Enhanced motivation of cognitive control in Parkinson's disease.

Eur J Neurosci

Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, The Netherlands.

Published: September 2018

AI Article Synopsis

  • Motor and cognitive deficits in Parkinson's disease (PD) are often thought to stem from motivational issues, but recent research suggests that motivation for cognitive control may actually be heightened in PD patients.
  • A study comparing PD patients with and without depression to age-matched healthy controls found that rewards improved task-switching abilities in PD patients, while it made task-switching worse for healthy controls.
  • The results highlight that even though depression is common in PD, it did not impact cognitive performance, suggesting that incentive motivational strategies could be beneficial for addressing cognitive deficits in Parkinson's disease.

Article Abstract

Motor and cognitive deficits in Parkinson's disease (PD) have been argued to reflect motivational deficits. In prior work, however, we have shown that motivation of cognitive control is paradoxically potentiated rather than impaired in Parkinson's disease. This is particularly surprising given the fact that Parkinson's disease is often accompanied by depression, a prototypical disorder of motivation. To replicate our previous finding and assess the effects of depression, we investigated performance of PD patients with (n = 22) and without depression (history) (n = 23) and age-matched healthy controls (n = 23) on a task specifically designed to measure the effect of reward motivation on task-switching. We replicated previous findings by showing contrasting effects of reward motivation on task-switching in PD patients and age-matched healthy controls. While the promise of high versus low reward improved task-switching in PD, it tended to impair task-switching in age-matched healthy controls. There were no effects of a depression (history) diagnosis in PD patients. These findings reinforce prior observations that Parkinson's disease is accompanied by enhanced incentive motivation of cognitive control and highlight the potential of incentive motivational strategies for overcoming cognitive deficits in Parkinson's disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175070PMC
http://dx.doi.org/10.1111/ejn.14137DOI Listing

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