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Heldmann M, Rinckens C, Brüggemann N, Al-Khaled M, Münte TF. Creative thinking and cognitive estimation in Parkinson's disease. Neurol Res Pract 2024; 6:9. [PMID: 38355739 PMCID: PMC10868033 DOI: 10.1186/s42466-023-00304-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 12/16/2023] [Indexed: 02/16/2024] Open
Abstract
BACKGROUND Patients with Parkinson's disease (PD) have been reported to exhibit unusual bouts of creativity (e.g., painting, writing), in particular in the context of treatment with dopaminergic agents. Here we investigated divergent and convergent thinking thought to underlie creativity. In addition we assessed cognitive estimation. METHOD Twenty PD patients and 20 matched healthy control participants were subjected to the Guilford Alternate Uses task (divergent thinking), the remote associates task (convergent thinking) and two tests of cognitive estimation. RESULTS No group differences were found for the convergent thinking task, while the Guilford Alternate Uses task revealed a decreased number of correct responses and a reduced originality for PD patients. Originality in PD was correlated to total daily dose of dopaminergic medication. Moreover, both tasks of cognitive estimation showed an impairment in PD. CONCLUSION Only minor effects were found for psychometric indices of subprocesses of creative thinking, while estimation, relying on executive functioning, is impaired in PD. We suggest to take a product oriented view of creativity in further research on altered creative processes in PD.
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Affiliation(s)
- Marcus Heldmann
- Department of Neurology, University of Lübeck, Lübeck, Germany
- Center for Brain, Behavior and Metabolism, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany
| | - Celia Rinckens
- Department of Neurology, University of Lübeck, Lübeck, Germany
| | - Norbert Brüggemann
- Department of Neurology, University of Lübeck, Lübeck, Germany
- Center for Brain, Behavior and Metabolism, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany
| | | | - Thomas F Münte
- Center for Brain, Behavior and Metabolism, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
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2
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Riadh O, Naoufel O, Ben Rejeb MR, Le Gall D. The role of cognitive estimation in understanding the mental states of others. Cogn Neuropsychol 2023; 40:381-400. [PMID: 38782712 DOI: 10.1080/02643294.2024.2354449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 05/07/2024] [Indexed: 05/25/2024]
Abstract
Previous studies have emphasized the critical role of the prefrontal cortex in cognitive estimation and theory of mind, however, none of them has questioned the possible role of cognitive estimation processes in understanding the mental states of others. In this study, we compared 30 patients with focal prefrontal cortex damage and 30 control subjects matched by gender, age, and education level on their performances on a cognitive estimation task and two tasks assessing theory of mind: the "Faux-Pas" task and the Reading the Mind in the Eyes task. The results showed that patients were significantly impaired compared with control subjects on both abilities of cognitive estimation and theory of mind. Moreover, regression analyses showed that performance on theory of mind was predicted by the scores on cognitive estimation. Finally, using voxel-based lesion analysis, we identified a partially common bilaterally distributed prefrontal network involved in both these domains centred within the ventral and dorsomedial areas with extension to the dorsolateral prefrontal cortex.
