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Lange, Klaus W. ; Robbins, T. W. ; Marsden, C. D. ; James, M. ; Owen, A. M. ; Paul, G. M.

L-dopa withdrawal in Parkinson's disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction

Lange, Klaus W., Robbins, T. W., Marsden, C. D., James, M., Owen, A. M. und Paul, G. M. (1992) L-dopa withdrawal in Parkinson's disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction. Psychopharmacology 107 (2-3), S. 394-404.

Veröffentlichungsdatum dieses Volltextes: 20 Jul 2012 11:10
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.25434


Zusammenfassung

A group of ten patients with idiopathic Parkinson's disease (PD) was tested on a series of automated tests of learning, memory, planning and attention whilst either on or off L-dopa medication. Controlled withdrawal of L-dopa interfered with aspects of performance on three of the tests that had previously been shown to be sensitive to frontal lobe dysfunction; a spatial working memory task, the ...

A group of ten patients with idiopathic Parkinson's disease (PD) was tested on a series of automated tests of learning, memory, planning and attention whilst either on or off L-dopa medication. Controlled withdrawal of L-dopa interfered with aspects of performance on three of the tests that had previously been shown to be sensitive to frontal lobe dysfunction; a spatial working memory task, the Tower of London planning test, and a visual discrimination paradigm that also included intra- and extra-dimensional shift tests of selective attention. More specifically, errors were increased in the spatial working memory test, and both the accuracy and latency of thinking were impaired. Thinking time was significantly slowed following L-dopa withdrawal, even though the possible contaminating effects on motor slowing were fully controlled by a yoked control procedure. Nine out of ten patients reached a further stage of the visual discrimination, set-shifting paradigm when on, rather than off, L-dopa medication. Spatial span was also impaired off medication, but there were no effects of L-dopa withdrawal on tests of pattern and spatial recognition memory, simultaneous and delayed matching to sample or visuospatial conditional associative learning. Comparisons with a large control group confirmed previous findings that PD is associated with deficits on the majority of these tests. The results are discussed in terms of the fronto-striatal, dopamine dependent nature of some of the cognitive deficits found in PD, but the apparent dopamine-independent nature of deficits in other aspects of cognitive functioning, notably in tests of visual recognition memory and associative learning.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftPsychopharmacology
Verlag:Springer
Band:107
Nummer des Zeitschriftenheftes oder des Kapitels:2-3
Seitenbereich:S. 394-404
Datum1992
InstitutionenHumanwissenschaften > Institut für Psychologie > Lehrstuhl für Psychologie III (Biologische, Klinische und Rehabilitationspsychologie) - Prof. Dr. Klaus W. Lange
Identifikationsnummer
WertTyp
1615139PubMed-ID
Klassifikation
NotationArt
Brain Diseases/physiopathologyMESH
Cognition Disorders/psychologyMESH
Discrimination (Psychology)/drug effectsMESH
FemaleMESH
Frontal Lobe/physiopathologyMESH
HumansMESH
Learning/drug effectsMESH
Levodopa/therapeutic useMESH
MaleMESH
Memory/drug effectsMESH
Middle AgedMESH
Parkinson Disease/drug therapyMESH
Psychomotor Performance/drug effectsMESH
Substance Withdrawal Syndrome/physiopathologyMESH
Dewey-Dezimal-Klassifikation100 Philosophie und Psychologie > 150 Psychologie
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenUnbekannt / Keine Angabe
URN der UB Regensburgurn:nbn:de:bvb:355-epub-254346
Dokumenten-ID25434

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