title: Parkinson's patients' executive profile and goals they set for improvement: Why is cognitive rehabilitation not common practice?
abstract: Impairments in executive functions (EF) are the core cognitive impairment in patients with Parkinson's disease (PD). Surprisingly, cognitive rehabilitation is not routinely offered to patients with PD. However, in patients with acquired brain injury (ABI), cognitive rehabilitation, in particular strategic executive training, is common practice and has been shown to be effective. In this study, we determined whether PD patients have different needs and aims with regard to strategic executive training than ABI patients, and whether possible differences might be a reason for not offering this kind of cognitive rehabilitation programme to patients with PD. Patients' needs and aims were operationalised by individually set goals, which were classified into domains of EF and daily life. In addition, patients with PD and ABI were compared on their cognitive, in particular EF, profile. Overall, PD patients' goals and cognitive profile were similar to those of patients with ABI. Therefore, based on the findings of this study, there is no reason to assume that strategic executive training cannot be part of standard therapy in PD. However, when strategic executive training is applied in clinical practice, disease-specific characteristics need to be taken into account.
authors.affiliation: a Department of Clinical & Developmental Neuropsychology , University of Groningen , Groningen , The Netherlands.
authors.forename: T T
authors.initials: TT
authors.lastname: Vlagsma
authors.affiliation: a Department of Clinical & Developmental Neuropsychology , University of Groningen , Groningen , The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Koerts
authors.affiliation: b Donders Institute for Brain, Cognition and Behaviour , Radboud University Nijmegen , Nijmegen , The Netherlands.|c Rehabilitation Medical Centre Groot Klimmendaal , Arnhem , The Netherlands.
authors.forename: L
authors.initials: L
authors.lastname: Fasotti
authors.affiliation: a Department of Clinical & Developmental Neuropsychology , University of Groningen , Groningen , The Netherlands.
authors.forename: O
authors.initials: O
authors.lastname: Tucha
authors.affiliation: d Department of Neurology , University of Groningen, University Medical Centre Groningen , Groningen , The Netherlands.
authors.forename: T
authors.initials: T
authors.lastname: van Laar
authors.affiliation: e Department of Medical Psychology , Medical Centre Nij Smellinghe , Drachten , The Netherlands.
authors.forename: H
authors.initials: H
authors.lastname: Dijkstra
authors.affiliation: a Department of Clinical & Developmental Neuropsychology , University of Groningen , Groningen , The Netherlands.|d Department of Neurology , University of Groningen, University Medical Centre Groningen , Groningen , The Netherlands.
authors.forename: J M
authors.initials: JM
authors.lastname: Spikman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation; D003072:Cognition Disorders / Q000209:etiology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D056344:Executive Function; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009483:Neuropsychological Tests; D010300:Parkinson Disease / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D015203:Reproducibility of Results; D016896:Treatment Outcome; D055815:Young Adult
keywords: Acquired brain injury; Executive functions; Goal setting; Neuropsychological rehabilitation; Parkinson's disease