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Affiliation(s)
- Ouerchefani Riadh
- Higher Institute of Human sciences, University of Tunis El-Manar, Tunis, Tunisia
- Univ Angers, Université de Nantes, LPPL, SFR CONFLUENCES, Angers, France
| | | | - Mohamed Riadh Ben Rejeb
- Faculty of Human and Social Science of Tunisia, Department of Psychology, University of Tunis I, Tunis, Tunisia
| | - Didier Le Gall
- Univ Angers, Université de Nantes, LPPL, SFR CONFLUENCES, Angers, France
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3
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Hoffman P, MacPherson SE. What determines cognitive estimation ability? Changing contributions of semantic and executive domains as a function of age. J Neuropsychol 2022; 16:481-497. [PMID: 35598102 PMCID: PMC9544445 DOI: 10.1111/jnp.12279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 10/25/2021] [Accepted: 05/02/2022] [Indexed: 11/28/2022]
Abstract
The Cognitive Estimation Test (CET) is commonly used in neuropsychological assessment. It is typically assumed to load on executive functions, although research has shown that CET performance also depends on access to semantic knowledge. It is unknown whether these contributions vary with age. It is important to examine this question as these abilities have divergent life course trajectories: executive functions tend to decline as people age but semantic knowledge continues to accrue. In addition, previous research has not examined potential contributions to CET performance from semantic control abilities, that is cognitive control processes involved specifically in the retrieval and use of semantic information. To address these questions, we investigated cognitive predictors of CET performance in healthy young and older adults. We found that better executive function was associated with more accurate estimation in both age groups. However, the effect of semantic knowledge on CET performance was significantly larger in older people, having no predictive power in the younger group. The ability to detect weak semantic associations, which is thought to index controlled search and retrieval of semantic information, also had divergent effects on CET performance in the two age groups. Our results provide empirical support for the idea that older people are more reliant on semantic knowledge when estimating quantities, which may explain why age‐related decline in CET scores is not typically found. We conclude that deficits on the CET may be indicative either of semantic or executive impairments, particularly in older age groups.
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Affiliation(s)
- Paul Hoffman
- School of Philosophy, Psychology & Language Sciences, University of Edinburgh, Edinburgh, UK
| | - Sarah E MacPherson
- School of Philosophy, Psychology & Language Sciences, University of Edinburgh, Edinburgh, UK
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4
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Pflugshaupt T, Bauer D, Frey J, Vanbellingen T, Kaufmann BC, Bohlhalter S, Nyffeler T. The right anterior temporal lobe critically contributes to magnitude knowledge. Brain Commun 2020; 2:fcaa157. [PMID: 33225278 PMCID: PMC7667527 DOI: 10.1093/braincomms/fcaa157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 08/20/2020] [Accepted: 08/26/2020] [Indexed: 11/14/2022] Open
Abstract
Cognitive estimation is a mental ability applied to solve numerical problems when precise facts are unknown, unavailable or impractical to calculate. It has been associated with several underlying cognitive components, most often with executive functions and semantic memory. Little is known about the neural correlates of cognitive estimation. To address this issue, the present cross-sectional study applied lesion-symptom mapping in a group of 55 patients with left hemineglect due to right-hemisphere stroke. Previous evidence suggests a high prevalence of cognitive estimation impairment in these patients, as they might show a general bias towards large magnitudes. Compared to 55 age- and gender-matched healthy controls, the patient group demonstrated impaired cognitive estimation. However, the expected large magnitude bias was not found. Lesion-symptom mapping related their general estimation impairment predominantly to brain damage in the right anterior temporal lobe. Also critically involved were the right uncinate fasciculus, the anterior commissure and the right inferior frontal gyrus. The main findings of this study emphasize the role of semantic memory in cognitive estimation, with reference to a growing body of neuroscientific literature postulating a transmodal hub for semantic cognition situated in the bilateral anterior temporal lobe. That such semantic hub function may also apply to numerical knowledge is not undisputed. We here propose a critical contribution of the right anterior temporal lobe to at least one aspect of number processing, i.e. the knowledge about real-world numerical magnitudes.
