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The following are a study on "Cognitive Deficit" in Parkinson's and another on driving and Parkinson's. I thought I was the only one this way!<g> <1> Authors Cooper JA. Sagar HJ. Tidswell P. Jordan N. Institution Department of Clinical Neurology, University of Sheffield, UK. Title Slowed central processing in simple and go/no-go reaction time tasks in Parkinson's disease. Source Brain. 117 ( Pt 3):517-29, 1994 Jun. Abstract Studies of cognition and motor control have independently suggested that patients with Parkinson's disease show deficits in both attentional control and the preprogramming of movement. However, few studies have examined directly the involvement of cognitive processes in the origin of their slowed response. We examined the performance of 100 Parkinson's disease patients on simple reaction time (SRT) and a series of go/no-go cross-modality choice reaction time (CRT) tasks, in which motor response was constant; correct positive responses required attention to a progressively increasing number of dimensions of visual and auditory stimuli. The results showed that Parkinson's disease patients became increasingly impaired in response speed as choice complexity increased. Slowed response speed in Parkinson's disease involved two factors: (i) a 'perceptuomotor' factor which was constant across conditions and independent of choice complexity. Depression affected this factor selectively and independently of confounding associations with impoverished motor control; (ii) a 'cognitive-analytical' factor, which played an increasingly important role as complexity of choice increased. The characteristics of the relationship between response latency and cognitive complexity indicate that the deficit was due to a constant proportional slowing in cognitive speed across all SRT and CRT conditions. A cognitive deficit affecting the monitoring of stimulus-response compatibility may contribute to delayed response in Parkinson's disease. This cognitive-analytical deficit is present in early, untreated cases and, in contrast to perceptuomotor processes, is weakly related to depression. <2> Authors Cooper JA. Sagar HJ. Institution Department of Clinical Neurology, University of Sheffield, UK. Title Incidental and intentional recall in Parkinson's disease: an account based on diminished attentional resources. Source Journal of Clinical & Experimental Neuropsychology. 15(5):713-31, 1993 Sep. Abstract The recall of common objects and their spatial location was examined in 65 patients with Parkinson's disease (PD) under conditions in which available attentional resources were manipulated by secondary task demands. PD patients were impaired at item recall particularly under intentional learning conditions but were unimpaired at recall of spatial location. These findings were similar in newly diagnosed, untreated cases as well as patients who had suffered with the disease for an average of 9.6 years. Test performance was not improved by levodopa therapy, despite it benefiting motor control, and was not impaired by anticholinergic medication. Item recall correlated significantly with other memory measures (particularly tasks of working memory) but only weakly with indices of physical disability and traditional frontal-lobe measures. Spatial recall, by contrast, correlated with memory quotient but no other cognitive measure and depression and disease duration failed to correlate significantly with performance on either recall task. These results are attributed to a deficit in attentional resources in PD that impairs performance most markedly for tasks and conditions that make the greatest demands upon effort. <3> Authors Cooper JA. Sagar HJ. Sullivan EV. Institution University Department of Clinical Neurology, Royal Hallamshire Hospital, Sheffield, U.K. Title Short-term memory and temporal ordering in early Parkinson's disease: effects of disease chronicity and medication. Source Neuropsychologia. 31(9):933-49, 1993 Sep. Abstract Studies of Parkinson's disease (PD) have shown impaired temporal ordering but interpretation may be confounded by task requirements and the effects of medication. We examined item recognition and recency discrimination in PD in relation to treatment and performance on other tests. Patients showed increased response latency and impaired recency discrimination only at short retention intervals. The deficits were greater in chronically medicated patients but treatment with levodopa, bromocriptine or anticholinergic drugs did not affect performance of newly diagnosed cases. The short-term memory deficits correlated with scores on tests of working memory, attention and executive function. These results do not indicate a generalised temporal ordering deficit in PD but suggest that much of the cognitive impairment in the disorder arises from attentional deficits affecting short-term and working memory. <4> Authors Cooper JA. Sagar HJ. Institution University Department of Neurology, Royal Hallamshire Hospital, Sheffield, U.K. Title Encoding deficits in untreated Parkinson's disease. Source Cortex. 29(2):251-65, 1993 Jun. Abstract Short-term memory deficits are prominent in untreated Parkinson's Disease (PD) and speed of central processing is known to be abnormal. To investigate the relationship between these findings, a modification of the Brown-Peterson paradigm was given to newly diagnosed, untreated patients and healthy control subjects (HCS). The PD patients were impaired under conditions of long stimulus exposure but not when study time was short. Although patients displayed deficits in immediate recall, they were more impaired at longer test delays. They achieved fewer encoding operations per unit time, resulting in a divergence of group performance with increasing duration of stimulus exposure. Performance in the PD group did not associate with motor disability, disease duration or rating of depression. These results are discussed in terms of a unifying reduced central processing deficit that is evident in PD but is independent of physical symptoms. John Cottingham [log in to unmask] OR [log in to unmask]