Objective: Parkinson's disease is associated with high rates of depression. There is growing interest in non-pharmacological management including psychological approaches such as Cognitive Behaviour Therapy. To date, little research has investigated whether processes that underpin cognitive models of depression, on which such treatment is based, apply in patients with Parkinson's disease.
View Article and Find Full Text PDFPositive perceptions of illness are typically associated with good health outcomes. However, this may not be true for all domains of illness perception in neurodegenerative diseases because of their progressive incurable nature. The appropriateness of current measures of illness belief in these conditions is not known.
View Article and Find Full Text PDFPatients with semantic dementia (SD) show relative preservation of number skills, contrasting with their severe multimodal semantic impairment. Underpinning this preservation, it is argued, is spared understanding of numerical quantity, a competence likened to a spatial map and subserved by the parietal lobes. The study investigated quantity knowledge in 14 SD patients to determine whether it is consistently preserved irrespective of disease severity or whether there are constraints on this preserved knowledge domain.
View Article and Find Full Text PDFArithmetic skills are generally claimed to be preserved in semantic dementia (SD), suggesting functional independence of arithmetic knowledge from other aspects of semantic memory. However, in a recent case series analysis we showed that arithmetic performance in SD is not entirely normal. The finding of a direct association between severity of patients' semantic disorder and arithmetic impairment pointed to a closer relationship between semantic memory and arithmetic knowledge than previously acknowledged.
View Article and Find Full Text PDFVariation in the clinical characteristics of patients with Alzheimer's disease (AD) is increasingly recognised, although the factors underlying variation are not fully understood. The study examined the cognitive characteristics of 523 AD patients at the time of their presentation to a neurological dementia clinic and explored the relationship to family history and apolipoprotein E (APOE) genotype. Distinct profiles were identified, which were mirrored by topographical differences on neuroimaging.
View Article and Find Full Text PDFJ Neurol Neurosurg Psychiatry
September 2007
Background: Psychiatric symptoms are a common feature of Huntington's disease (HD) and often precede the onset of motor and cognitive impairments. However, it remains unclear whether psychiatric changes in the preclinical period result from structural change, are a reaction to being at risk or simply a coincidental occurrence. Few studies have investigated the temporal course of psychiatric disorder across the preclinical period.
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