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Acting without being in control: Exploring volition in Parkinson's disease with impulsive compulsive behaviours
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Institute of Cognitive Neuroscience, UCL, United Kingdom.
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Number of Authors: 72017 (English)In: Parkinsonism & Related Disorders, ISSN 1353-8020, E-ISSN 1873-5126, Vol. 40, p. 51-57Article in journal (Refereed) Published
Abstract [en]

Background: Several aspects of volitional control of action may be relevant in the pathophysiology of impulsive-compulsive behaviours (ICB) in Parkinson's disease (PD). We aimed to explore multiple aspects of action control, assessing reward-related behaviour, inhibition (externally and internally triggered) and sense of agency in PD patients, with and without ICB compared to healthy subjects. Methods: Nineteen PD patients with ICB (PD-ICB), 19 PD without ICB (PD-no-ICB) and 19 healthy controls (HC) underwent a battery of tests including: Intentional Binding task which measures sense of agency; Stop Signal Reaction Time (SSRT) measuring capacity for reactive inhibition; the Marble task, assessing intentional inhibition; Balloon Analog Risk Task for reward sensitivity. Results: One-way ANOVA showed significant main effect of group for action binding (p = 0.004, F = 6.27). Post hoc analysis revealed that PD-ICB had significantly stronger action binding than HC (p = 0.004), and PD-no-ICB (p = 0.04). There was no difference between PD-no-ICB and HC. SSRT did not differ between PD groups, whereas a significant difference between PD-no-ICB and HC was detected (p = 0.01). No other differences were found among groups in the other tasks. Conclusions: PD patients with ICB have abnormal performance on a psychophysical task assessing sense of agency, which might be related to a deficit in action representation at cognitive/experiential level. Yet, they have no deficit on tasks evaluating externally and internally triggered inhibitory control, or in reward-based decision-making. We conclude that impaired sense of agency may be a factor contributing to ICB in PD patients.

Place, publisher, year, edition, pages
2017. Vol. 40, p. 51-57
Keywords [en]
Parkinson's disease, Impulse control disorders, Impulsive-compulsive behaviours, Sense of agency, Action inhibition, Reward
National Category
Neurosciences
Identifiers
URN: urn:nbn:se:su:diva-145822DOI: 10.1016/j.parkreldis.2017.04.011ISI: 000404703000008PubMedID: 28478995OAI: oai:DiVA.org:su-145822DiVA, id: diva2:1136438
Available from: 2017-08-28 Created: 2017-08-28 Last updated: 2018-01-13Bibliographically approved

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