s)
Actitud Frente a la Salud , Evaluación de la Discapacidad , Personas con Discapacidad/psicología , Personas con Discapacidad/rehabilitación , Internacionalidad , Rehabilitación Vocacional/normas , Adulto , Anciano , Europa (Continente) , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Orientación Vocacional , Adulto Joven
11.
J Atten Disord ; 23(6): 563-569, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30888306

RESUMEN

OBJECTIVE: This study presents the validation of a computerized assessment tool that studies the ability to recognize emotional facial expressions in children between 8 and 11 years of age: the Facially Expressed Emotion Labeling Test (FEEL Test). METHOD: The two tests composing the protocol were applied using a laptop in the following order: the FEEL Test followed by the Deusto-e-Motion 1.0 Test.The sample consisted of a total of 1,189 schoolchildren aged between 8 and 11 years, 594 boys and 594 girls. A clinical sample of 47 children with ADHD also took part in this study. RESULTS: The Cronbach's α coefficient for the total scale was .82, showing high levels of reliability. The difficulty index of the items ranged between .4 and .7. The statistical analyses showed a high rate of discrimination between those who obtained low scores compared with those who obtained high scores. The test results reflected differences according to age and gender of participants in many of the variables associated with both response accuracy and response speed. Regarding its predictive validity, the test is able to find statistically significant differences in the total test score among a group of children diagnosed with ADHD and a matched control group. CONCLUSION: This article presents the validation of an instrument that assesses the ability to recognize facial expressions in children between 8 and 11 years old and can discriminate and detect differences in gender, age, and possible deficits in social skills within the ADHD.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Emociones , Emoción Expresada , Expresión Facial , Encuestas y Cuestionarios/normas , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/psicología , Niño , Femenino , Humanos , Masculino , Pruebas Neuropsicológicas , Tiempo de Reacción , Reproducibilidad de los Resultados
12.
Neuropsychologia ; 121: 135-143, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30412712

RESUMEN

BACKGROUND: Previous studies have suggested an association of Chiari Malformation type I (CM-I) and cognitive deficits. CM-I is a neurological disorder characterized by a descent of cerebellar tonsils into the foramen magnum, resulting in overcrowding of the upper cervical spine region. Posterior fossa decompression (PFD) is the surgical treatment of choice, however, the literature on the consequences for patients is mainly reduced to the assessment of physical symptoms. METHODS: Data from a neuropsychological assessment of 76 patients with CM-I, both with PFD (n = 37) and without PFD (n = 39) surgery, and 76 healthy controls, matched by gender, age and years of education are reported. RESULTS: CM-I patients show a generally lower cognitive performance in executive function, verbal fluency, spatial cognition, language (naming), verbal memory, processing speed, emotional facial recognition and theory of mind, compared to control group. The results are maintained even after statistically controlling for the influence of perceived physical pain and the presence of anxious-depressive symptomatology. Data also illustrate a similar cognitive profile between both groups with CM-I. CONCLUSION: These findings provide evidence of a deficient cognitive profile associated with CM-I, regardless of the PFD surgery. According to these results, both physical and cognitive consequences must be considered in the treatment of CM-I.


Asunto(s)
Malformación de Arnold-Chiari/psicología , Malformación de Arnold-Chiari/cirugía , Descompresión Quirúrgica , Procesos Mentales , Estudios Transversales , Escolaridad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas , Resultado del Tratamiento
13.
J Speech Lang Hear Res ; 61(10): 2458-2466, 2018 10 26.
Artículo en Inglés | MEDLINE | ID: mdl-30304345

RESUMEN

Purpose: Chiari malformation (CM) Type I is a rare disorder that implies an anomaly in the craniocervical junction, where one or both cerebellar tonsils are displaced below the foramen magnum into the cervical spinal channel. Research carried out regarding cognitive symptoms such as verbal fluency is scarce. The aim of this study was to investigate whether verbal fluency is impaired in a CM clinical group compared to a group of healthy control individuals while controlling for depression and anxiety symptomatology. Method: For this purpose, 101 individuals were enrolled to take part in the study (51 CM, 50 healthy controls). The Controlled Oral Word Association Test (Benton, de Hamsher, & Sivan, 1983) and the Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983) were administered. Results: Results showed significantly lower scores for the CM group in verbal fluency compared to the control group (p < .005). After performing an analysis of covariance to eliminate depression and anxiety symptomatology tendencies, it was observed that verbal fluency could not be predicted by this variable (p > .005). Conclusions: From the results of this study, it can be concluded that people suffering from CM exhibit less verbal fluency than healthy control individuals and that this difference is not caused by depression or anxiety.


