Kaohsiung Journal of Medical Sciences
Volume 24, Issue 4 , Pages 197-203, April 2008

Cognitive and Motor Components of Response Speed in the Stroop Test in Parkinson's Disease Patients

  • Yi-Hsing Hsieh

      Affiliations

    • Department of Guidance and Counseling, National Changhua University of Education, Kaohsiung, Taiwan
  • ,
  • Kuan-Jen Chen

      Affiliations

    • Graduate Institute of Behavioral Sciences and Department of Neurology, Kaohsiung Medical University, Kaohsiung, Taiwan
  • ,
  • Chin-Chi Wang

      Affiliations

    • Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
  • ,
  • Chiou-Lian Lai

      Affiliations

    • Graduate Institute of Behavioral Sciences and Department of Neurology, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Chiou-Lian Lai, Department of Neurology, Kaohsiung Medical University Hospital, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan

Received 29 March 2007; accepted 23 October 2007.

Article Outline

This study assessed the performance of patients with Parkinson's disease (PD) in the Stroop test. Twenty-seven patients with PD (17 men, 10 women; mean age, 63.3 ± 10.5 years) and 27 age-matched controls (14 men, 13 women; mean age, 63.5 ± 9.2 years) were administered the color-naming, word-reading, and incongruent color-word-naming tasks in the Stroop test. Compared with the normal control group, the PD group had slower speeds for all three tasks and greater Stroop interference, indicating a response inhibition deficit in PD patients. Further analysis indicated that slowness during color naming might be due to motor slowness, rather than a central cognitive processing problem in color discrimination. In conclusion, the performance of the PD group on the three tasks of the Stroop test suggests that the PD patients were deficient in motor responses and cognitive inhibitory abilities.

Key Words:  Parkinson's disease , Stroop interference , Stroop test

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References 

  1. Brown RG , Marsden CD . Cognitive function in Parkinson's disease: from description to theory . Trends Neurosci . 1990;13:21–29
  2. Stroop JR . Studies of interference in serial verbal reactions . J Exp Psychol . 1935;18:643–661
  3. Brück A , Aalto S , Nurmi E , et al.   Cortical 6-[18F]fluoro-L-dopa uptake and frontal cognitive functions in early Parkinson's disease . Neurobiol Aging . 2005;26:891–898
  4. Henik A , Singh J , Beckley DJ , et al.   Disinhibition of automatic word reading in Parkinson's disease . Cortex . 1993;29:589–599
  5. Brown RG , Marsden CD . Internal versus external cues and the control of attention in Parkinson's disease . Brain . 1988;111:323–345
  6. Janvin CC , Aarsland D , Larsen JP . Cognitive predictors of dementia in Parkinson's disease: a community-based, 4-year longitudinal study . J Geriatr Psychiatry Neurol . 2005;18:149–154
  7. de Frias CM , Dixon RA , Fisher N , et al.   Intraindividual variability in neurocognitive speed: a comparison of Parkinson's disease and normal older adults . Neuropsychologia . 2007;45:2499–2507
  8. Weintraub D , Moberg PJ , Culbertson WC , et al.   Dimensions of executive function in Parkinson's disease . Dement Geriatr Cogn Disord . 2005;20:140–144
  9. Gurd JM . Frontal dissociations: evidence from Parkinson's disease . J Neurolinguistics . 1995;9:55–68
  10. Revonsuo A , Portin R , Koivikko L , et al.   Slowing of information-processing in Parkinson's disease . Brain Cogn . 1993;21:87–110
  11. Posner MI , DiGirolamo GJ . Executive attention: conflict, target detection, and cognitive control . In:  Parasuraman R editors. The Attentive Brain . Cambridge, MA: The MIT Press; 1998;p. 401–423
  12. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Washington, DC, 1994.
  13. Hoehn MM , Yahr MD . Parkinsonism: onset, progression and mortality . Neurology . 1967;17:427–442
  14. Comalli PE , Wapner S , Werner H . Interference effects of Stroop Colour-Word Test in childhood, adulthood, and aging . J Gen Psychol . 1962;100:47–53
  15. Stuss DT , Floden D , Alexander MP , et al.   Stroop performance in focal lesion patients: dissociation of processes and frontal lobe lesion location . Neuropsychologia . 2001;39:771–786
  16. Golden CJ . The Stroop Color and Word Test: A Manual for Clinical and Experimental Uses . Chicago, IL: Stoelting; 1978;
  17. Benson DF . Aphasia, Alexia, and Agraphia . New York: Churchill Livingstone; 1979;
  18. Lezak MD . Neuropsychological Assessment . 2nd edition. New York: Oxford University Press; 1983;
  19. Bouquet CA , Bonnard V , Gil R . Investigation of supervisory attentional system functions in patients with Parkinson's disease using the Hayling task . J Clin Exp Neuropsychol . 2003;25:751–760
  20. Frank MJ , Loughry B , O'Reilly RC . Interactions between frontal cortex and basal ganglia in working memory: a computational model . Cogn Affect Behav Neurosci . 2001;1:137–160
  21. Hsieh S . The psychological refractory period in Parkinson's disease . Percept Mot Skills . 2000;91:893–902
  22. Nagano-Saito A , Kato T , Arahata Y , et al.   Cognitiveand motor-related regions in Parkinson's disease: FDOPA and FDG PET studies . NeuroImage . 2004;22:553–561
  23. Rektorová I , Rektor I , Bares M , et al.   Cognitive performance in people with Parkinson's disease and mild or moderate depression: effects of dopamine agonists in an add-on to L-dopa therapy . Eur J Neurol . 2005;12:9–15
  24. Olzak M , Laskowska I , Jelonek J , et al.   Psychomotor and executive functioning after unilateral posteroventral pallidotomy in patients with Parkinson's disease . J Neurol Sci . 2006;248:97–103
  25. Witt K , Pulkowski U , Herzog J , et al.   Deep brain stimulation of the subthalamic nucleus improves cognitive flexibility but impairs response inhibition in Parkinson disease . Arch Neurol . 2004;61:697–700
  26. Alegret M , Valldeoriola F , Martí M , et al.   Comparative cognitive effects of bilateral subthalamic stimulation and subcutaneous continuous infusion of apomorphine in Parkinson's disease . Mov Disord . 2004;19:1463–1469
  27. Silberman CD , Laks J , Capitão CF , et al.   Frontal functions in depressed and nondepressed Parkinson's disease patients: impact of severity stages . Psychiatry Res . 2007;149:285–289

PII: S1607-551X(08)70117-7

doi:10.1016/S1607-551X(08)70117-7

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 4 , Pages 197-203, April 2008