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Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance

Impairments in executive functioning are frequently observed in Parkinson's disease (PD). However, executive functioning needed in daily life is difficult to measure. Considering this difficulty the Cognitive Effort Test (CET) was recently developed. In this multi-task test the goals are specif...

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Autores principales: Koerts, Janneke, Van Beilen, Marije, Tucha, Oliver, Leenders, Klaus L., Brouwer, Wiebo H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3243690/
https://www.ncbi.nlm.nih.gov/pubmed/22206004
http://dx.doi.org/10.1371/journal.pone.0029254
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author Koerts, Janneke
Van Beilen, Marije
Tucha, Oliver
Leenders, Klaus L.
Brouwer, Wiebo H.
author_facet Koerts, Janneke
Van Beilen, Marije
Tucha, Oliver
Leenders, Klaus L.
Brouwer, Wiebo H.
author_sort Koerts, Janneke
collection PubMed
description Impairments in executive functioning are frequently observed in Parkinson's disease (PD). However, executive functioning needed in daily life is difficult to measure. Considering this difficulty the Cognitive Effort Test (CET) was recently developed. In this multi-task test the goals are specified but participants are free in their approach. This study applies the CET in PD patients and investigates whether initiative, planning and multi-tasking are associated with aspects of executive functions and psychomotor speed. Thirty-six PD patients with a mild to moderate disease severity and thirty-four healthy participants were included in this study. PD patients planned and demonstrated more sequential task execution, which was associated with a decreased psychomotor speed. Furthermore, patients with a moderate PD planned to execute fewer tasks at the same time than patients with a mild PD. No differences were found between these groups for multi-tasking. In conclusion, PD patients planned and executed the tasks of the CET sequentially rather than in parallel presumably reflecting a compensation strategy for a decreased psychomotor speed. Furthermore, patients with moderate PD appeared to take their impairments into consideration when planning how to engage the tasks of the test. This compensation could not be detected in patients with mild PD.
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spelling pubmed-32436902011-12-28 Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance Koerts, Janneke Van Beilen, Marije Tucha, Oliver Leenders, Klaus L. Brouwer, Wiebo H. PLoS One Research Article Impairments in executive functioning are frequently observed in Parkinson's disease (PD). However, executive functioning needed in daily life is difficult to measure. Considering this difficulty the Cognitive Effort Test (CET) was recently developed. In this multi-task test the goals are specified but participants are free in their approach. This study applies the CET in PD patients and investigates whether initiative, planning and multi-tasking are associated with aspects of executive functions and psychomotor speed. Thirty-six PD patients with a mild to moderate disease severity and thirty-four healthy participants were included in this study. PD patients planned and demonstrated more sequential task execution, which was associated with a decreased psychomotor speed. Furthermore, patients with a moderate PD planned to execute fewer tasks at the same time than patients with a mild PD. No differences were found between these groups for multi-tasking. In conclusion, PD patients planned and executed the tasks of the CET sequentially rather than in parallel presumably reflecting a compensation strategy for a decreased psychomotor speed. Furthermore, patients with moderate PD appeared to take their impairments into consideration when planning how to engage the tasks of the test. This compensation could not be detected in patients with mild PD. Public Library of Science 2011-12-20 /pmc/articles/PMC3243690/ /pubmed/22206004 http://dx.doi.org/10.1371/journal.pone.0029254 Text en Koerts et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Koerts, Janneke
Van Beilen, Marije
Tucha, Oliver
Leenders, Klaus L.
Brouwer, Wiebo H.
Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance
title Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance
title_full Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance
title_fullStr Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance
title_full_unstemmed Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance
title_short Executive Functioning in Daily Life in Parkinson's Disease: Initiative, Planning and Multi-Task Performance
title_sort executive functioning in daily life in parkinson's disease: initiative, planning and multi-task performance
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3243690/
https://www.ncbi.nlm.nih.gov/pubmed/22206004
http://dx.doi.org/10.1371/journal.pone.0029254
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