Troche S J, Trenkwalder C, Morelli-Canelo M, Gibbons H, Rammsayer T H
Georg Elias Müller Institute for Psychology, University of Goettingen, Goettingen, Germany.
Neuropsychologia. 2006;44(10):1811-21. doi: 10.1016/j.neuropsychologia.2006.03.005. Epub 2006 Apr 19.
Mechanisms of selective attention are frequently reported to be impaired in Parkinson's disease (PD). Fundamental to selective attention is attending to relevant information and, concurrently, ignoring irrelevant information. Both processes can be assessed by positive priming (PP) and negative priming (NP) tasks, respectively. Unlike previous studies, in the present experiment, two separate identity- and location-based priming tasks were applied to 48 PD patients and 48 sex- and age-matched healthy controls. Results indicated that identity and location PP were reliably enhanced in PD patients compared to controls. Both groups showed significant location NP of almost identical magnitude but no identity NP. However, there was evidence for a positive functional relationship between severity of bradykinesia and identity NP. Furthermore, with increasing depression scores, location NP was enhanced in PD patients but not in controls. These findings suggest that disturbed selective attention associated with PD is due to changed mechanisms mediating attention to relevant information rather than due to mechanisms involved in inhibition of irrelevant information.
帕金森病(PD)患者的选择性注意机制常被报道存在受损情况。选择性注意的关键在于关注相关信息,同时忽略无关信息。这两个过程可分别通过正启动(PP)和负启动(NP)任务进行评估。与以往研究不同,在本实验中,对48例PD患者和48例性别及年龄匹配的健康对照者应用了两种基于身份和位置的独立启动任务。结果表明,与对照组相比,PD患者的身份和位置PP得到可靠增强。两组均显示出几乎相同程度的显著位置NP,但无身份NP。然而,有证据表明运动迟缓严重程度与身份NP之间存在正功能关系。此外,随着抑郁评分增加,PD患者的位置NP增强,而对照组则未增强。这些发现表明,与PD相关的选择性注意障碍是由于介导对相关信息注意的机制发生改变,而非由于抑制无关信息的机制所致。