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Updated: Aug 31, 2025

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Social decision-making in Parkinson's disease
Jonathan A Caballero1,2, Noémie Auclair Ouellet1,2,3, Natalie A Phillips2,4
1School of Communication Sciences and Disorders, McGill University, Montreal, Quebec, Canada.
People with Parkinson's Disease (PD) make different social decisions, trusting more when partners signal cooperation. This social decision-making change in PD occurs despite intact social perception and cognitive abilities.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Social Cognition
Background:
- Parkinson's Disease (PD) often impacts cognitive and communication functions, including processing social cues from speech.
- Understanding how individuals with PD make social decisions, like trust, and its relation to cognitive abilities is crucial.
Purpose of the Study:
- To investigate social decision-making in non-demented adults with Parkinson's Disease.
- To determine if social decision-making deficits in PD are linked to cognitive or social perception abilities.
Main Methods:
- Participants with and without PD played the Trust Game, making decisions based on speaker confidence and politeness cues in utterances.
- Assessed social perception, nonsocial decision-making (Dice game), and general cognitive functions.
Main Results:
- Individuals with PD showed altered social decision-making, exhibiting greater trust towards confident, cooperative partners.
- PD patients maintained intact social perception and performed normally on a nonsocial decision-making task.
- No clear correlation was found between social perception, social decision-making, and cognitive function in the PD group.
Conclusions:
- Parkinson's Disease can alter decision-making specifically within social contexts, even with preserved cognition and social perception.
- Future research and clinical assessments for PD should incorporate social interaction simulations to fully capture the disease's impact on social cognition.
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