A systematic review of decision-making impairments in Parkinson’s Disease: Dopaminergic medication and methodological variability

Sophie Wohlert Kjær , Malene Flensborg Damholdt , Mette Buhl Callesen
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引用次数: 13

Abstract

Cognitive impairments in Parkinson’s disease have been studied with great interest, and decision-making abilities in particular have received attention over the past decade. The degree of decision-making impairments in Parkinson’s disease has been debated in relation to different types of decision-making tasks and the possible effect of dopaminergic medication, among others. The present review presents a systematic overview of literature investigating decision-making in patients with Parkinson’s Disease treated with dopaminergic medication. The aim of the review is to discuss decision-making impairments displayed by patients considering effects of dopaminergic medication. Patients with Parkinson’s Disease on dopaminergic medication were found to be impaired in decision making tasks. Dopaminergic medication has a complex, but often significant, relationship with decision making impairments. Finally, the influence of methodological differences in the assessment of decision-making will be considered offering important implications for future research.

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帕金森氏病决策障碍的系统综述:多巴胺能药物治疗和方法可变性
在过去的十年里,人们对帕金森病的认知障碍有着极大的兴趣,尤其是决策能力受到了人们的关注。帕金森病的决策障碍程度与不同类型的决策任务和多巴胺能药物的可能影响等有关,一直存在争议。本综述对多巴胺能药物治疗帕金森病患者的决策进行了系统的文献综述。本综述的目的是讨论考虑多巴胺能药物作用的患者所表现出的决策障碍。服用多巴胺能药物的帕金森病患者在决策任务中被发现受损。多巴胺能药物与决策障碍有着复杂但重要的关系。最后,将考虑方法差异对决策评估的影响,为未来的研究提供重要意义。
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