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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1988 Jun;51(6):855–858. doi: 10.1136/jnnp.51.6.855

Relationship of motor symptoms, intellectual impairment, and depression in Parkinson's disease.

S J Huber 1, G W Paulson 1, E C Shuttleworth 1
PMCID: PMC1033160  PMID: 3404193

Abstract

The relationship between severity of disease, intellectual impairment, and depression was examined in 50 patients with Parkinson's disease. A significant correlation between severity of disease and intellectual impairment suggests that both may result from the same subcortical lesions. Depression was not significantly related either to severity of disease or to intellectual impairment. This suggests that the relationship between severity of disease and intellectual impairment was not an artifact of increasing depression. Severity of rigidity and of bradykinesia did predict severity of intellectual decline, but severity of tremor predicted better intellectual status. Patients with a predominance of tremor may have a more benign clinical course as well as better intellectual function than patients with a predominance of rigidity and bradykinesia.

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Selected References

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  1. Barbeau A., Roy M. Familial subsets in idiopathic Parkinson's disease. Can J Neurol Sci. 1984 Feb;11(1 Suppl):144–150. doi: 10.1017/s0317167100046308. [DOI] [PubMed] [Google Scholar]
  2. Boller F., Passafiume D., Keefe N. C., Rogers K., Morrow L., Kim Y. Visuospatial impairment in Parkinson's disease. Role of perceptual and motor factors. Arch Neurol. 1984 May;41(5):485–490. doi: 10.1001/archneur.1984.04050170031011. [DOI] [PubMed] [Google Scholar]
  3. Brown G. L., Wilson W. P. Parkinsonism and depression. South Med J. 1972 May;65(5):540–545. doi: 10.1097/00007611-197205000-00008. [DOI] [PubMed] [Google Scholar]
  4. Celesia G. G., Wanamaker W. M. Psychiatric disturbances in Parkinson's disease. Dis Nerv Syst. 1972 Sep;33(9):577–583. [PubMed] [Google Scholar]
  5. Folstein M. F., Folstein S. E., McHugh P. R. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189–198. doi: 10.1016/0022-3956(75)90026-6. [DOI] [PubMed] [Google Scholar]
  6. Garron D. C., Klawans H. L., Jr, Narin F. Intellectual functioning of persons with idiopathic Parkinsonism. J Nerv Ment Dis. 1972 Jun;154(6):445–452. doi: 10.1097/00005053-197206000-00007. [DOI] [PubMed] [Google Scholar]
  7. Halgin R., Riklan M., Misiak H. Levodopa, parkinsonism, and recent memory. J Nerv Ment Dis. 1977 Apr;164(4):268–272. doi: 10.1097/00005053-197704000-00006. [DOI] [PubMed] [Google Scholar]
  8. Hoehn M. M., Yahr M. D. Parkinsonism: onset, progression and mortality. Neurology. 1967 May;17(5):427–442. doi: 10.1212/wnl.17.5.427. [DOI] [PubMed] [Google Scholar]
  9. LEVITA E., RIKLAN M., COOPER I. S. COGNITIVE AND PERCEPTUAL PERFORMANCE IN PARKINSONISM AS A FUNCTION OF AGE AND NEUROLOGICAL IMPAIRMENT. J Nerv Ment Dis. 1964 Dec;139:516–520. doi: 10.1097/00005053-196412000-00003. [DOI] [PubMed] [Google Scholar]
  10. Lieberman A. N. Parkinson's disease: a clinical review. Am J Med Sci. 1974 Feb;267(2):66–80. [PubMed] [Google Scholar]
  11. Lieberman A., Dziatolowski M., Kupersmith M., Serby M., Goodgold A., Korein J., Goldstein M. Dementia in Parkinson Disease. Ann Neurol. 1979 Oct;6(4):355–359. doi: 10.1002/ana.410060409. [DOI] [PubMed] [Google Scholar]