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Affiliation(s)
| | - Daniel Bauer
- Neurocenter, Luzerner Kantonsspital, Luzern, Switzerland
| | - Julia Frey
- Neurocenter, Luzerner Kantonsspital, Luzern, Switzerland
| | - Tim Vanbellingen
- Neurocenter, Luzerner Kantonsspital, Luzern, Switzerland
- Gerontechnology and Rehabilitation Group, ARTORG Center for Biomedical Engineering, University of Bern, Bern, Switzerland
| | - Brigitte C Kaufmann
- Neurocenter, Luzerner Kantonsspital, Luzern, Switzerland
- Gerontechnology and Rehabilitation Group, ARTORG Center for Biomedical Engineering, University of Bern, Bern, Switzerland
| | | | - Thomas Nyffeler
- Neurocenter, Luzerner Kantonsspital, Luzern, Switzerland
- Gerontechnology and Rehabilitation Group, ARTORG Center for Biomedical Engineering, University of Bern, Bern, Switzerland
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5
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Montemurro S, Mondini S, Signorini M, Marchetto A, Bambini V, Arcara G. Pragmatic Language Disorder in Parkinson's Disease and the Potential Effect of Cognitive Reserve. Front Psychol 2019; 10:1220. [PMID: 31275189 PMCID: PMC6593041 DOI: 10.3389/fpsyg.2019.01220] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 05/08/2019] [Indexed: 12/13/2022] Open
Abstract
It is known that patients with Parkinson's Disease (PD) may show deficits in several areas of cognition, including speech and language abilities. One domain of particular interest is pragmatics, which refers to the capacity of using language in context for a successful communication. Several studies showed that some specific aspects of pragmatics - both in production and in comprehension - might be impaired in patients with PD. However, a clear picture of pragmatic abilities in PD is still missing, as most of the existing studies focused on specific aspects of the pragmatic competence rather than on sketching a complete pragmatic profile. Moreover, little is known on the potential role of protective factors in compensating the decline of communicative skills as the disease progresses. The present study has two aims: (1) to provide a complete picture of pragmatic abilities in patients with PD, by using a comprehensive battery (Assessment of Pragmatic Abilities and Cognitive Substrates, APACS) and by investigating the relationship with other aspects of cognitive functioning (e.g., working memory and Theory of Mind) and (2) to investigate whether Cognitive Reserve, i.e., the resilience to cognitive impairment provided by life experiences and activities, may compensate for the progressive pragmatic deficits in PD. We found that patients with PD, compared to healthy matched controls, had worse performance in discourse production and in the description of scenes, and that these impairments were tightly correlated with the severity of motor impairment, suggesting reduced intentionality of engaging in a communicative exchange. Patients with PD showed also an impairment in comprehending texts and humor, suggesting a problem in inferring from stories, which was related to general cognitive impairment. Notably, we did not find any significant difference between patients and controls in figurative language comprehension, a domain that is commonly impaired in other neurodegenerative diseases. This might be indicative of a specific profile of pragmatic impairment in patients with PD, worth of further investigation. Finally, Cognitive Reserve measures showed a high degree of association with pragmatic comprehension abilities, suggesting that the modification of life-styles could be a good candidate for compensating the possible problems in understanding the pragmatic aspects of language experienced by patients with PD.
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Affiliation(s)
- Sonia Montemurro
- Department of General Psychology, University of Padua, Padua, Italy.,Human Inspired Technology Research Centre, University of Padua, Padua, Italy
| | - Sara Mondini
- Department of General Psychology, University of Padua, Padua, Italy.,Human Inspired Technology Research Centre, University of Padua, Padua, Italy
| | | | - Anna Marchetto
- Gruppo Veneto Diagnostica e Riabilitazione, Padua, Italy
| | - Valentina Bambini
- Center for Neurocognition, Epistemology and Theoretical Syntax, University School of Advanced Studies IUSS, Pavia, Italy
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6
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Galandra C, Basso G, Manera M, Crespi C, Giorgi I, Vittadini G, Poggi P, Canessa N. Abnormal fronto-striatal intrinsic connectivity reflects executive dysfunction in alcohol use disorders. Cortex 2019; 115:27-42. [PMID: 30738999 DOI: 10.1016/j.cortex.2019.01.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 11/19/2018] [Accepted: 01/10/2019] [Indexed: 12/12/2022]
Abstract
The neural bases of cognitive impairment(s) in alcohol use disorders (AUDs) have been explained either with the specific involvement of frontal regions mostly affected by alcohol neurotoxic effects, or with a global brain damage underlying different neuro-cognitive alterations. Novel insights into this issue might come from the analysis of resting-state brain activity, representing a baseline level of intrinsic connectivity within and between the networks underlying cognitive performance. We thus addressed the neural bases of cognitive impairment(s) in 22 AUD patients, compared with 18 healthy controls, by coupling resting-state fMRI with an in-depth neuropsychological assessment of the main cognitive domains. We assessed a relationship between AUD patients' cognitive impairment and two complementary facets of intrinsic brain functioning, i.e., intensity of activation and functional network connectivity, related to the strength of connectivity within and between resting-state networks, respectively. Alcoholic patients' decreased cognitive performance involved specifically an executive domain associated with attentional and working-memory tasks. This impairment reflected an abnormal relationship, in patients versus controls, between cognitive performance and the intensity of intrinsic activity in the dorsolateral prefrontal and striatal nodes of the executive control network. Functional connectivity between the same structures was positively correlated with executive performance in the whole sample, but significantly reduced in patients. The present data suggest that AUD patients' executive impairment reflects dysfunctional connectivity between the cortical and subcortical nodes of the networks underlying cognitive control on goal-directed behavior. This evidence provides a baseline for future studies addressing the abnormal neural architecture underlying cognitive impairment in AUDs and the outcome of rehabilitative treatment.
