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Published on: January 6, 2011
Subthalamic nucleus stimulation affects incentive salience attribution in Parkinson's disease
Tereza Serranová1, Robert Jech, Petr Dušek
1Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, 1st Faculty of Medicine and General University Hospital, Prague, Czech Republic. tereza.serranova@gmail.com
Deep brain stimulation (DBS) for Parkinson's disease (PD) alters how patients perceive emotional stimuli. STN DBS may increase sensitivity to negative stimuli and food cues, potentially leading to weight gain.
Area of Science:
- Neuroscience
- Psychiatry
- Neurology
Background:
- Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a Parkinson's disease (PD) treatment.
- Nonmotor side effects like mood changes and weight gain are observed with STN DBS.
Purpose of the Study:
- To investigate if STN DBS affects the attribution of incentive salience to emotional stimuli in PD patients.
- To explore the relationship between STN DBS, emotional perception, and weight gain.
Main Methods:
- Compared emotional and arousal ratings of visual stimuli between PD patients with STN DBS ON/OFF and healthy controls.
- Utilized the International Affective Picture System for stimulus selection.
- Correlated postoperative weight gain with arousal ratings in the STN DBS ON condition.
Main Results:
- PD patients with STN DBS ON rated aversive pictures as less negative compared to STN DBS OFF and controls.
- A trend suggested STN DBS OFF ratings were less different from controls than STN DBS ON.
- Weight gain post-surgery correlated with arousal ratings for food pictures during STN DBS ON.
Conclusions:
- STN DBS appears to enhance the motivational salience of aversive stimuli.
- Increased sensitivity to food cues during STN DBS may contribute to weight gain in PD patients.
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