Table 4.
Associations between cognitive test scores and PD diagnosis in participants without cognitive impairment
Cognitive test | Semi-partial correlations | B a | 95% CI | p value |
---|---|---|---|---|
| ||||
HVLT-R immediate (total words recalled) | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.067 | −0.49 | −1.34, 0.36 | .258 |
Age, years | −0.055 | −0.03 | −0.09, 0.04 | .396 |
Education, years | 0.075 | 0.12 | −0.08, 0.31 | .239 |
Sex | ||||
Female | Reference | |||
Male | 0.121 | 0.86 | 0.01, 1.73 | .048 |
APOE ε4 | 0.57 | −0.28, 1.41 | .191 | |
MoCA score | 0.148 | 0.26 | 0.07, 0.45 | .007 |
GDS-15 score | −0.079 | −0.21 | −0.46, 0.05 | .109 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
−0.122 | −1.20 | −2.38, -0.02 | .046 |
Stanford University | −0.155 | −1.50 | −2.71, -0.30 | .015 |
Johns Hopkins University | −0.005 | −0.07 | −1.72, 1.59 | .938 |
HVLT-R delayed (total words recalled) | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.135 | −0.43 | −0.80, -0.05 | .025 |
Age, years | −0.909 | −0.02 | −0.05, 0.00 | .103 |
Education, years | 0.101 | 0.07 | −0.01, 0.15 | .087 |
Sex | ||||
Female | Reference | |||
Male | 0.205 | 0.65 | 0.27, 1.03 | .001 |
APOE ε4 allele | 0.023 | 0.08 | −0.30, 0.46 | .682 |
MoCA score | 0.128 | 0.10 | 0.01, 0.19 | .032 |
GDS-15 score | −0.075 | −0.09 | −0.22, 0.05 | .218 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
−0.163 | −0.71 | −1.23, -0.20 | .007 |
Stanford University | −0.062 | −0.27 | −0.79, 0.26 | .323 |
Johns Hopkins University | −0.012 | −0.08 | −0.81, 0.66 | .841 |
Trail Making Test, Part B (seconds) b, c | ||||
Diagnosis | ||||
HV | Reference | |||
PD | 0.099 | 4.84 | 0.05, 9.63 | .048 |
Trail Making, Part A | 0.342 | 0.83 | 0.58, 1.09 | <.001 |
Age, years | 0.211 | 0.75 | 0.35, 1.15 | <.001 |
Education, years | −0.194 | −2.03 | −3.17, -0.89 | <.001 |
Sex | ||||
Female | Reference | |||
Male | 0.007 | 0.32 | −4.46, 5.10 | .896 |
APOE ε4 allele | −0.037 | −1.94 | −7.50, 3.63 | .496 |
MoCA score | −0.018 | −0.21 | −1.46, 1.05 | .748 |
GDS-15 score | 0.015 | 0.26 | −1.47, 1.99 | .770 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
−0.111 | −7.33 | −12.38, -2.29 | .004 |
Stanford University | 0.046 | 2.97 | −3.53, 9.47 | .371 |
Johns Hopkins University | 0.016 | 1.63 | −7.63, 10.89 | .730 |
Letter-Number Sequencing (total score) | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.010 | −0.05 | −0.54, 0.45 | .858 |
Age, years | −0.216 | −0.07 | −0.11, -0.03 | .001 |
Education, years | 0.171 | 0.16 | 0.06, 0.27 | .003 |
Sex | ||||
Female | Reference | |||
Male | −0.041 | −0.18 | −0.72, 0.36 | .512 |
APOE ε4 | 0.006 | 0.03 | −0.63, 0.69 | .929 |
MoCA score | 0.122 | 0.13 | 0.02, 0.24 | .025 |
GDS-15 score | −0.070 | −0.11 | −0.27, 0.05 | .173 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
0.067 | 0.40 | −0.38, 1.19 | .316 |
Stanford University | −0.032 | −0.20 | −0.87, 0.48 | .571 |
Johns Hopkins University | −0.035 | −0.31 | −1.20, 0.58 | .496 |
Digit Symbol (total score) b, c | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.203 | −3.77 | −5.76, 1.77 | <.001 |
Trail Making, Part A | −0.270 | −0.25 | −0.39, -0.11 | <.001 |
Age, years | −0.172 | −0.23 | −0.37, -0.10 | <.001 |
Education, years | 0.096 | 0.39 | −0.00, 0.77 | .052 |
