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Disordered Decision Making: A Cognitive Framework for Apathy and Impulsivity in Huntington's Disease
Lee-Anne Morris1,2, Claire O'Callaghan3, Campbell Le Heron1,2,4
1Department of Medicine, University of Otago, Christchurch, New Zealand.
Huntington's disease (HD) often involves apathy and impulsivity due to shared neurobiological causes. Understanding decision-making processes offers new treatment strategies for these debilitating HD symptoms.
Area of Science:
- Neuroscience
- Neurology
- Psychiatry
Background:
- Huntington's disease (HD) is a neurodegenerative disorder.
- Apathy and impulsivity are common, debilitating symptoms in HD.
- These symptoms significantly reduce quality of life and are poorly understood.
Purpose of the Study:
- To review the neurobiological mechanisms of apathy and impulsivity in HD.
- To apply a cost-benefit decision-making framework to understand these behaviors.
- To propose a mechanistic model for HD-related apathy and impulsivity.
Main Methods:
- Review of decision-making neuroscience literature.
- Application of a cost-benefit analysis framework.
- Development of a mechanistic model for behavioral disturbances in HD.
Main Results:
- Apathy and impulsivity in HD may stem from common neurobiological underpinnings.
- Decision-making neuroscience offers insights into these seemingly disparate symptoms.
- A cost-benefit framework can model the occurrence of apathy and impulsivity.
Conclusions:
- Understanding decision-making mechanisms is crucial for developing HD treatments.
- This framework can guide research priorities and biomarker discovery.
- New therapeutic strategies may emerge from this mechanistic understanding.
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