Asunto(s)
Malformación de Arnold-Chiari/complicaciones , Trastornos del Lenguaje/etiología , Adolescente , Adulto , Anciano , Ansiedad/etiología , Estudios de Casos y Controles , Disfunción Cognitiva/etiología , Depresión/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Vocabulario , Adulto Joven
14.
Cerebellum ; 17(5): 564-574, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-29766459

RESUMEN

Chiari Malformation type I (CM-I) is a neurological disorder characterized by a displacement of the cerebellar tonsils through the foramen magnum into the spinal canal. Most research has focused on physical symptomatology but few studies include neuropsychological examinations. Moreover, although current research highlights the involvement of the cerebellum on higher cognitive functions, little is known about cognitive consequences associated with CM-I. The aim of this study is to analyze cognitive functioning between 39 CM-I patients and 39 healthy controls, matched by gender, age and years of education. Participants have been examined on a large battery of neuropsychological tests, including executive functioning, verbal fluency, spatial cognition, language, verbal memory, processing speed, facial recognition and theory of mind. Results show a poorer performance of the clinical group compared to the control group, even after controlling the effect of physical pain and anxious-depressive symptomatology. The findings suggest the presence of a generalized cognitive deficit associated with CM-I, which makes it necessary to focus attention not only on physical consequences, but also on cognitive ones.


Asunto(s)
Malformación de Arnold-Chiari/psicología , Procesos Mentales , Disfunción Cognitiva/etiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas
15.
Rev Neurol ; 61(10): 433-40, 2015 Nov 16.
Artículo en Inglés, Español | MEDLINE | ID: mdl-26553173

RESUMEN

INTRODUCTION: Facial emotional expression constitutes a basic guide in the social interaction and, thus, the alterations in its expression or recognition imply an important limitation for the communication. On the other hand, cognitive impairment and the presence of depressive symptoms, which are commonly found in patients with multiple sclerosis, it is unknown how they influence cognitive function and depression on emotional recognition. AIMS: To consider the evaluation of time reaction and response accuracy of facial expression recognition in people affected by multiple sclerosis, and to assess the possible variables that may be modulating the emotion recognition, such as depression and cognitive functions. SUBJECTS AND METHODS: The study has a cross-sectional non-experimental design with a single measurement. The sample is compound by 85 participants, 45 diagnosed as multiple sclerosis and 40 control subjects. RESULTS: Multiple sclerosis subjects reveal significant differences in both reaction time and response accuracy in neuropsychological tests in comparison to the control group. Explanatory models were identified in the emotional recognition. CONCLUSION: Multiple sclerosis subjects face difficulties at recognising facial emotions; and differences at attention memory, processing speed and depressive symptomatology were observed in regard to the control group.


Asunto(s)
Emociones , Expresión Facial , Esclerosis Múltiple/fisiopatología , Reconocimiento Visual de Modelos/fisiología , Tiempo de Reacción , Adulto , Anciano , Ansiedad/etiología , Ansiedad/fisiopatología , Atención/fisiología , Estudios de Casos y Controles , Trastornos del Conocimiento/etiología , Trastornos del Conocimiento/fisiopatología , Estudios Transversales , Depresión/etiología , Depresión/fisiopatología , Ojo , Femenino , Humanos , Masculino , Memoria/fisiología , Recuerdo Mental/fisiología , Persona de Mediana Edad , Esclerosis Múltiple/complicaciones , Esclerosis Múltiple/psicología , Pruebas Neuropsicológicas , Factores Socioeconómicos
16.
Rev. neurol. (Ed. impr.) ; 61(10): 433-440, 16 nov., 2015. tab, graf
Artículo en Español | IBECS | ID: ibc-144855