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Affiliation(s)
- Caterina Galandra
- Scuola universitaria superiore IUSS, Pavia, Italy; Cognitive Neuroscience Laboratory, ICS Maugeri, Pavia, Italy; LabNIT, ICS Maugeri, Pavia, Italy
| | - Gianpaolo Basso
- LabNIT, ICS Maugeri, Pavia, Italy; University of Milano-Bicocca, Milan, Italy
| | | | - Chiara Crespi
- Scuola universitaria superiore IUSS, Pavia, Italy; LabNIT, ICS Maugeri, Pavia, Italy
| | - Ines Giorgi
- Clinical Psychology Unit, ICS Maugeri, Pavia, Italy
| | | | | | - Nicola Canessa
- Scuola universitaria superiore IUSS, Pavia, Italy; Cognitive Neuroscience Laboratory, ICS Maugeri, Pavia, Italy.
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7
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Scarpina F, Cau N, Cimolin V, Galli M, Priano L, Mauro A. Defective Tool Embodiment in Body Representation of Individuals Affected by Parkinson's Disease: A Preliminary Study. Front Psychol 2019; 9:2489. [PMID: 30666219 PMCID: PMC6330277 DOI: 10.3389/fpsyg.2018.02489] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Accepted: 11/22/2018] [Indexed: 12/27/2022] Open
Abstract
When efficiently used for action, tools become part of the body, with effect on the spatial-temporal movement parameters and body size perception. Until now, no previous investigation has been reported about tool embodiment in Parkinson’s disease (PD), which is a neurological disease characterized by several sensory and motor symptoms affecting body and action. We enrolled 14 individuals affected by PD and 18 healthy individuals as controls. We studied the spatial-temporal parameters on self-paced free pointing movement task, via an optoelectronic system, before and after a short training in which a 27-cm long rod was used to point toward a far target. Moreover, we investigated changes in estimation of arm length through the Tactile Estimation Task. After the tool-use training, controls showed changes in spatial-temporal parameters: they were slower to perform movements and reported a higher value of deceleration than the baseline. However, such a difference did not emerge in the PD individuals. In the Tactile Discrimination Task, no difference emerged before and after the tool-use training in both groups. Our results were suggestive of possible difficulties of the tool embodiment process in PD. We discussed our results in relation to aberrant multisensory integration as well as in terms of the effect of PD sensory and motor symptoms on body schema plasticity. The present study points at a novel way to conceive PD sensory motor signs and symptoms in terms of their effect on individuals’ body representation.
