Risk and learning in impulsive and nonimpulsive patients with Parkinson's disease.
Identifieur interne : 001626 ( PubMed/Corpus ); précédent : 001625; suivant : 001627Risk and learning in impulsive and nonimpulsive patients with Parkinson's disease.
Auteurs : Atbin Djamshidian ; Ashwani Jha ; Sean S. O'Sullivan ; Laura Silveira-Moriyama ; Clare Jacobson ; Peter Brown ; Andrew Lees ; Bruno B. AverbeckSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- etiology : Impulsive Behavior.
- physiology : Learning, Memory, Short-Term.
- Aged, Analysis of Variance, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Risk Factors.
Abstract
Relatively little is known about the interaction between behavioral changes, medication, and cognitive function in Parkinson's disease (PD). We examined working memory, learning and risk aversion in PD patients with and without impulsive or compulsive behavior (ICB) and compared the results with those in a group of age-matched control subjects. Parkinson patients with PD+ICB had poorer working memory performance than either controls or PD patients without ICB. PD+ICB patients also showed decreased learning from negative feedback and increased learning from positive feedback in off compared with on dopaminergic medication. This interaction between medication status and learning was the opposite of that found in the PD patients without a diagnosis of ICB. Finally, the PD group showed increased risk preference on medication relative to controls, and the subgroup of PD+ICB patients with pathological gambling were overall more risk prone than the PD group. Thus, medication status and an impulsive behavioral diagnosis differentially affect several behaviors in PD.
DOI: 10.1002/mds.23247
PubMed: 20721918
Links to Exploration step
pubmed:20721918Le document en format XML
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<front><div type="abstract" xml:lang="en">Relatively little is known about the interaction between behavioral changes, medication, and cognitive function in Parkinson's disease (PD). We examined working memory, learning and risk aversion in PD patients with and without impulsive or compulsive behavior (ICB) and compared the results with those in a group of age-matched control subjects. Parkinson patients with PD+ICB had poorer working memory performance than either controls or PD patients without ICB. PD+ICB patients also showed decreased learning from negative feedback and increased learning from positive feedback in off compared with on dopaminergic medication. This interaction between medication status and learning was the opposite of that found in the PD patients without a diagnosis of ICB. Finally, the PD group showed increased risk preference on medication relative to controls, and the subgroup of PD+ICB patients with pathological gambling were overall more risk prone than the PD group. Thus, medication status and an impulsive behavioral diagnosis differentially affect several behaviors in PD.</div>
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