Movement Disorders (revue)

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Characterizing behavioral and cognitive dysexecutive changes in progressive supranuclear palsy

Identifieur interne : 001061 ( PascalFrancis/Curation ); précédent : 001060; suivant : 001062

Characterizing behavioral and cognitive dysexecutive changes in progressive supranuclear palsy

Auteurs : David Millar [Royaume-Uni] ; Philipa Griffiths [Royaume-Uni] ; Adam J. Zermansky [Royaume-Uni] ; David J. Burn [Royaume-Uni]

Source :

RBID : Pascal:06-0171945

Descripteurs français

English descriptors

Abstract

Frontal lobe dysfunction is a prominent feature of many neurological disorders. Early diagnosis may be enhanced by establishing a profile of cognitive, behavioral, and emotional change. Traditional psychometric assessment focuses on cognitive dysfunction and fails to identify behavioral changes, particularly those associated with orbitofrontal dysfunction. We examined progressive supranuclear palsy (PSP), a prototypical subcortical dementia with frontal features, using commonly available neuropsychological measures and a modification of the Katz Adjustment Scale-Relatives (KAS-R), an instrument first developed to assess dysexecutive changes in head-injured patients. Executive tests identified deficits in reasoning, planning, set shifting, verbal fluency, information processing speed, and response initiation. On the KAS-R, changes in apathy, social withdrawal, and independence were observed, with little change in belligerence, social irresponsibility, uncooperativeness, obstreperousness, anxiety, and depression. The results show the potential utility of this instrument in characterizing behavioral and emotional changes associated with frontal lobe dysfunction in neurodegenerative disease.
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A11 01  1    @1 MILLAR (David)
A11 02  1    @1 GRIFFITHS (Philipa)
A11 03  1    @1 ZERMANSKY (Adam J.)
A11 04  1    @1 BURN (David J.)
A14 01      @1 Clinical Psychology, University of Newcastle upon Tyne @2 Newcastle upon Tyne @3 GBR @Z 1 aut.
A14 02      @1 Neuropsychology, Regional Neurological Rehabilitation Centre @2 Newcastle upon Tyne @3 GBR @Z 2 aut.
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C01 01    ENG  @0 Frontal lobe dysfunction is a prominent feature of many neurological disorders. Early diagnosis may be enhanced by establishing a profile of cognitive, behavioral, and emotional change. Traditional psychometric assessment focuses on cognitive dysfunction and fails to identify behavioral changes, particularly those associated with orbitofrontal dysfunction. We examined progressive supranuclear palsy (PSP), a prototypical subcortical dementia with frontal features, using commonly available neuropsychological measures and a modification of the Katz Adjustment Scale-Relatives (KAS-R), an instrument first developed to assess dysexecutive changes in head-injured patients. Executive tests identified deficits in reasoning, planning, set shifting, verbal fluency, information processing speed, and response initiation. On the KAS-R, changes in apathy, social withdrawal, and independence were observed, with little change in belligerence, social irresponsibility, uncooperativeness, obstreperousness, anxiety, and depression. The results show the potential utility of this instrument in characterizing behavioral and emotional changes associated with frontal lobe dysfunction in neurodegenerative disease.
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C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Réglage @5 09
C03 02  X  ENG  @0 Adjustment @5 09
C03 02  X  SPA  @0 Reglaje @5 09
N21       @1 107
N44 01      @1 OTO
N82       @1 OTO

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Pascal:06-0171945

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