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Affiliation(s)
- Federica Scarpina
- Istituto Auxologico Italiano, IRCCS, Divisione di Neurologia e Neuroriabilitazione, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Nicola Cau
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy
| | - Veronica Cimolin
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy
| | - Manuela Galli
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.,IRCCS San Raffaele Pisana, Tosinvest Sanità Roma, Rome, Italy
| | - Lorenzo Priano
- Istituto Auxologico Italiano, IRCCS, Divisione di Neurologia e Neuroriabilitazione, Ospedale San Giuseppe, Piancavallo (VCO), Italy.,Department of Neuroscience "Rita Levi Montalcini", University of Turin, Turin, Italy
| | - Alessandro Mauro
- Istituto Auxologico Italiano, IRCCS, Divisione di Neurologia e Neuroriabilitazione, Ospedale San Giuseppe, Piancavallo (VCO), Italy.,Department of Neuroscience "Rita Levi Montalcini", University of Turin, Turin, Italy
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8
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Cipolotti L, MacPherson SE, Gharooni S, van-Harskamp N, Shallice T, Chan E, Nachev P. Cognitive estimation: Performance of patients with focal frontal and posterior lesions. Neuropsychologia 2018; 115:70-77. [PMID: 28811256 PMCID: PMC6018564 DOI: 10.1016/j.neuropsychologia.2017.08.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 08/02/2017] [Accepted: 08/10/2017] [Indexed: 11/24/2022]
Abstract
The Cognitive Estimation Test (CET) is a widely used test to investigate estimation abilities requiring complex processes such as reasoning, the development and application of appropriate strategies, response plausibility checking as well as general knowledge and numeracy (e.g., Shallice and Evans, 1978; MacPherson et al., 2014). Thus far, it remains unknown whether the CET is both sensitive and specific to frontal lobe dysfunction. Neuroimaging techniques may not represent a useful methodology for answering this question since the complex processes involved are likely to be associated with a large network of brain regions, some of which are not functionally necessary to successfully carry out the CET. Instead, neuropsychological studies may represent a more promising investigation tool for identifying the brain areas necessary for CET performance. We recently developed two new versions of the CET (CET-A and CET-B; MacPherson et al., 2014). We investigated the overall performance and conducted an error analysis on CET-A in patients with focal, unilateral, frontal (n = 38) or posterior (n = 22) lesions and healthy controls (n = 39). We found that frontal patients' performance was impaired compared to healthy controls on CET. We also found that frontal patients generated significantly poorer estimates than posterior patients on CET-A. This could not be explained by impairments in fluid intelligence. The error analyses suggested that for CET-A, extreme and very extreme responses are impaired following frontal lobe damage. However, only very extreme responses are significantly more impaired following frontal lobe than posterior damage and so represent a measure restricted to frontal "executive" impairment, in addition to overall CET performance.
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Affiliation(s)
- Lisa Cipolotti
- Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, London, UK; Dipartimento di Scienze Psicologiche, Pedagogiche e della Formazione, Università degli Studi di Palermo, Palermo, Italy.
| | - Sarah E MacPherson
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK; Department of Psychology, University of Edinburgh, Edinburgh, UK
| | - Sara Gharooni
- Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, London, UK
| | - Natasja van-Harskamp
- Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, London, UK
| | - Tim Shallice
- Institute of Cognitive Neuroscience, University College London, UK; International School for Advanced Studies (SISSA-ISAS), Trieste, Italy
| | - Edgar Chan
- Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, London, UK
| | - Parashkev Nachev
- Institute of Neurology, UCL, UK & National Hospital for Neurology and Neurosurgery, London, UK
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9
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Scarpina F, Mauro A, D'Aniello GE, Albani G, Castelnuovo G, Ambiel E, MacPherson SE. Cognitive Estimation in Non-demented Parkinson's Disease. Arch Clin Neuropsychol 2018; 32:381-390. [PMID: 28334403 DOI: 10.1093/arclin/acx019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Accepted: 02/12/2017] [Indexed: 11/13/2022] Open
Abstract
Objective The Cognitive Estimation Test (CET) is widely used in clinical and research settings to assess the ability to produce reasonable estimates to items that individuals would not know that the exact answer (e.g., "How fast do race horses run?"). We examined the performance of non-demented Parkinson's disease (PD) patients on the CET, because previous studies reported heterogeneous results about possible cognitive estimation impairments in PD. We also examined whether PD patients improve their performance if given the chance to reconsider their initial CET responses. Methods Thirty non-demented idiopathic PD patients and 30 healthy controls matched in age, gender and years of education performed the two parallel forms of Italian CET. The estimation scores for initial and final responses as well as the number of times individuals changed their answers were examined. Additional neuropsychological tests, evaluating intellectual, frontal executive, speed of processing, naming and arithmetical abilities, were also administered. Results The PD group were not significantly poorer than healthy controls at estimating the answers to items on either CET versions. Moreover, PD patients did not significantly differ in their initial and final responses or number of response changes. Performance on the CET was significantly related to performance on a global measure of executive function, processing speed and arithmetic. However, PD patients were impaired compared to controls on the component involving mainly, but not exclusively, length-related estimations. Conclusions Non-demented PD patients have mild impairments in cognitive estimation ability, which may depend on the estimations they are required to provide.
