Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.

Impairments in executive functioning are frequently observed in Parkinson's disease (PD). However, executive functioning needed in daily life is difficult to measure. Considering this difficulty the Cognitive Effort Test (CET) was recently developed. In this multi-task test the goals are specif...

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Autores principales:	Janneke Koerts, Marije Van Beilen, Oliver Tucha, Klaus L Leenders, Wiebo H Brouwer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/399f7703227e4786b3c1b739eee5331d
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spelling	oai:doaj.org-article:399f7703227e4786b3c1b739eee5331d2021-11-18T07:31:48ZExecutive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.1932-620310.1371/journal.pone.0029254https://doaj.org/article/399f7703227e4786b3c1b739eee5331d2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22206004/?tool=EBIhttps://doaj.org/toc/1932-6203Impairments in executive functioning are frequently observed in Parkinson's disease (PD). However, executive functioning needed in daily life is difficult to measure. Considering this difficulty the Cognitive Effort Test (CET) was recently developed. In this multi-task test the goals are specified but participants are free in their approach. This study applies the CET in PD patients and investigates whether initiative, planning and multi-tasking are associated with aspects of executive functions and psychomotor speed. Thirty-six PD patients with a mild to moderate disease severity and thirty-four healthy participants were included in this study. PD patients planned and demonstrated more sequential task execution, which was associated with a decreased psychomotor speed. Furthermore, patients with a moderate PD planned to execute fewer tasks at the same time than patients with a mild PD. No differences were found between these groups for multi-tasking. In conclusion, PD patients planned and executed the tasks of the CET sequentially rather than in parallel presumably reflecting a compensation strategy for a decreased psychomotor speed. Furthermore, patients with moderate PD appeared to take their impairments into consideration when planning how to engage the tasks of the test. This compensation could not be detected in patients with mild PD.Janneke KoertsMarije Van BeilenOliver TuchaKlaus L LeendersWiebo H BrouwerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 12, p e29254 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Janneke Koerts Marije Van Beilen Oliver Tucha Klaus L Leenders Wiebo H Brouwer Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.
description	Impairments in executive functioning are frequently observed in Parkinson's disease (PD). However, executive functioning needed in daily life is difficult to measure. Considering this difficulty the Cognitive Effort Test (CET) was recently developed. In this multi-task test the goals are specified but participants are free in their approach. This study applies the CET in PD patients and investigates whether initiative, planning and multi-tasking are associated with aspects of executive functions and psychomotor speed. Thirty-six PD patients with a mild to moderate disease severity and thirty-four healthy participants were included in this study. PD patients planned and demonstrated more sequential task execution, which was associated with a decreased psychomotor speed. Furthermore, patients with a moderate PD planned to execute fewer tasks at the same time than patients with a mild PD. No differences were found between these groups for multi-tasking. In conclusion, PD patients planned and executed the tasks of the CET sequentially rather than in parallel presumably reflecting a compensation strategy for a decreased psychomotor speed. Furthermore, patients with moderate PD appeared to take their impairments into consideration when planning how to engage the tasks of the test. This compensation could not be detected in patients with mild PD.
format	article
author	Janneke Koerts Marije Van Beilen Oliver Tucha Klaus L Leenders Wiebo H Brouwer
author_facet	Janneke Koerts Marije Van Beilen Oliver Tucha Klaus L Leenders Wiebo H Brouwer
author_sort	Janneke Koerts
title	Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.
title_short	Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.
title_full	Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.
title_fullStr	Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.
title_full_unstemmed	Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.
title_sort	executive functioning in daily life in parkinson's disease: initiative, planning and multi-task performance.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/399f7703227e4786b3c1b739eee5331d
work_keys_str_mv	AT jannekekoerts executivefunctioningindailylifeinparkinsonsdiseaseinitiativeplanningandmultitaskperformance AT marijevanbeilen executivefunctioningindailylifeinparkinsonsdiseaseinitiativeplanningandmultitaskperformance AT olivertucha executivefunctioningindailylifeinparkinsonsdiseaseinitiativeplanningandmultitaskperformance AT klauslleenders executivefunctioningindailylifeinparkinsonsdiseaseinitiativeplanningandmultitaskperformance AT wiebohbrouwer executivefunctioningindailylifeinparkinsonsdiseaseinitiativeplanningandmultitaskperformance
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Executive functioning in daily life in Parkinson's disease: initiative, planning and multi-task performance.

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