Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results
Reversal learning (RL) has been widely used for assessment of behavioral adaptation, impulsivity, obsession, and compulsion in healthy controls as well as people suffering from psychiatric and neurological disorders such as Parkinson’s disease (PD). Nevertheless, studies addressing high cognitive fu...
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doaj-8aca0447c06842469aaebbade4ed1b7d2020-11-25T03:52:55ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612018-09-011210.3389/fnhum.2018.00343384090Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary ResultsCarlos Trenado0Carlos Trenado1Carlos Trenado2Matthias Boschheidgen3Julia Rübenach4Karim N’Diaye5Alfons Schnitzler6Alfons Schnitzler7Luc Mallet8Lars Wojtecki9Lars Wojtecki10Institute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyCenter for Movement Disorders and Neuromodulation, Department of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyDepartment of Psychology and Neurosciences, Translational Neuromodulation Unit, Leibniz Research Centre for Working Environment and Human Factors, TU Dortmund, Dortmund, GermanyInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyInstitut du Cerveau et de la Moelle Épinière, Hôpital Pitié Salpêtrière, Paris, FranceInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyCenter for Movement Disorders and Neuromodulation, Department of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyInstitut du Cerveau et de la Moelle Épinière, Hôpital Pitié Salpêtrière, Paris, FranceInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyCenter for Movement Disorders and Neuromodulation, Department of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyReversal learning (RL) has been widely used for assessment of behavioral adaptation, impulsivity, obsession, and compulsion in healthy controls as well as people suffering from psychiatric and neurological disorders such as Parkinson’s disease (PD). Nevertheless, studies addressing high cognitive functions such as metacognition in PD are scarce. Here, we address for the first time the effect of levodopa and PD on metacognition within the framework of a RL paradigm. In agreement with previous reports, PD patients exhibited reversal shifting impairment with respect to healthy controls (CTRL) regardless of medication condition (MED-ON and MED-OFF), which was supported by a well-known model of learning conditioning (Rescorla–Wagner). In spite that we found a significant association between accuracy and decision confidence level for MED-OFF and CTRL, analysis of metacognitive sensitivity assessed by type 2 signal detection theory (SDT) revealed only a significant underperformance for patients without medication (MED-OFF). This finding points toward a non-compromising positive effect of dopaminergic medication on metacognition for PD.https://www.frontiersin.org/article/10.3389/fnhum.2018.00343/fullbehavioral adaptationreversal learningsubthalamic nucleuslevodopaParkinson’s diseasemetacognition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carlos Trenado Carlos Trenado Carlos Trenado Matthias Boschheidgen Julia Rübenach Karim N’Diaye Alfons Schnitzler Alfons Schnitzler Luc Mallet Lars Wojtecki Lars Wojtecki |
spellingShingle |
Carlos Trenado Carlos Trenado Carlos Trenado Matthias Boschheidgen Julia Rübenach Karim N’Diaye Alfons Schnitzler Alfons Schnitzler Luc Mallet Lars Wojtecki Lars Wojtecki Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results Frontiers in Human Neuroscience behavioral adaptation reversal learning subthalamic nucleus levodopa Parkinson’s disease metacognition |
author_facet |
Carlos Trenado Carlos Trenado Carlos Trenado Matthias Boschheidgen Julia Rübenach Karim N’Diaye Alfons Schnitzler Alfons Schnitzler Luc Mallet Lars Wojtecki Lars Wojtecki |
author_sort |
Carlos Trenado |
title |
Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results |
title_short |
Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results |
title_full |
Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results |
title_fullStr |
Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results |
title_full_unstemmed |
Assessment of Metacognition and Reversal Learning in Parkinson’s Disease: Preliminary Results |
title_sort |
assessment of metacognition and reversal learning in parkinson’s disease: preliminary results |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Human Neuroscience |
issn |
1662-5161 |
publishDate |
2018-09-01 |
description |
Reversal learning (RL) has been widely used for assessment of behavioral adaptation, impulsivity, obsession, and compulsion in healthy controls as well as people suffering from psychiatric and neurological disorders such as Parkinson’s disease (PD). Nevertheless, studies addressing high cognitive functions such as metacognition in PD are scarce. Here, we address for the first time the effect of levodopa and PD on metacognition within the framework of a RL paradigm. In agreement with previous reports, PD patients exhibited reversal shifting impairment with respect to healthy controls (CTRL) regardless of medication condition (MED-ON and MED-OFF), which was supported by a well-known model of learning conditioning (Rescorla–Wagner). In spite that we found a significant association between accuracy and decision confidence level for MED-OFF and CTRL, analysis of metacognitive sensitivity assessed by type 2 signal detection theory (SDT) revealed only a significant underperformance for patients without medication (MED-OFF). This finding points toward a non-compromising positive effect of dopaminergic medication on metacognition for PD. |
topic |
behavioral adaptation reversal learning subthalamic nucleus levodopa Parkinson’s disease metacognition |
url |
https://www.frontiersin.org/article/10.3389/fnhum.2018.00343/full |
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