Social Problem Solving, Social Cognition, and Mild Cognitive Impairment in Parkinson's Disease
Social Problem Solving, Social Cognition, and Mild Cognitive Impairment in Parkinson's Disease
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DOI：
10.1037/a0030250
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发表时间：
2013-04-01
影响因子：
1.9
通讯作者：
Brown, Richard G.
中科院分区：
文献类型：
--
作者：
Anderson, Rachel J.;Simpson, Anna C.;Brown, Richard G.
认知障碍是帕金森病（PD）的一个公认特征，即使是轻微的，也会影响患者处理日常生活的某些方面的能力。本研究检测了三组参与者解决社会问题的能力：PD伴轻度认知障碍（PD- mci）患者；无认知障碍（PD- n）证据的PD患者；和非pd年龄匹配的对照组。所有参与者都完成了测试他们理解他人行为和讽刺言论的能力的测试；为社会问题提供一系列精选的最佳解决方案；以及他们对解决问题能力的自我认知。PD- mci组出现了缺陷，但PD- n组没有，这表明与病理生理变化相关的困难与认知障碍有关，而不是PD本身。本研究还讨论了PD患者执行功能和社会认知的基础，以及它们对PD患者社会互动和日常问题解决的意义。
Cognitive impairment is a recognized feature of Parkinson's disease (PD), which, even if mild, can impact some aspects of a patient's ability to deal with everyday life. The current study examined the ability to solve social problems in three groups of participants: PD patients with mild cognitive impairment (PD-MCI); PD patients with no evidence of cognitive impairment (PD-N); and non-PD age-matched controls. All participants completed measures examining their ability to understand the actions and sarcastic remarks of others; provide a range of, and select, optimal solutions to social problems; and their self-perception of problem-solving abilities. Deficits emerged in the PD-MCI, but not the PD-N, group, suggesting that difficulties related to pathophysiological changes are associated with cognitive impairment and not PD per se. The findings are discussed with reference to the substrate of executive function and social cognition, and their implications for social interaction and everyday problem solving for people with PD.