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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Psychol. | doi: 10.3389/fpsyg.2019.01951

Color choice preference in cognitively impaired patients: a look inside Alzheimer's disease through the use of Lüscher Color Diagnostic.

 Michelangelo Stanzani Maserati1*, Micaela Mitolo2, Federica Medici2, Renato D'Onofrio2, Federico Oppi1, Roberto Poda1, Maddalena De Matteis1,  Caterina Tonon1, 2,  Raffaele Lodi1, 2,  Rocco Liguori1, 2 and  Sabina -. Capellari1, 2
  • 1IRCCS Istituto delle Scienze Neurologiche di Bologna (ISNB), Italy
  • 2Department of Biomedical and Neuromotor Sciences, University of Bologna, Italy

Objective: To study the emotional state of cognitively impaired patients through the color choice preference in a group of Alzheimer's disease (AD) patients and compare it with a group of Mild Cognitive Impairment (MCI) patients and a matched control group.
Methods: A total of 71 AD, 50 MCI and 68 controls were consecutively evaluated. All patients and controls underwent the Mini Mental State Evaluation (MMSE) and the Lüscher color test.
Results: Cognitively impaired patients mainly chose auxiliary colors, in particular violet and brown, and rejected black and gray. AD patients predominantly chose forms corresponding to auxiliary colors. The auxiliary color choice negatively correlated with the MMSE score. MCI patients and controls had a higher presence of anxiety on gray table and controls had higher frustration and ambivalence, i.e. psychic complexity, on basic color tables.
Data globally suggest that AD patients live with a feeling of personal change due to instability and emotional insecurity, experiencing physical discomfort and a bodily need of being welcomed in a favorable environment. They aspire to a sensitive understanding by someone with whom they can be identified. Differently, MCI patients have less of these needs; however, they feel more anxious.
Conclusions: The comprehension of the inner emotional state of cognitively impaired patients allows us to better communicate with them and effectively approach their behavioral disorders. Like other projective techniques, such as the tree-drawing test and the human figure-drawing test, Lüscher color test is proposed as a simple and unconventional approach to understand the emotional life of AD patients. The awareness of clinicians about the existential fragility and insecurity of such type of patients allows us not only to better manage their behavioral disturbances but also to improve their quality of life and that of their caregivers.

Keywords: Alzheimer’s disease, Dementia, Mild Cognitive Impairment, color preference, Lüscher color test

Received: 28 Feb 2019; Accepted: 08 Aug 2019.

Edited by:

Rosalba Morese, Università della Svizzera italiana, Switzerland

Reviewed by:

Adriana Salatino, University of Turin, Italy
Claudio Brasso, University of Turin, Italy  

Copyright: © 2019 Stanzani Maserati, Mitolo, Medici, D'Onofrio, Oppi, Poda, De Matteis, Tonon, Lodi, Liguori and Capellari. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Michelangelo Stanzani Maserati, IRCCS Istituto delle Scienze Neurologiche di Bologna (ISNB), Bologna, 40139, Emilia-Romagna, Italy,