RESUMEN

Introducción. La expresión facial emocional constituye una guía básica en la interacción social y, por lo tanto, las alteraciones en su expresión o reconocimiento implican una limitación importante para la comunicación. Por otro lado, el deterioro cognitivo y la presencia de síntomas depresivos, que se encuentran comúnmente en los pacientes con esclerosis múltiple, no se sabe cómo influyen en el reconocimiento emocional. Objetivo. Considerar la evaluación del tiempo de reacción y precisión en la respuesta de reconocimiento de expresiones faciales de las personas afectadas por esclerosis múltiple y valorar las posibles variables que pueden modular el reconocimiento de emociones, como la depresión y las funciones cognitivas. Sujetos y métodos. El estudio tiene un diseño no experimental transversal con una sola medición. La muestra está compuesta por 85 participantes, 45 con diagnóstico de esclerosis múltiple y 40 sujetos control. Resultados. Los sujetos con esclerosis múltiple revelaban diferencias significativas tanto en el tiempo de reacción y la precisión de respuesta en pruebas neuropsicológicas en comparación con el grupo control. Se identificaron modelos explicativos en el reconocimiento emocional. Conclusión. Los sujetos con esclerosis múltiple se enfrentan a dificultades en el reconocimiento de emociones faciales, y se observaron diferencias en la memoria, atención, velocidad de procesamiento y sintomatología depresiva en relación con el grupo control (AU)


Introduction. Facial emotional expression constitutes a basic guide in the social interaction and, thus, the alterations in its expression or recognition imply an important limitation for the communication. On the other hand, cognitive impairment and the presence of depressive symptoms, which are commonly found in patients with multiple sclerosis, it is unknown how they influence cognitive function and depression on emotional recognition. Aims. To consider the evaluation of time reaction and response accuracy of facial expression recognition in people affected by multiple sclerosis, and to assess the possible variables that may be modulating the emotion recognition, such as depression and cognitive functions. Subjects and methods. The study has a cross-sectional non-experimental design with a single measurement. The sample is compound by 85 participants, 45 diagnosed as multiple sclerosis and 40 control subjects. Results. Multiple sclerosis subjects reveal significant differences in both reaction time and response accuracy in neuropsychological tests in comparison to the control group. Explanatory models were identified in the emotional recognition. Conclusion. Multiple sclerosis subjects face difficulties at recognising facial emotions; and differences at attention memory, processing speed and depressive symptomatology were observed in regard to the control group (AU)


Asunto(s)
Humanos , Tiempo de Reacción/fisiología , Esclerosis Múltiple/fisiopatología , Emociones/fisiología , Expresión Facial , Depresión/epidemiología , Trastornos del Conocimiento/fisiopatología , Pruebas Neuropsicológicas/estadística & datos numéricos , Trastornos de la Memoria/fisiopatología , Atención/fisiología , Procesos Mentales/fisiología , Estudios de Casos y Controles
17.
Span. j. psychol ; 17: e86.1-e86.9, ene.-dic. 2014. tab
Artículo en Inglés | IBECS | ID: ibc-130499

RESUMEN

Rare neuromuscular diseases (NDs) are a group of inherited or acquired neurological pathologies affecting the muscles and the nervous system. Their low prevalence and high geographical dispersion can cause isolation and difficulties in social interaction between affected equals. New technologies, such as videoconferencing, offer a complementary option for improving the health of this population. The purpose of this study was to assess the effectiveness of a teleassistance program at improving health-related quality of life (HRQoL) through social interaction in adults with NDs. The sample consisted of 45 participants affected by rare NDs. Twenty-four participants were assigned to the experimental group (EG), which participated in the videoconferencing sessions, and 21 to the control group. Three questionnaires were administered: WHO-DAS II, Sickness Impact Profile, and SF-36 Health Survey. Effectiveness was assessed by a pre-post design. An online psychosocial program was applied over three-month period. Data revealed an improvement of the EG in psychosocial variables, e.g. «Getting along with people» (z = -2.289, r = -.47, p ≤ .05) or «Psychosocial Domain» (z = -2.404, r = -.49, p ≤ .05), and in physical variables, e.g. «Life activities» (z = -2.844, r = -.58, p ≤ .05). Social interaction appeared as a relevant factor at improving HRQoL levels. High levels of satisfaction about the teleassistance program were reported (AU)


No disponible


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Enfermedades Neuromusculares/epidemiología , Enfermedades Neuromusculares/prevención & control , Calidad de Vida/psicología , Telemedicina/tendencias , Telemedicina , Comunicación por Videocoferencia/normas , Comunicación por Videocoferencia , Técnicas de Diagnóstico Neurológico/tendencias , Evaluación de Eficacia-Efectividad de Intervenciones , Evaluación de Costo-Efectividad , Sistema Nervioso/patología , Comunicación por Videocoferencia/organización & administración , Comunicación por Videocoferencia/tendencias
18.
Artículo en Inglés | IBECS | ID: ibc-119270