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Affiliation(s)
- Federica Scarpina
- "Rita Levi Montalcini" Department of Neuroscience, University of Turin, Italy.,Psychology Research Laboratory, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Alessandro Mauro
- "Rita Levi Montalcini" Department of Neuroscience, University of Turin, Italy.,Division of Neurology and Neuro-Rehabilitation, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Guido E D'Aniello
- Psychology Research Laboratory, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Giovani Albani
- Division of Neurology and Neuro-Rehabilitation, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Gianluca Castelnuovo
- Psychology Research Laboratory, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy.,Department of Psychology,Università Cattolica del Sacro Cuore, Milan, Italy
| | - Erika Ambiel
- Psychology Research Laboratory, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Piancavallo (VCO), Italy
| | - Sarah E MacPherson
- Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, UK.,Department of Psychology, University of Edinburgh, UK
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10
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Fortune DG, Richards HL. Assessing Cognitive Estimation and Its Effects on Community Integration in People with Acquired Brain Injury Undergoing Rehabilitation. BIOMED RESEARCH INTERNATIONAL 2017; 2017:2874819. [PMID: 28815180 PMCID: PMC5549505 DOI: 10.1155/2017/2874819] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 05/25/2017] [Accepted: 06/04/2017] [Indexed: 01/13/2023]
Abstract
The purpose of the present study was to examine the convergent and divergent validity of the Biber Cognitive Estimation Test (BCET) in individuals with ABI undergoing postacute rehabilitation and to assess the measure's ability to account for unique variance in community integration following rehabilitation. Participants with ABI referred for postacute rehabilitation (N = 201) were assessed on the BCET and a number of other neuropsychological tests that have been demonstrated to rely on aspects of executive processing (Trail-Making Test, Modified Six Elements Test, and verbal fluency measures) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Internal consistency of the total BCET was good; however, interpretable solutions for existing subscales were not discerned. The BCET total score demonstrated positive associations with tests of executive functioning; however, it was also significantly associated with more general aspects of neuropsychological functioning suggesting that it does not solely assess executive processes in ABI patients undergoing rehabilitation. Hierarchical multiple regression suggested that the BCET accounted for significant additional variance in community integration after severity of disability, executive functioning, and more general aspects of neuropsychological status were statistically controlled. While the subscale structure of the BCET may be somewhat inconsistent, the total scale score accounts for some unique variance in pragmatic rehabilitation outcome and may be a useful tool in postacute rehabilitation assessment protocols.
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Affiliation(s)
- Dónal G. Fortune
- Department of Psychology, University of Limerick, Limerick, Ireland
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11
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D'Aniello GE, Castelnuovo G, Scarpina F. Could cognitive estimation ability be a measure of cognitive reserve? Front Psychol 2015; 6:608. [PMID: 25999909 PMCID: PMC4423304 DOI: 10.3389/fpsyg.2015.00608] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Accepted: 04/23/2015] [Indexed: 11/25/2022] Open
Affiliation(s)
- Guido E D'Aniello
- Psychology Research Laboratory, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Auxologico Italiano, Ospedale San Giuseppe Piancavallo, Italy
| | - Gianluca Castelnuovo
- Psychology Research Laboratory, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Auxologico Italiano, Ospedale San Giuseppe Piancavallo, Italy ; Department of Psychology, Università Cattolica del Sacro Cuore Milan, Italy
| | - Federica Scarpina
- Psychology Research Laboratory, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Auxologico Italiano, Ospedale San Giuseppe Piancavallo, Italy ; "Rita Levi Montalcini" Department of Neuroscience, University of Turin Turin, Italy
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