MovDisordV3, Main, Exploration, bibRecord, 000742

The effect of expectancy and personality on cortical excitability in Parkinson’s disease

Identifieur interne : 000742 ( Main/Exploration ); précédent : 000741; suivant : 000743

The effect of expectancy and personality on cortical excitability in Parkinson’s disease

Auteurs : Jau-Shin Lou [États-Unis] ; Diana M. Dimitrova [États-Unis] ; Richard Hammerschlag [États-Unis] ; John Nutt [États-Unis] ; Elizabeth A. Hunt [États-Unis] ; Ryan W. Eaton [États-Unis] ; Sarah C. Johnson [États-Unis] ; Melanie D. Davis [États-Unis] ; Grace C. Arnold [États-Unis] ; Sarah B. Andrea [États-Unis] ; Barry S. Oken [États-Unis]

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2013.

RBID : PMC:3735617

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Analysis of Variance, Antiparkinson Agents (therapeutic use), Cerebral Cortex (drug effects), Cerebral Cortex (physiopathology), Double-Blind Method, Evoked Potentials, Motor (physiology), Fatigue (etiology), Female, Humans, Levodopa (therapeutic use), Male, Middle Aged, Motivation (physiology), Motor Activity (physiology), Parkinson Disease (drug therapy), Parkinson Disease (pathology), Parkinson Disease (psychology), Personality (physiology), Personality Inventory, Questionnaires.
MESH :
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- drug effects : Cerebral Cortex.
- drug therapy : Parkinson Disease.
- etiology : Fatigue.
- pathology : Parkinson Disease.
- physiology : Evoked Potentials, Motor, Motivation, Motor Activity, Personality.
- physiopathology : Cerebral Cortex.
- psychology : Parkinson Disease.
- Aged, Aged, 80 and over, Analysis of Variance, Double-Blind Method, Female, Humans, Male, Middle Aged, Personality Inventory, Questionnaires.

Abstract

Background

Our previous studies in PD have shown that both levodopa and expectancy of receiving levodopa reduce cortical excitability. We designed this study to evaluate how degree of expectancy and other individual factors modulate placebo response in Parkinson’s patients.

Methods

Twenty-six Parkinson’s patients were randomized to one of three groups: 0%, 50% and 100% expectancy of receiving levodopa. All subjects received placebo regardless of expectancy group. Subjects completed the NEO-Five Factor Inventory, General Perceived Self-Efficacy Scale, and Perceived Stress Scale. Cortical excitability was measured by the amplitude of motor evoked potential (MEP) evoked by transcranial magnetic stimulation. Objective physical fatigue of Extensor carpi radialis before and after placebo levodopa was also measured. Responders were defined as subjects who responded to the placebo levodopa with a decrease in MEP.

Results

Degree of expectancy had a significant effect on MEP response (p<0.05). Subjects in the 50% and 100% expectancy groups responded with a decrease in MEP, while those in the 0% expectancy group responded with an increase in MEP (p<0.05). Responders tended to be more open to experience than non-responders. There were no significant changes in objective physical fatigue between the expectancy groups, or between responders and non-responders.

Conclusions

Expectancy is associated with changes in cortical excitability. Further studies are needed to examine the relationship between personality and placebo effect in Parkinson’s patients.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3735617

DOI: 10.1002/mds.25471
PubMed: 23630185
PubMed Central: 3735617

Affiliations:

