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Personality May Not Predict Parkinson's
By Randy Dotinga
HealthDay Reporter

FRIDAY, June 12 (HealthDay News) -- New research sheds light on two of the 
mysteries of Parkinson's disease: the spike in creativity that some people 
develop and a personality type that is thought to be shared by many with the 
disease.

One new study reports that those who develop heightened creativity lose some 
of it when they go off certain drugs. And another study has found no link 
between the kinds of personalities people had in their younger years and 
their risk of developing Parkinson's.

The second finding is disappointing because it appears to mean that doctors 
won't have a potential tool to predict the disease, said Dr. Walter A. 
Rocca, a professor of epidemiology and neurology at the Mayo Clinic College 
of Medicine.

"There is this very interesting possibility that people at risk of 
Parkinson's disease could be recognizable many years before they develop the 
disease itself," Rocca said. "As far as we can tell, this does not seem to 
be true for personality traits."

Doctors who treat people with Parkinson's had thought differently for quite 
some time, he said. The assumption was that Parkinson's patients often 
"would be less willing to take risks or chances, a little bit more morally 
rigid," Rocca said. "They were into following the rules, very straight, 
introverted, punctual, conventional."

In their study, Rocca and his colleagues looked at the medical records of 
6,842 people who took a test in the early 1960s that gauged their 
personalities. They then were followed for 40 years to see what happened to 
them.
Of the participants, 156 developed Parkinson's disease. But the researchers 
found no indication that people with specific personality types were more 
likely to develop the disease.

"The beauty of the study is that it's very historical," Rocca said. "You're 
really able to measure people when they had no clue" that they'd develop 
Parkinson's disease.

Yet despite the findings, he said, it's possible that personalities might 
have something to do with Parkinson's. "People can argue there are other 
ways of measuring personality, other personality traits we did not 
consider," he said.

It's also possible that personalities might change when people develop the 
disease, and families might think the changes began earlier, he said.

The findings are being released this week in Paris at the International 
Congress of Parkinson's Disease and Movement Disorders.
Also at the conference, French researchers are reporting that the drugs used 
to treat Parkinson's disease have varying effects on creativity.
The disease is thought to hurt creativity, although treatment with dopamine 
agonist therapy -- which reduces dopamine levels -- can boost it.
The study involved people who underwent deep-brain stimulation, a surgical 
treatment for Parkinson's disease that appears to help some people, although 
it's not entirely clear why.

Researchers found that those who had the treatment and underwent dopamine 
replacement therapy lost creativity if the therapy was too "drastically 
reduced."

The study is so small that "it's hard to extrapolate from this to the 
general Parkinson's population," said Dr. Hooman Azmi, director of movement 
disorders at Hackensack University Medical Center in New Jersey.

But, he said, the findings come from a "very well-respected" group of 
researchers. And previous studies have suggested that creativity is boosted 
as dopamine levels go up, he said.

By contrast, creativity dips in some people with Parkinson's.

"It doesn't just affect their movement," Azmi said. "It affects their whole 
brain function."

There's a potential problem, however. Dopamine can cause mania in some 
people and can lead to gambling addictions and other disorders, Azmi said.

SOURCES: Walter A. Rocca, M.D., M.P.H., professor, epidemiology and 
neurology, Mayo Clinic College of Medicine, Rochester, Minn.; Hooman Azmi, 
M.D., director, movement disorders, Hackensack University Medical Center, 
Hackensack, N.J.; June 8, 2009, presentation, Movement Disorder Society's 
13th International Congress of Parkinson's Disease and Movement Disorders, 
Paris

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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