Awareness of executive deficits in people with Parkinson's disease

J Int Neuropsychol Soc. 2013 May;19(5):559-70. doi: 10.1017/S1355617713000064. Epub 2013 Feb 15.


Executive functioning is frequently impaired among people with Parkinson's disease (PD). Little is known about awareness of executive functioning, in the sense of being able to accurately appraise functioning or performance, in people with PD, or about whether awareness is particularly affected in those who have impaired executive functioning. This study explored awareness of executive functioning at the levels of evaluative judgment (comparison of self- and informant ratings of executive functioning), and performance monitoring (comparison of performance on cognitive tests and self-ratings of that performance). Awareness levels were assessed in people with PD with and without executive deficits, and in healthy controls. When the level of agreement between self- and informant ratings was considered, people with PD in both groups appeared as accurate in evaluating their overall executive functioning as healthy controls. When appraising their performance as the specific tasks were completed, people with PD who had impairments in executive functioning appeared less accurate than controls and people with PD without executive impairments. People with PD who have executive deficits may lack the ability to recognize their limitations while performing specific tasks, which may have implications for their functional abilities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Awareness / physiology*
  • Behavioral Symptoms / diagnosis
  • Behavioral Symptoms / etiology
  • Caregivers / psychology
  • Cognition Disorders / etiology*
  • Cross-Sectional Studies
  • Executive Function / physiology*
  • Female
  • Humans
  • Intelligence
  • Judgment
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Parkinson Disease / complications*
  • Parkinson Disease / psychology*
  • Self Report
  • Statistics as Topic