A multidimensional approach to impulsivity changes in mild Alzheimer's disease and control participants: Cognitive correlates

Rochat, Lucien; Billieux, Joël; Juillerat Van der Linden, Anne-Claude; Annoni, Jean-Marie; Zekry, Dina; Gold, Gabriel; Van der Linden, Martial

doi:10.1016/j.cortex.2011.08.004

Article (Scientific journals)

A multidimensional approach to impulsivity changes in mild Alzheimer's disease and control participants: Cognitive correlates

Rochat, Lucien; Billieux, Joël; Juillerat Van der Linden, Anne-Claude et al.

2013 • In Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 49 (1), p. 90-100

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https://hdl.handle.net/2268/242657

DOI
10.1016/j.cortex.2011.08.004

PubMed
21943808

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Keywords :

Alzheimer; Executive functions; Impulsivity; Inhibition; UPPS Impulsive Behavior scale; Alzheimer disease

Abstract :

[en] Introduction: Impulsive behaviors are frequently described in brain-damaged patients, including patients with Alzheimer's disease (AD). However, few studies have examined impulsivity changes and associated cognitive impairments in AD and healthy controls. Consequently, the first aim of this study was to compare patients with mild AD and matched controls on four dimensions of impulsivity (urgency, lack of premeditation, lack of perseverance, and sensation seeking) recently highlighted in the literature. The second objective was to examine the association between impulsivity changes and cognitive performances on executive/attentional tasks in mild AD and healthy controls. Methods: Thirty patients with mild AD and 30 matched controls were administered a battery of tests that assessed executive and attention processes. In addition, informants of each patient and control completed a short questionnaire designed to assess the changes on the four dimensions of impulsivity (Rochat et al., 2008). Results: Patients with mild AD had higher scores than controls on lack of premeditation and lack of perseverance dimensions of impulsivity, whereas the two groups did not differ on urgency and sensation seeking. Furthermore, patients showed significant decreased performances on measures of inhibition of prepotent responses, set-shifting, and working memory, as well as higher variability of reaction times (RTs) than matched controls. Regression analyses computed on the whole sample emphasized that difficulties in inhibition of prepotent responses significantly predicted higher lack of premeditation, and larger variability of RTs and set-shifting difficulties significantly predicted higher lack of perseverance, even when global cognitive functioning, general processing speed, working memory, and age were controlled for. Urgency and sensation seeking were not associated with any variables. Conclusions: These results provide valuable insight into the nature of brain systems and cognitive processes underlying impulsive behaviors. In addition, they open up interesting prospects for better comprehension of behavioral and psychological symptoms of AD. © 2011 Elsevier Ltd.

Disciplines :

Neurosciences & behavior

Author, co-author :

Rochat, Lucien; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, Geneva, Switzerland, Swiss Centre for Affective Sciences, University of Geneva, Geneva, Switzerland

Billieux, Joël; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, Geneva, Switzerland, Swiss Centre for Affective Sciences, University of Geneva, Geneva, Switzerland

Juillerat Van der Linden, Anne-Claude; Department of Rehabilitation and Geriatrics, Geneva University Hospital, Switzerland

Annoni, Jean-Marie; Neuropsychology Unit, Geneva University Hospital, Geneva, Switzerland, Neurology Unit, Department of Medicine, University of Fribourg, Fribourg, Switzerland

Zekry, Dina; Department of Rehabilitation and Geriatrics, Geneva University Hospital, Switzerland

Gold, Gabriel; Department of Rehabilitation and Geriatrics, Geneva University Hospital, Switzerland

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Language :

English

Title :

A multidimensional approach to impulsivity changes in mild Alzheimer's disease and control participants: Cognitive correlates

Publication date :

2013

Journal title :

Cortex: A Journal Devoted to the Study of the Nervous System and Behavior

ISSN :

0010-9452

eISSN :

1973-8102

Publisher :

Masson SpA

Volume :

Issue :

Pages :

90-100

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 03 January 2020

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