Home > Publications Database > Impact of Parkinson Medication on Neuropsychiatric and Neurocognitive Symptoms in Patients with Advanced Parkinson Disease Prior to Deep Brain Stimulation. > print |
001 | 274048 | ||
005 | 20250127091413.0 | ||
024 | 7 | _ | |a 2510-9642 |2 ISSN |
024 | 7 | _ | |a 10.1055/a-2446-6877 |2 doi |
024 | 7 | _ | |a pmid:39572152 |2 pmid |
024 | 7 | _ | |a 0176-3679 |2 ISSN |
024 | 7 | _ | |a 0031-7098 |2 ISSN |
024 | 7 | _ | |a 0720-4280 |2 ISSN |
024 | 7 | _ | |a 1439-0795 |2 ISSN |
037 | _ | _ | |a DZNE-2025-00029 |
041 | _ | _ | |a English |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Haeckert, Jan |b 0 |
245 | _ | _ | |a Impact of Parkinson Medication on Neuropsychiatric and Neurocognitive Symptoms in Patients with Advanced Parkinson Disease Prior to Deep Brain Stimulation. |
260 | _ | _ | |a Stuttgart [u.a.] |c 2025 |b Thieme |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1736940368_25677 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a This study evaluates the impact of Parkinson disease (PD) medication in advanced PD on neuropsychological performance, psychiatric symptoms, impulsivity and the quality of life. In the 4-year period 27 patients with advanced PD, scheduled for deep brain stimulation (DBS) surgery (N=27, mean age: 58.9±7.1, disease duration: 10.0 years±4.2) were examined preoperatively. We hypothesized that a high dosage of PD medication or current use of dopamine agonists affect cognitive functioning and psychiatric wellbeing.We performed two subgroup analyses with low versus high levodopa-equivalent Dosage (LED) medication and without versus with dopaminagonistic medication.The neuropsychological testing revealed significant differences in the verbal learn- and memory-test (VLMT) during the learning passage (U=36.500, Z=- 2.475, p=0.012) and in the subtest of the semantic fluency of Regensburg verbal fluency test (RWT) (t(25)=- 2.066, p=0.049) with better results for patients without dopaminagonistic medication. Pearson correlation analyses of LED in correlation with the clinical and cognitive dependent variables showed a significant higher PANSS total score in patients with higher LED medication (r=0.491, p=0.009). In addition, lower LED treatment was associated with significant higher scores in the impulsivity perseverance subtest (r=- 0.509, p=0.008).In conclusion, we found lower LEDs to be correlated with a better perseverance in the impulsivity test and additional treatment with a dopamine agonist influenced some verbal learning tasks and the PANSS total score in patients with advanced PD. This should be considered prior to DBS surgery. |
536 | _ | _ | |a 353 - Clinical and Health Care Research (POF4-353) |0 G:(DE-HGF)POF4-353 |c POF4-353 |f POF IV |x 0 |
588 | _ | _ | |a Dataset connected to CrossRef, PubMed, , Journals: pub.dzne.de |
650 | _ | 7 | |a Antiparkinson Agents |2 NLM Chemicals |
650 | _ | 7 | |a Dopamine Agonists |2 NLM Chemicals |
650 | _ | 7 | |a Levodopa |0 46627O600J |2 NLM Chemicals |
650 | _ | 2 | |a Humans |2 MeSH |
650 | _ | 2 | |a Parkinson Disease: drug therapy |2 MeSH |
650 | _ | 2 | |a Parkinson Disease: psychology |2 MeSH |
650 | _ | 2 | |a Parkinson Disease: complications |2 MeSH |
650 | _ | 2 | |a Parkinson Disease: therapy |2 MeSH |
650 | _ | 2 | |a Deep Brain Stimulation |2 MeSH |
650 | _ | 2 | |a Male |2 MeSH |
650 | _ | 2 | |a Middle Aged |2 MeSH |
650 | _ | 2 | |a Female |2 MeSH |
650 | _ | 2 | |a Neuropsychological Tests |2 MeSH |
650 | _ | 2 | |a Aged |2 MeSH |
650 | _ | 2 | |a Antiparkinson Agents: therapeutic use |2 MeSH |
650 | _ | 2 | |a Quality of Life |2 MeSH |
650 | _ | 2 | |a Dopamine Agonists: therapeutic use |2 MeSH |
650 | _ | 2 | |a Levodopa: therapeutic use |2 MeSH |
650 | _ | 2 | |a Cognition: drug effects |2 MeSH |
700 | 1 | _ | |a Roeh, Astrid |b 1 |
700 | 1 | _ | |a Karch, Susanne |b 2 |
700 | 1 | _ | |a Koeglsperger, Thomas |0 P:(DE-2719)2810825 |b 3 |u dzne |
700 | 1 | _ | |a Hasan, Alkomiet |b 4 |
700 | 1 | _ | |a Papazova, Irina |b 5 |
773 | _ | _ | |a 10.1055/a-2446-6877 |g Vol. 58, no. 1, p. 5 - 13 |0 PERI:(DE-600)2041961-2 |n 1 |p 5 - 13 |t Pharmacopsychiatry |v 58 |y 2025 |x 0176-3679 |
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