A search for cortical correlates of trait impulsivity in Parkinson´s disease

BACKGROUND: Impulsivity is an enduring personality trait that is highly relevant for the development of neuropsychiatric disorders. Although impulse control disorders (ICD) are well-characterized non-motor features in Parkinson's disease (PD), mainly related to medication, little is known about...

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Main Authors: Kubera, Katharina Maria (Author) , Schmitgen, Mike (Author) , Nagel, Simon (Author) , Hess, Klaus (Author) , Herweh, Christian (Author) , Hirjak, Dusan (Author) , Wolf, Robert Christian (Author)
Format: Article (Journal)
Language:English
Published: 13 April 2019
In: Behavioural brain research
Year: 2019, Volume: 369
ISSN:1872-7549
DOI:10.1016/j.bbr.2019.111911
Online Access:Verlag, Volltext: http://dx.doi.org/10.1016/j.bbr.2019.111911
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Author Notes:Katharina M. Kubera, Mike M. Schmitgen, Simon Nagel, Klaus Hess, Christian Herweh, Dusan Hirjak, Fabio Sambataro, Robert Christian Wolf
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Summary:BACKGROUND: Impulsivity is an enduring personality trait that is highly relevant for the development of neuropsychiatric disorders. Although impulse control disorders (ICD) are well-characterized non-motor features in Parkinson's disease (PD), mainly related to medication, little is known about neural correlates reflecting trait aspects of impulsivity in PD patients. Here, we address the question whether motor, attentional and non-planning components, measured by the Barratt Impulsiveness Scale (BIS-11), are distinctly related to cortical thickness and cortical folding abnormalities in PD when compared to age-matched healthy controls (HC). - METHOD: We investigated cortical thickness (CT) and complexity of cortical folding (CCF) in 22 PD patients with moderately advanced disease stages without ICD and 18 HC using high-resolution structural magnetic resonance imaging (MRI) data. Surface-based data analysis was driven by CAT12 toolbox. - RESULTS: PD patients showed widespread CT loss in frontal, cingulate, temporo-parietal and occipital regions (FDR corrected at p < 0.05 using threshold-free cluster enhancement). Significant differences in CCF between groups were not found. Using a multiple regression model, CT in inferior and superior frontal, anterior cingulate and precentral regions significantly predicted BIS attentional subscores (p = 0.041). - CONCLUSION: These data suggest a specific cortical trajectory associated with impulsivity in moderately advanced staged PD patients. The attentional dimension of trait impulsivity appears to be specifically related to CT, in contrast to alterations of early neurodevelopmental markers, i. e. CCF. Our results shed light on structural correlates of trait impulsivity in PD patients and establish a baseline for future research into neural risk factors potentially predisposing to ICD development.
Item Description:Gesehen am 12.07.2019
Physical Description:Online Resource
ISSN:1872-7549
DOI:10.1016/j.bbr.2019.111911