Mind-wandering in Parkinson's disease hallucinations reflects primary visual and default network coupling
Ishan C Walpola1, Alana J Muller1, Julie M Hall2
1Brain and Mind Centre and Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Patients with Parkinson's disease experiencing visual hallucinations show increased mind-wandering. This phenomenon is linked to heightened brain network coupling between visual and default networks, suggesting a role in hallucination generation.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neurology
Background:
- Visual hallucinations are common in Parkinson's disease (PD).
- The role of abstract cognition, like mind-wandering, in PD hallucinations is unclear.
- Interactions between visual and default brain networks may influence internal imagery and hallucinations.
Purpose of the Study:
- To investigate the association between mind-wandering and visual hallucinations in Parkinson's disease.
- To explore the relationship between mind-wandering, visual hallucinations, and brain network coupling in PD patients.
Main Methods:
- A thought-sampling task was used to assess mind-wandering frequency in 38 PD patients (18 with hallucinations, 20 without) and 40 controls.
- Resting-state functional magnetic resonance imaging (fMRI) was employed to examine brain network coupling.
- Inter-network connectivity and seed-to-voxel analyses were conducted.
Main Results:
- PD patients with hallucinations reported significantly higher mind-wandering frequencies than non-hallucinating PD patients.
- Non-hallucinating PD patients exhibited reduced mind-wandering compared to controls.
- Increased mind-wandering in hallucinating PD patients correlated with greater coupling between the primary visual cortex and the dorsal default network.
Conclusions:
- Mind-wandering is relatively preserved in PD patients with visual hallucinations.
- This preserved mind-wandering is associated with enhanced visual cortex-default network connectivity.
- These findings suggest that sustained abstract cognition and altered network coupling may contribute to visual hallucinations in Parkinson's disease.
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