Social cognition, behaviour and therapy adherence in frontal lobe epilepsy: a study combining neuroeconomic and neuropsychological methods.

Details

Serval ID
serval:BIB_1AB4D5158C47
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Social cognition, behaviour and therapy adherence in frontal lobe epilepsy: a study combining neuroeconomic and neuropsychological methods.
Journal
Royal Society open science
Author(s)
Javor A., Ciumas C., Ibarrola D., Ryvlin P., Rheims S.
ISSN
2054-5703 (Print)
ISSN-L
2054-5703
Publication state
Published
Issued date
08/2019
Peer-reviewed
Oui
Volume
6
Number
8
Pages
180850
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Social behaviour of healthy humans and its neural correlates have been extensively studied in social neuroscience and neuroeconomics. Whereas it is well established that several types of epilepsies, such as frontal lobe epilepsy, lead to social cognitive impairments, experimental evidence on how these translate into behavioural symptoms is scarce. Furthermore, it is unclear whether social cognitive or behavioural disturbances have an impact on therapy adherence, which is critical for effective disease management, but generally low in these patients. In order to investigate the relationship between social cognition, social behaviour, and therapy adherence in patients with frontal lobe epilepsies (FLE), we designed a study combining conventional neuropsychological with behavioural economic and functional magnetic resonance imaging (fMRI) methodology. Fifteen patients and 15 healthy controls played a prisoners' dilemma game (an established game to operationalize social behaviour) while undergoing fMRI. Additionally, social cognitive, basic neuropsychological variables, and therapy adherence were assessed. Our results implicate that social behaviour is indeed affected and can be quantified using neuroeconomic methods in patients with FLE. Impaired social behaviour in these patients might be a consequence of altered brain activation in the medial prefrontal cortex and play a role in low therapy adherence. Finally, this study serves as an example of how to integrate neuroeconomic methods in neurology.
Keywords
cognition, functional magnetic resonance imaging, prisoners' dilemma game, social behaviour, therapy adherence
Pubmed
Web of science
Open Access
Yes
Create date
13/10/2019 19:52
Last modification date
12/06/2021 6:34
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