RESUMEN

Myasthenia is an autoimmune disease of neuromuscular transmission. This disease is typically characterised by muscle weakness, which is exacerbated by the performance of certain activities or exercise; patients usually recover with rest. Some studies have noted that people with myasthenia gravis have significantly higher depression scores than control participants. Extended experience with neuromuscular disease symptoms has been correlated with mood disorder symptoms. The present study measured and compared the presence of depression, anxiety and self-efficacy as well as the relationships among these variables in people with myasthenia gravis. An evaluation scale for this disease was specifically adapted. A total of 52 participants with myasthenia gravis were given two tests: the HAD questionnaire, which measures depression, and the general self-efficacy questionnaire (GSE). This study found a significantly correlation between anxiety and depression in people with myasthenia gravis. A correlation between self-efficacy and depression was also observed (AU)


No disponible


Asunto(s)
Humanos , Miastenia Gravis/psicología , Ansiedad/epidemiología , Depresión/epidemiología , Autoeficacia
19.
Span J Psychol ; 17: E86, 2014 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-26055393

RESUMEN

Rare neuromuscular diseases (NDs) are a group of inherited or acquired neurological pathologies affecting the muscles and the nervous system. Their low prevalence and high geographical dispersion can cause isolation and difficulties in social interaction between affected equals. New technologies, such as videoconferencing, offer a complementary option for improving the health of this population. The purpose of this study was to assess the effectiveness of a teleassistance program at improving health-related quality of life (HRQoL) through social interaction in adults with NDs. The sample consisted of 45 participants affected by rare NDs. Twenty-four participants were assigned to the experimental group (EG), which participated in the videoconferencing sessions, and 21 to the control group. Three questionnaires were administered: WHO-DAS II, Sickness Impact Profile, and SF-36 Health Survey. Effectiveness was assessed by a pre-post design. An online psychosocial program was applied over three-month period. Data revealed an improvement of the EG in psychosocial variables, e.g. "Getting along with people" (z = -2.289, r = -.47, p ≤ .05) or "Psychosocial Domain" (z = -2.404, r = -.49, p ≤ .05), and in physical variables, e.g. "Life activities" (z = -2.844, r = -.58, p ≤ .05). Social interaction appeared as a relevant factor at improving HRQoL levels. High levels of satisfaction about the teleassistance program were reported.


Asunto(s)
Enfermedades Neuromusculares/rehabilitación , Calidad de Vida , Telerrehabilitación/métodos , Adulto , Anciano , Femenino , Humanos , Relaciones Interpersonales , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Enfermedades Neuromusculares/psicología , Calidad de Vida/psicología , Resultado del Tratamiento , Comunicación por Videocoferencia , Adulto Joven
20.
Span J Psychol ; 16: E52, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23866249

RESUMEN

The assessment of facial expression is an important aspect of a clinical neurological examination, both as an indicator of a mood disorder and as a sign of neurological damage. To date, although studies have been conducted on certain psychosocial aspects of myasthenia, such as quality of life and anxiety, and on neuropsychological aspects such as memory, no studies have directly assessed facial emotion recognition accuracy. The aim of this study was to assess the facial emotion recognition accuracy (fear, surprise, sadness, happiness, anger, and disgust), empathy, and reaction time of patients with myasthenia. Thirty-five patients with myasthenia and 36 healthy controls were tested for their ability to differentiate emotional facial expressions. Participants were matched with respect to age, gender, and education level. Their ability to differentiate emotional facial expressions was evaluated using the computer-based program Feel Test. The data showed that myasthenic patients scored significantly lower (p < 0.05) than healthy controls in the total Feel score, fear, surprise, and higher reaction time. The findings suggest that the ability to recognize facial affect may be reduced in individuals with myasthenia.


Asunto(s)
Emociones , Expresión Facial , Miastenia Gravis/fisiopatología , Reconocimiento Visual de Modelos/fisiología , Reconocimiento en Psicología/fisiología , Adolescente , Adulto , Afecto , Anciano , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Miastenia Gravis/psicología , Pruebas Neuropsicológicas , Tiempo de Reacción , Adulto Joven
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