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Differential Effects of Cuing in a Set-shifting Task for Parkinson's Disease and Frontal Lobe Patients

 Susan M. Ravizza and Michael B. Ciranni
  
 

Abstract:
Abstract: Impairments of set-shifting have been associated with damage to both the basal ganglia and frontal lobes. Previous research with these groups has used tasks that require the ability to think strategically - a faculty that may be differentially affected by frontal lobe pathology - as well as the ability to shift set (e.g., Wisconsin Cart Sorting Test). Given that shifting costs normally increase as tasks become more cognitively taxing, it is unclear whether frontal patients' apparent shifting impairments are due to shifting problems per se or because they are less efficient problem- solvers. In two experiments, we attempted to dissociate the performance of frontal and Parkinson patients on a shifting task that varied in the degree of problem-solving difficulty through the manipulation of a cue word. All subjects displayed lower shifting costs when given a cue but frontal patients shifting cost remained higher than controls despite a reduction in task difficulty. In contrast to the other two groups, frontal patients were not generally faster when a cue was present. We hypothesized that the frontal patients were not always taking advantage of the cue because the task was solvable without it. In a second experiment, the task was modified so that subjects were required to process the cue in order to answer correctly. Results are discussed in terms of the contribution of problem-solving abilities to set-shifting impairments.

 
 


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