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@ARTICLE{Boller:150349,
author = {Boller, J. K. and Barbe, Michael and Pauls, A. M. and Reck,
C. and Brand, M. and Maier, F. and Fink, Gereon Rudolf and
Timmermann, L. and Kalbe, E.},
title = {{D}ecision-making under risk is improved by both
dopaminergic medication and subthalamic stimulation in
{P}arkinson's disease.},
journal = {Experimental neurology},
volume = {254},
issn = {1090-2430},
address = {Amsterdam [u.a.]},
publisher = {Elsevier},
reportid = {FZJ-2014-00419},
pages = {70–77},
year = {2014},
abstract = {Inconsistent findings regarding the effects of dopaminergic
medication (MED) and deep brain stimulation (DBS) of the
subthalamic nucleus (STN) on decision making processes and
impulsivity in Parkinson's disease (PD) patients have been
reported. This study investigated the influence of MED and
STN-DBS on decision-making under risk. Eighteen non-demented
PD patients, treated with both MED and STN-DBS (64.3 ± 10.2
years, UPDRS III MED off, DBS off 45.5 ± 17.1) were tested
with the Game of Dice Task (GDT) which probes
decision-making under risk during four conditions: MED
on/DBS on, MED on/DBS off, MED off/DBS on, and MED off/DBS
off. Task performance across conditions was compared
analyzing two GDT-parameters: (i) the “net score”
indicating advantageous decisions, and (ii) the patient's
ability to use negative feedback. Significantly higher GDT
net scores were observed in Med on in contrast to Med off
conditions as well as in DBS on versus DBS off conditions.
However, no effect of therapy for the patient's ability to
make use of negative feedback could be detected. The data
suggest a positive influence of both MED and STN-DBS on
making decisions under risk in PD patients, an effect which
seems to be mediated by mechanisms other than the use of
negative feedback},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {333 - Pathophysiological Mechanisms of Neurological and
Psychiatric Diseases (POF2-333) / 89572 - (Dys-)function and
Plasticity (POF2-89572)},
pid = {G:(DE-HGF)POF2-333 / G:(DE-HGF)POF2-89572},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000333321300008},
pubmed = {pmid:24444545},
doi = {10.1016/j.expneurol.2014.01.005},
url = {https://juser.fz-juelich.de/record/150349},
}