  12. Loranger A. W., Goodell H., McDowell F. H., Lee J. E., Sweet R. D. Intellectual impairment in Parkinson's syndrome. Brain. 1972;95(2):405–412. doi: 10.1093/brain/95.2.405. [DOI] [PubMed] [Google Scholar]
  13. Martin W. E., Loewenson R. B., Resch J. A., Baker A. B. Parkinson's disease. Clinical analysis of 100 patients. Neurology. 1973 Aug;23(8):783–790. doi: 10.1212/wnl.23.8.783. [DOI] [PubMed] [Google Scholar]
  14. Marttila R. J., Rinne U. K. Dementia in Parkinson's disease. Acta Neurol Scand. 1976 Nov;54(5):431–441. doi: 10.1111/j.1600-0404.1976.tb04375.x. [DOI] [PubMed] [Google Scholar]
  15. Mayeux R., Stern Y., Cote L., Williams J. B. Altered serotonin metabolism in depressed patients with parkinson's disease. Neurology. 1984 May;34(5):642–646. doi: 10.1212/wnl.34.5.642. [DOI] [PubMed] [Google Scholar]
  16. McHugh P. R., Folstein M. F. Psychopathology of dementia: implications for neuropathology. Res Publ Assoc Res Nerv Ment Dis. 1979;57:17–30. [PubMed] [Google Scholar]
  17. Miller E., Lewis P. Recognition memory in elderly patients with depression and dementia: a signal detection analysis. J Abnorm Psychol. 1977 Feb;86(1):84–86. doi: 10.1037//0021-843x.86.1.84. [DOI] [PubMed] [Google Scholar]
  18. Miller W. R. Psychological deficit in depression. Psychol Bull. 1975 Mar;82(2):238–260. doi: 10.1037/h0076367. [DOI] [PubMed] [Google Scholar]
  19. Mindham R. H., Marsden C. D., Parkes J. D. Psychiatric symptoms during l-dopa therapy for Parkinson's disease and their relationship to physical disability. Psychol Med. 1976 Feb;6(1):23–33. doi: 10.1017/s0033291700007467. [DOI] [PubMed] [Google Scholar]
  20. Mindham R. H. Psychiatric symptoms in Parkinsonism. J Neurol Neurosurg Psychiatry. 1970 Apr;33(2):188–191. doi: 10.1136/jnnp.33.2.188. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Mortimer J. A., Pirozzolo F. J., Hansch E. C., Webster D. D. Relationship of motor symptoms to intellectual deficits in Parkinson disease. Neurology. 1982 Feb;32(2):133–137. doi: 10.1212/wnl.32.2.133. [DOI] [PubMed] [Google Scholar]
  22. Pirozzolo F. J., Hansch E. C., Mortimer J. A., Webster D. D., Kuskowski M. A. Dementia in Parkinson disease: a neuropsychological analysis. Brain Cogn. 1982 Jan;1(1):71–83. doi: 10.1016/0278-2626(82)90007-0. [DOI] [PubMed] [Google Scholar]
  23. Reitan R. M., Boll T. J. Intellectual and cognitive functions in Parkinson's disease. J Consult Clin Psychol. 1971 Dec;37(3):364–369. doi: 10.1037/h0032005. [DOI] [PubMed] [Google Scholar]
  24. Robins A. H. Depression in patients with Parkinsonism. Br J Psychiatry. 1976 Feb;128:141–145. doi: 10.1192/bjp.128.2.141. [DOI] [PubMed] [Google Scholar]
  25. SCHWAB R. S., ENGLAND A. C., PETERSON E. Akinesia in Parkinson's disease. Neurology. 1959 Jan;9(1):65–72. doi: 10.1212/wnl.9.1.65. [DOI] [PubMed] [Google Scholar]
  26. Warburton J. W. Depressive symptoms in Parkinson patients referred for thalamotomy. J Neurol Neurosurg Psychiatry. 1967 Aug;30(4):368–370. doi: 10.1136/jnnp.30.4.368. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Zetusky W. J., Jankovic J., Pirozzolo F. J. The heterogeneity of Parkinson's disease: clinical and prognostic implications. Neurology. 1985 Apr;35(4):522–526. doi: 10.1212/wnl.35.4.522. [DOI] [PubMed] [Google Scholar]
  28. van Praag H. M., de Haan S. Central serotonin metabolism and frequency of depression. Psychiatry Res. 1979 Dec;1(3):219–224. doi: 10.1016/0165-1781(79)90002-7. [DOI] [PubMed] [Google Scholar]

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