Intertemporal decision⁃making disorder in patients with Parkinson's disease

Objective To explore the intertemporal decision⁃making disorder in patients with Parkinson's disease (PD). Methods From January 2020 to August 2021, a total of 36 patients with PD (PD group) who diagnosed and treated in The Second People's Hospital of Hefei and The Second Affiliated Hospit...

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Main Authors: XIE Fei, LIU Qiu⁃wan, GENG Zhi, HU Pan⁃pan, WU Jun⁃cang
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2022-11-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/2593
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author XIE Fei
LIU Qiu⁃wan
GENG Zhi
HU Pan⁃pan
WU Jun⁃cang
author_facet XIE Fei
LIU Qiu⁃wan
GENG Zhi
HU Pan⁃pan
WU Jun⁃cang
author_sort XIE Fei
collection DOAJ
description Objective To explore the intertemporal decision⁃making disorder in patients with Parkinson's disease (PD). Methods From January 2020 to August 2021, a total of 36 patients with PD (PD group) who diagnosed and treated in The Second People's Hospital of Hefei and The Second Affiliated Hospital of Soochow University were selected, and 39 healthy controls (control group) with matched gender age and eudcation were recruited. Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD), Mini⁃Mental State Examination (MMSE), Verbal Fluency Test (VFT), Digit Span Test (DST), and Stroop Color⁃Word Test (SCWT) were used to evaluate the neuropsychological characteristics, the delay⁃discount rate K value in the intertemporal decision⁃making paradigm were used to evaluate the intertemporal decision⁃making ability. Results Compared with control group, the PD group had a decrease in MMSE score (Z=⁃4.536, P=0.000), correct number of VFT (Z=⁃4.555, P=0.000), correct repetition of DST⁃forwards (Z=⁃4.696, P=0.000) and DST⁃backwards (Z=⁃3.261, P=0.001), while had an increase in HAMA score (Z=⁃5.153, P=0.000), HAMD score (Z=⁃5.637, P=0.000), Stroop C-A (Z=⁃7.105, P=0.000) and K value (Z=⁃3.209, P=0.004). Correlation analysis showed that there was no correlation between K value and MMSE score, correct number of VFT, Stroop C-A, and correct repetition of DST⁃forwards and DST⁃backwards in PD patients (P>0.05, for all). Conclusions Patients with PD have symptoms of intertemporal decision⁃making disorder. They can't reasonably balance the value of delayed reward, prefer immediate reward, and have more impulsive decision⁃making behavior.
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spelling doaj.art-bd1b330ea90644159a79708d150260922022-12-22T03:52:14ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312022-11-01221198899210.3969/j.issn.1672⁃6731.2022.11.011Intertemporal decision⁃making disorder in patients with Parkinson's diseaseXIE Fei 0LIU Qiu⁃wan 1GENG Zhi 2HU Pan⁃pan3WU Jun⁃cang4Department of Neurology, The Second People's Hospital of HefeiDepartment of Neurology, The Second Affiliated Hospital of Soochow University Department of Neurology, The First Affiliated Hospital of Anhui Medical University Department of Neurology, The First Affiliated Hospital of Anhui Medical UniversityDepartment of Neurology, The Second People's Hospital of HefeiObjective To explore the intertemporal decision⁃making disorder in patients with Parkinson's disease (PD). Methods From January 2020 to August 2021, a total of 36 patients with PD (PD group) who diagnosed and treated in The Second People's Hospital of Hefei and The Second Affiliated Hospital of Soochow University were selected, and 39 healthy controls (control group) with matched gender age and eudcation were recruited. Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD), Mini⁃Mental State Examination (MMSE), Verbal Fluency Test (VFT), Digit Span Test (DST), and Stroop Color⁃Word Test (SCWT) were used to evaluate the neuropsychological characteristics, the delay⁃discount rate K value in the intertemporal decision⁃making paradigm were used to evaluate the intertemporal decision⁃making ability. Results Compared with control group, the PD group had a decrease in MMSE score (Z=⁃4.536, P=0.000), correct number of VFT (Z=⁃4.555, P=0.000), correct repetition of DST⁃forwards (Z=⁃4.696, P=0.000) and DST⁃backwards (Z=⁃3.261, P=0.001), while had an increase in HAMA score (Z=⁃5.153, P=0.000), HAMD score (Z=⁃5.637, P=0.000), Stroop C-A (Z=⁃7.105, P=0.000) and K value (Z=⁃3.209, P=0.004). Correlation analysis showed that there was no correlation between K value and MMSE score, correct number of VFT, Stroop C-A, and correct repetition of DST⁃forwards and DST⁃backwards in PD patients (P>0.05, for all). Conclusions Patients with PD have symptoms of intertemporal decision⁃making disorder. They can't reasonably balance the value of delayed reward, prefer immediate reward, and have more impulsive decision⁃making behavior.http://www.cjcnn.org/index.php/cjcnn/article/view/2593parkinson diseasedecision makingdelay ⁃ discount (not in mesh)neuropsychological tests
spellingShingle XIE Fei
LIU Qiu⁃wan
GENG Zhi
HU Pan⁃pan
WU Jun⁃cang
Intertemporal decision⁃making disorder in patients with Parkinson's disease
Chinese Journal of Contemporary Neurology and Neurosurgery
parkinson disease
decision making
delay ⁃ discount (not in mesh)
neuropsychological tests
title Intertemporal decision⁃making disorder in patients with Parkinson's disease
title_full Intertemporal decision⁃making disorder in patients with Parkinson's disease
title_fullStr Intertemporal decision⁃making disorder in patients with Parkinson's disease
title_full_unstemmed Intertemporal decision⁃making disorder in patients with Parkinson's disease
title_short Intertemporal decision⁃making disorder in patients with Parkinson's disease
title_sort intertemporal decision⁃making disorder in patients with parkinson s disease
topic parkinson disease
decision making
delay ⁃ discount (not in mesh)
neuropsychological tests
url http://www.cjcnn.org/index.php/cjcnn/article/view/2593
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AT liuqiuwan intertemporaldecisionmakingdisorderinpatientswithparkinsonsdisease
AT gengzhi intertemporaldecisionmakingdisorderinpatientswithparkinsonsdisease
AT hupanpan intertemporaldecisionmakingdisorderinpatientswithparkinsonsdisease
AT wujuncang intertemporaldecisionmakingdisorderinpatientswithparkinsonsdisease