Sex | ||||
Female | Reference | |||
Male | 0.159 | 2.90 | 0.97, 4.83 | .003 |
APOE ε4 allele | −0.0002 | −0.00 | −1.93, 1.92 | .997 |
MoCA score | 0.046 | 0.17 | −0.33, 0.68 | .499 |
GDS-15 score | 0.019 | 0.12 | −0.48, 0.73 | .693 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
0.184 | 4.64 | 1.73, 7.54 | .002 |
Stanford University | 0.061 | 1.51 | −1.22, 4.25 | .278 |
Johns Hopkins University | 0.009 | 0.34 | −3.34, 4.02 | .857 |
Semantic verbal fluency (total correct words) | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.214 | −2.02 | −3.12, -0.92 | <.001 |
Age, years | −0.268 | −0.18 | −0.26, -0.10 | <.001 |
Education, years | 0.137 | 0.28 | 0.04, 0.51 | .022 |
Sex | ||||
Female | Reference | |||
Male | 0.031 | 0.29 | −0.78, 1.36 | .597 |
APOE ε4 | −0.047 | −0.48 | −1.61, 0.64 | .401 |
MoCA score | 0.078 | 0.18 | −0.06, 0.42 | .146 |
GDS-15 score | 0.096 | 0.33 | −0.05, 0.70 | .089 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
0.046 | 0.59 | −0.88, 2.06 | .433 |
Stanford University | 0.013 | 0.17 | −1.22, 1.56 | .814 |
Johns Hopkins University | −0.013 | −0.24 | −2.30, 1.82 | .819 |
Phonemic verbal fluency (total correct words) | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.107 | −2.57 | −5.26, 0.12 | .061 |
Age, years | −0.028 | −0.05 | −0.24, 0.14 | .618 |
Education, years | 0.316 | 1.63 | 1.06, 2.20 | <.001 |
Sex | ||||
Female | Reference | |||
Male | 0.054 | 1.30 | −1.39, 3.98 | .345 |
APOE ε4 | 0.038 | 0.99 | −2.47, 4.44 | .575 |
MoCA score | 0.225 | 1.31 | 0.77, 1.86 | <.001 |
GDS-15 score | 0.140 | 1.21 | 0.31, 2.12 | .009 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
0.096 | 3.16 | −0.81, 7.14 | .119 |
Stanford University | −0.071 | −2.30 | −5.81, 1.22 | .201 |
Johns Hopkins University | −0.002 | −0.12 | −5.40, 5.17 | .966 |
Judgment of Line Orientation (total score) | ||||
Diagnosis | ||||
HV | Reference | |||
PD | −0.081 | −0.32 | −0.77, 0.14 | .171 |
Age, years | −0.076 | −0.02 | −0.06, 0.01 | .213 |
Education, years | 0.084 | 0.07 | −0.02, 0.16 | .115 |
Sex | ||||
Female | Reference | |||
Male | −0.331 | −1.29 | −1.73, -0.84 | <.001 |
APOE ε4 | −0.036 | −0.15 | −0.65, 0.34 | .545 |
MoCA score | 0.040 | 0.04 | −0.08, 0.16 | .546 |
GDS-15 score | −0.008 | −0.01 | −0.17, 0.15 | .887 |
Site | ||||
VA Puget Sound Health Care System/ University of Washington |
Reference | |||
VA Portland Health Care System/ Oregon Health & Sciences University |
0.019 | 0.10 | −0.43, 0.63 | .707 |
Stanford University | −0.082 | −0.43 | −1.08, 0.21 | .189 |
Johns Hopkins University | −0.042 | −0.33 | −1.18, 0.52 | .443 |
Unstandardized beta coefficients derived from linear regression analyses including diagnosis, age, sex, education, APOE ε4 allele, GDS-15 total score, MoCA total score, and site
Analyses control additionally for Trail Making, Part A scores to account for motor slowing common among PD participants
Higher scores represent worse performance
Bold font indicates statistical significance (p < 0.01)
Abbreviations: APOE, apolipoprotein E, CI, confidence interval; GDS-15, 15-item Geriatric Depression Scale; HV, healthy volunteers; HVLT-R, Hopkins Verbal Learning Test-Revised; MoCA, Montreal Cognitive Assessment; PD, Parkinson’s disease; VA, Veterans Affairs