4.2 Article

The Contribution of Apathy and Increased Learning Trials to Risky Decision-Making in Parkinsons Disease

Journal

ARCHIVES OF CLINICAL NEUROPSYCHOLOGY
Volume 29, Issue 1, Pages 100-109

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/arclin/act065

Keywords

Parkinsons disease; Decision making; Apathy; Iowa Gambling Task; Balloon analogue risk task

Funding

  1. Brown Clinical Psychology Training Consortium Postdoctoral Fellowship Competitive Grant Program

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Impairments in executive functioning are commonly found in Parkinsons disease (PD); however, the research into risky decision making has been mixed. The present study sought to investigate three potential hypotheses: difficulty learning the task probabilities, levodopa equivalent dose (LED), and the presence of apathy. Twenty-four individuals with idiopathic PD and 13 healthy controls completed the Frontal Systems Behavior Scale to assess current apathy, the Iowa Gambling Task, and the Balloon Analog Risk Task (BART). Results indicated that individuals with PD selected more from Deck B, a disadvantageous deck. However, with an additional set of trials, participants with PD and apathy selected more from the most risky deck (Deck A). Apathy was not related to the BART, and LED was not related to either task. Results indicate that apathy is associated with decision-making in PD, and providing additional learning trials can improve decision-making in PD without apathy.

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