Naturalistic assessment of everyday multitasking in Parkinson's disease with and without mild cognitive impairment.

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-11-01 Epub Date: 2024-03-12 DOI:10.1080/13854046.2024.2325681
Maureen Schmitter-Edgecombe, Katelyn Brown, Reanne Cunningham Chilton, Nicole Whiteley, David Greeley
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Abstract

Objective: Multitasking is an essential part of everyday functioning often not formally assessed by traditional neuropsychological tests. Although individuals with Parkinson's disease (PD) experience both motor and cognitive difficulties, previous research has demonstrated more pronounced functional difficulties with the presence of mild cognitive impairment (PD-MCI). The current study compared individuals with PD-MCI, PD with normal cognition (PD-NC), and healthy controls on a naturalistic task of multitasking, the Day Out Task (DOT). Method: Participants were 38 healthy older adults (HOA), 23 individuals with PD-NC, and 15 individuals with PD-MCI. Participants completed a battery of neuropsychological tasks and the DOT. Informants also completed a self-reported questionnaire of participants' everyday executive functioning. Results: Compared to PD-NC and HOA, participants with PD-MCI were less accurate and efficient and took longer to complete the DOT. After controlling for motor performance, only DOT accuracy remained worse, with poorer accuracy resulted from more subtasks being left incomplete or being completed inaccurately by the PD-MCI group. DOT sequencing was a significant predictor of informant reported everyday dysexecutive symptoms. Conclusions: The findings highlight that individuals with PD-MCI are likely to experience difficulties completing complex everyday tasks due to both motor and cognitive impairments. Clinicians may therefore recommend strategies to support efficiency and accuracy in complex tasks of everyday functioning in treatment considerations.

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对帕金森病患者日常多任务处理的自然评估,包括轻度认知障碍和非轻度认知障碍。
目的多任务处理是日常功能的重要组成部分,传统的神经心理学测试通常无法对其进行正式评估。虽然帕金森病(PD)患者会同时出现运动和认知障碍,但以往的研究表明,轻度认知障碍(PD-MCI)患者的功能障碍更为明显。本研究比较了帕金森病轻度认知障碍患者、认知功能正常的帕金森病患者(PD-NC)和健康对照组在多任务自然任务 "外出任务"(DOT)上的表现。研究方法参与者包括 38 名健康老年人(HOA)、23 名认知正常的帕金森病患者(PD-NC)和 15 名帕金森病-脑梗塞患者。参与者完成了一系列神经心理任务和日间外出任务。信息提供者还完成了一份关于参与者日常执行功能的自我报告问卷。结果:与 PD-NC 和 HOA 相比,PD-MCI 患者完成 DOT 的准确性和效率较低,花费的时间较长。在控制了运动表现后,只有 DOT 的准确性仍然较差,而 PD-MCI 组未完成或完成不准确的子任务较多,导致准确性较差。DOT排序是线人报告的日常执行障碍症状的重要预测因素。结论研究结果表明,PD-MCI 患者很可能因运动和认知障碍而在完成复杂的日常任务时遇到困难。因此,临床医生在考虑治疗方案时,可建议采取一些策略,以提高完成复杂日常任务的效率和准确性。
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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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