Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition

Objective. Several studies have reported that people with Parkinson’s disease (PD) perform poorly on tests of ‘Theory of Mind’ (ToM), suggesting impairment in the ability to understand and infer other people’s thoughts and feelings. However, few studies have sought to separate the processes involved...

Full description

Saved in:
Bibliographic Details
Main Authors: Jennifer A. Foley, Claire Lancaster, Elena Poznyak, Olga Borejko, Elaine Niven, Thomas Foltynie, Sharon Abrahams, Lisa Cipolotti
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2019/5480913
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565025771880448
author Jennifer A. Foley
Claire Lancaster
Elena Poznyak
Olga Borejko
Elaine Niven
Thomas Foltynie
Sharon Abrahams
Lisa Cipolotti
author_facet Jennifer A. Foley
Claire Lancaster
Elena Poznyak
Olga Borejko
Elaine Niven
Thomas Foltynie
Sharon Abrahams
Lisa Cipolotti
author_sort Jennifer A. Foley
collection DOAJ
description Objective. Several studies have reported that people with Parkinson’s disease (PD) perform poorly on tests of ‘Theory of Mind’ (ToM), suggesting impairment in the ability to understand and infer other people’s thoughts and feelings. However, few studies have sought to separate the processes involved in social reasoning from those involved in managing the inhibitory demands on these tests. In this study, we investigated the contribution of inhibition to ToM performance in PD. Methods. 18 PD patients and 22 age-matched healthy controls performed a ToM test that separates the ability to infer someone else’s perspective from the ability to inhibit one’s own. Participants also completed a battery of standard measures of social and executive functioning, including measures of inhibition. Results. The PD patients performed worse on the ToM test only when the inhibitory demands were high. When the level of inhibition required was reduced, there were no significant group differences. Furthermore, executive impairments in PD patients were limited to measures of inhibition, with disadvantages associated with poorer ToM performance in this group. Conclusions. This study provides convincing evidence that the apparent impairment observed on ToM tests in PD is explained by deficits in inhibition.
format Article
id doaj-art-6213d0a86640423890b10ef246a64f68
institution Kabale University
issn 2090-8083
2042-0080
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Parkinson's Disease
spelling doaj-art-6213d0a86640423890b10ef246a64f682025-02-03T01:09:36ZengWileyParkinson's Disease2090-80832042-00802019-01-01201910.1155/2019/54809135480913Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in InhibitionJennifer A. Foley0Claire Lancaster1Elena Poznyak2Olga Borejko3Elaine Niven4Thomas Foltynie5Sharon Abrahams6Lisa Cipolotti7National Hospital for Neurology and Neurosurgery, Queen Square, London, UKUCL Institute of Neurology, Queen Square, London, UKUCL Institute of Neurology, Queen Square, London, UKUCL Institute of Neurology, Queen Square, London, UKPsychology, University of Dundee, Dundee, UKNational Hospital for Neurology and Neurosurgery, Queen Square, London, UKHuman Cognitive Neuroscience–PPLS, University of Edinburgh, Edinburgh, UKNational Hospital for Neurology and Neurosurgery, Queen Square, London, UKObjective. Several studies have reported that people with Parkinson’s disease (PD) perform poorly on tests of ‘Theory of Mind’ (ToM), suggesting impairment in the ability to understand and infer other people’s thoughts and feelings. However, few studies have sought to separate the processes involved in social reasoning from those involved in managing the inhibitory demands on these tests. In this study, we investigated the contribution of inhibition to ToM performance in PD. Methods. 18 PD patients and 22 age-matched healthy controls performed a ToM test that separates the ability to infer someone else’s perspective from the ability to inhibit one’s own. Participants also completed a battery of standard measures of social and executive functioning, including measures of inhibition. Results. The PD patients performed worse on the ToM test only when the inhibitory demands were high. When the level of inhibition required was reduced, there were no significant group differences. Furthermore, executive impairments in PD patients were limited to measures of inhibition, with disadvantages associated with poorer ToM performance in this group. Conclusions. This study provides convincing evidence that the apparent impairment observed on ToM tests in PD is explained by deficits in inhibition.http://dx.doi.org/10.1155/2019/5480913
spellingShingle Jennifer A. Foley
Claire Lancaster
Elena Poznyak
Olga Borejko
Elaine Niven
Thomas Foltynie
Sharon Abrahams
Lisa Cipolotti
Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition
Parkinson's Disease
title Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition
title_full Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition
title_fullStr Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition
title_full_unstemmed Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition
title_short Impairment in Theory of Mind in Parkinson’s Disease Is Explained by Deficits in Inhibition
title_sort impairment in theory of mind in parkinson s disease is explained by deficits in inhibition
url http://dx.doi.org/10.1155/2019/5480913
work_keys_str_mv AT jenniferafoley impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT clairelancaster impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT elenapoznyak impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT olgaborejko impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT elaineniven impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT thomasfoltynie impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT sharonabrahams impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition
AT lisacipolotti impairmentintheoryofmindinparkinsonsdiseaseisexplainedbydeficitsininhibition