Le document en format XML

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<term>Aged, 80 and over</term>
<term>Analysis of Variance</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Cerebral Cortex (drug effects)</term>
<term>Cerebral Cortex (physiopathology)</term>
<term>Double-Blind Method</term>
<term>Evoked Potentials, Motor (physiology)</term>
<term>Fatigue (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motivation (physiology)</term>
<term>Motor Activity (physiology)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Personality (physiology)</term>
<term>Personality Inventory</term>
<term>Questionnaires</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term>
<term>Levodopa</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Cerebral Cortex</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Fatigue</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Evoked Potentials, Motor</term>
<term>Motivation</term>
<term>Motor Activity</term>
<term>Personality</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cerebral Cortex</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term>
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<term>Aged, 80 and over</term>
<term>Analysis of Variance</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P6">Our previous studies in PD have shown that both levodopa and expectancy of receiving levodopa reduce cortical excitability. We designed this study to evaluate how degree of expectancy and other individual factors modulate placebo response in Parkinson’s patients.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P7">Twenty-six Parkinson’s patients were randomized to one of three groups: 0%, 50% and 100% expectancy of receiving levodopa. All subjects received placebo regardless of expectancy group. Subjects completed the NEO-Five Factor Inventory, General Perceived Self-Efficacy Scale, and Perceived Stress Scale. Cortical excitability was measured by the amplitude of motor evoked potential (MEP) evoked by transcranial magnetic stimulation. Objective physical fatigue of <italic>Extensor carpi radialis</italic>
 before and after placebo levodopa was also measured. Responders were defined as subjects who responded to the placebo levodopa with a decrease in MEP.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P8">Degree of expectancy had a significant effect on MEP response (p<0.05). Subjects in the 50% and 100% expectancy groups responded with a decrease in MEP, while those in the 0% expectancy group responded with an increase in MEP (p<0.05). Responders tended to be more open to experience than non-responders. There were no significant changes in objective physical fatigue between the expectancy groups, or between responders and non-responders.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P9">Expectancy is associated with changes in cortical excitability. Further studies are needed to examine the relationship between personality and placebo effect in Parkinson’s patients.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Oregon</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Oregon"><name sortKey="Lou, Jau Shin" sort="Lou, Jau Shin" uniqKey="Lou J" first="Jau-Shin" last="Lou">Jau-Shin Lou</name>
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<name sortKey="Andrea, Sarah B" sort="Andrea, Sarah B" uniqKey="Andrea S" first="Sarah B." last="Andrea">Sarah B. Andrea</name>
<name sortKey="Arnold, Grace C" sort="Arnold, Grace C" uniqKey="Arnold G" first="Grace C." last="Arnold">Grace C. Arnold</name>
<name sortKey="Davis, Melanie D" sort="Davis, Melanie D" uniqKey="Davis M" first="Melanie D." last="Davis">Melanie D. Davis</name>
<name sortKey="Dimitrova, Diana M" sort="Dimitrova, Diana M" uniqKey="Dimitrova D" first="Diana M." last="Dimitrova">Diana M. Dimitrova</name>
<name sortKey="Eaton, Ryan W" sort="Eaton, Ryan W" uniqKey="Eaton R" first="Ryan W." last="Eaton">Ryan W. Eaton</name>
<name sortKey="Hammerschlag, Richard" sort="Hammerschlag, Richard" uniqKey="Hammerschlag R" first="Richard" last="Hammerschlag">Richard Hammerschlag</name>
<name sortKey="Hunt, Elizabeth A" sort="Hunt, Elizabeth A" uniqKey="Hunt E" first="Elizabeth A." last="Hunt">Elizabeth A. Hunt</name>
<name sortKey="Johnson, Sarah C" sort="Johnson, Sarah C" uniqKey="Johnson S" first="Sarah C." last="Johnson">Sarah C. Johnson</name>
<name sortKey="Nutt, John" sort="Nutt, John" uniqKey="Nutt J" first="John" last="Nutt">John Nutt</name>
<name sortKey="Oken, Barry S" sort="Oken, Barry S" uniqKey="Oken B" first="Barry S." last="Oken">Barry S. Oken</name>
</country>
</tree>
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</record>

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Movement Disorders (revue)

The effect of expectancy and personality on cortical excitability in Parkinson’s disease

The effect of expectancy and personality on cortical excitability in Parkinson’s disease

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English descriptors

Abstract

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	Movement Disorders (revue)
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