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Related Experiment Videos

Interoceptive processing deficit: A behavioral marker for subtyping Parkinson's disease.

Gabriella Santangelo1, Carmine Vitale2, Chiara Baiano1

  • 1Department of Psychology, University of Campania Luigi Vanvitelli, Caserta, Italy.

Parkinsonism & Related Disorders
|May 12, 2018
PubMed
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Tremor-dominant Parkinson's disease (PD) patients exhibit impaired interoception, affecting their ability to sense internal body states. This finding suggests interoceptive processing deficits can help differentiate PD subtypes.

Area of Science:

  • Neuroscience
  • Clinical Neurology
  • Psychology

Background:

  • Parkinson's disease (PD) presents with non-motor symptoms that vary between tremor-dominant (TD) and postural instability/gait difficulty (PIGD) subtypes.
  • Non-motor symptoms like anxiety and depression are linked to interoception, the sense of the body's internal state.
  • Previous research indicates potential interoceptive deficits in Parkinson's disease.

Purpose of the Study:

  • To investigate if interoceptive processing differs between TD and PIGD subtypes of Parkinson's disease.
  • To assess interoceptive accuracy and sensibility in PD subtypes and healthy controls.

Main Methods:

  • Interoceptive accuracy was measured using a heartbeat perception task.
  • Interoceptive sensibility was evaluated via a subjective interoception questionnaire.
Keywords:
CerebellumInteroceptionParkinson's diseasePostural instability/gait difficulty phenotypeTremor dominant phenotype

Related Experiment Videos

  • Patients also completed assessments for anxiety, depression, apathy, anhedonia, and impulsive-compulsive behaviors.
  • Main Results:

    • Patients with the TD subtype of Parkinson's disease showed reduced interoceptive accuracy and sensibility compared to PIGD patients and controls.
    • The TD group's deficits in interoceptive accuracy were specific, as their performance on a control time-estimation task was similar to other groups.

    Conclusions:

    • Interoceptive processing deficits are more pronounced in the tremor-dominant subtype of Parkinson's disease.
    • Behavioral assessment of interoception can serve as a valuable marker for subtyping Parkinson's disease patients.