Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort

Introduction. Patients with Parkinson’s disease (PD) commonly experience cognitive deficits and some also develop impulse control disorders (ICDs); however, the relationship between impulsivity and cognitive dysfunction remains unclear. This study investigated whether trait impulsivity associates wi...

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Main Authors: Ashani Jeyadevan, Megan C. Bakeberg, Michelle Byrnes, Jade Kenna, Soumya Ghosh, Rick Stell, Sue Walters, Tess Evans, Sarah McGregor, Malcolm Horne, Frank L. Mastaglia, Ryan S. Anderton
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2019/2672075
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author Ashani Jeyadevan
Megan C. Bakeberg
Michelle Byrnes
Jade Kenna
Soumya Ghosh
Rick Stell
Sue Walters
Tess Evans
Sarah McGregor
Malcolm Horne
Frank L. Mastaglia
Ryan S. Anderton
author_facet Ashani Jeyadevan
Megan C. Bakeberg
Michelle Byrnes
Jade Kenna
Soumya Ghosh
Rick Stell
Sue Walters
Tess Evans
Sarah McGregor
Malcolm Horne
Frank L. Mastaglia
Ryan S. Anderton
author_sort Ashani Jeyadevan
collection DOAJ
description Introduction. Patients with Parkinson’s disease (PD) commonly experience cognitive deficits and some also develop impulse control disorders (ICDs); however, the relationship between impulsivity and cognitive dysfunction remains unclear. This study investigated whether trait impulsivity associates with mild cognitive impairment (MCI), or is altered in a PD patient cohort with MCI. Methods. A total of 302 patients with idiopathic PD were recruited sequentially from three Australian Movement Disorder clinics. Based on cognitive scores, participants were divided into two groups, one defined as having mild cognitive impairment (PD-MCI; n = 113) and the other with normal cognitive function (PD-C; n = 189). Trait impulsivity was evaluated using the Barrett Impulsiveness Scale 11 (BIS-11). Total impulsivity scores, as well as subscale scores, were compared between PD-C and PD-MCI groups. Results. The PD-MCI cohort had significantly lower scores in all cognitive domains, and mirrored expected clinical differences in medication, motor symptoms, and disease duration, when compared to the PD-C cohort. Self-reported impulsivity was not significantly different between groups, nor was there a difference within first-order subscale scores: attention p=0.137, cognitive instability p=0.787, self-control p=0.503, cognitive complexity p=0.157, motor impulsivity p=0.559, or perseverance p=0.734 between the PD-MCI and PD-C groups. Conclusions. These findings suggest that impulsive traits and behaviors are independent of changes in cognitive state and are not altered in PD patients with mild cognitive impairment.
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spelling doaj-art-1af43a51b9a945338fb10b83086bc55b2025-02-03T07:25:55ZengWileyParkinson's Disease2090-80832042-00802019-01-01201910.1155/2019/26720752672075Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease CohortAshani Jeyadevan0Megan C. Bakeberg1Michelle Byrnes2Jade Kenna3Soumya Ghosh4Rick Stell5Sue Walters6Tess Evans7Sarah McGregor8Malcolm Horne9Frank L. Mastaglia10Ryan S. Anderton11School of Health Sciences, University of Notre Dame Australia, Fremantle, WA, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaInstitute of Health Research, University of Notre Dame Australia, Fremantle, WA, AustraliaFlorey Institute for Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria 3010, AustraliaFlorey Institute for Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria 3010, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, WA, AustraliaSchool of Health Sciences, University of Notre Dame Australia, Fremantle, WA, AustraliaIntroduction. Patients with Parkinson’s disease (PD) commonly experience cognitive deficits and some also develop impulse control disorders (ICDs); however, the relationship between impulsivity and cognitive dysfunction remains unclear. This study investigated whether trait impulsivity associates with mild cognitive impairment (MCI), or is altered in a PD patient cohort with MCI. Methods. A total of 302 patients with idiopathic PD were recruited sequentially from three Australian Movement Disorder clinics. Based on cognitive scores, participants were divided into two groups, one defined as having mild cognitive impairment (PD-MCI; n = 113) and the other with normal cognitive function (PD-C; n = 189). Trait impulsivity was evaluated using the Barrett Impulsiveness Scale 11 (BIS-11). Total impulsivity scores, as well as subscale scores, were compared between PD-C and PD-MCI groups. Results. The PD-MCI cohort had significantly lower scores in all cognitive domains, and mirrored expected clinical differences in medication, motor symptoms, and disease duration, when compared to the PD-C cohort. Self-reported impulsivity was not significantly different between groups, nor was there a difference within first-order subscale scores: attention p=0.137, cognitive instability p=0.787, self-control p=0.503, cognitive complexity p=0.157, motor impulsivity p=0.559, or perseverance p=0.734 between the PD-MCI and PD-C groups. Conclusions. These findings suggest that impulsive traits and behaviors are independent of changes in cognitive state and are not altered in PD patients with mild cognitive impairment.http://dx.doi.org/10.1155/2019/2672075
spellingShingle Ashani Jeyadevan
Megan C. Bakeberg
Michelle Byrnes
Jade Kenna
Soumya Ghosh
Rick Stell
Sue Walters
Tess Evans
Sarah McGregor
Malcolm Horne
Frank L. Mastaglia
Ryan S. Anderton
Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort
Parkinson's Disease
title Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort
title_full Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort
title_fullStr Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort
title_full_unstemmed Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort
title_short Trait Impulsivity Is Independent of Mild Cognitive Impairment in a Parkinson’s Disease Cohort
title_sort trait impulsivity is independent of mild cognitive impairment in a parkinson s disease cohort
url http://dx.doi.org/10.1155/2019/2672075
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