Clinical Study

Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia

Table 4

Mean domain scores ( 𝑓 𝑟 𝑒 𝑞 𝑢 𝑒 𝑛 𝑐 𝑦 × 𝑠 𝑒 𝑣 𝑒 𝑟 𝑖 𝑡 𝑦 ) of the neuropsychiatric inventory items, apathy ratings, and self-rated depression and anxiety.


Psychiatric measure
PD
PD
Statistic ( 𝐹 or 𝑡 );
𝑃   value
No cognitive
Mild cognitive
PD  dementia 
impairmentimpairment(PDD; 𝑛 = 2 5 )
(PD-NC; 𝑛 = 5 4 )(PD-MCI; 𝑛 = 4 8 )

Informant-rated scales: Mean (SD)

Neuropsychiatric Inventory (NPI) total and domain subscores
 NPI total score9.53 (13.03)12.38 (12.55)14.56 (10.50)1.55; 0.22
 Delusions0.19 (0.99)0.15 (0.88)1.08 (1.93)5.68; 0.004b, c
 Hallucinations0.21 (0.70)0.40 (1.35)1.00 (1.97)3.17; 0.045c
 Agitation/aggression0.33 (1.25)0.34 (1.78)0.84 (1.67)1.06; 0.35
 Dysphoria/depression0.92 (1.67)1.02 (1.91)1.52 (1.80)0.99; 0.37
 Anxiety1.04 (1.41)1.21 (2.07)1.36 (2.81)0.23; 0.79
 Elation0.25 (0.96)0.26 (1.75)0.12 (0.60)0.11; 0.89
 Apathy1.01 (2.62)3.79 (4.91)2.8 (3.87)6.43; 0.002a
 Disinhibition0.15 (0.87)0.13 (0.88)0.24 (0.72)0.15; 0.86
 Irritability/lability0.71 (2.00)0.70 (2.19)1.52 (2.33)1.44; 0.24
 Aberrant motor behaviour0.25 (1.67)0.13 (0.88)1.20 (2.53)3.77; 0.03b, c
 Sleep 3.29 (3.75)3.91 (4.08)2.16 (3.39)1.73; 0.18
 Appetite 0.27 (1.03)0.06 (0.44)1.28 (3.05)5.40; 0.006b, c

Apathy Inventory (AI)
 AIvi total score3.57 (7.61)8.67 (11.77)NA6.05; 0.02
 AI, emotional blunting0.91 (2.11)2.18 (4.03)NA3.54; 0.06
 AI, lack of initiative1.24 (3.01)3.24 (4.50)NA6.28; 0.02
 AI, lack of interest1.41 (3.07)3.24 (4.31)NA5.48; 0.02

PD
PD
Statistic ( 𝐹 ; 𝑃   value)
No cognitive
Mild cognitive
Healthy
controls 
impairmentimpairment(HC; 𝑛 = 3 3 )
(PD-NC; 𝑛 = 5 4 )(PD-MCI; 𝑛 = 4 8 )

Self-rated scales:Mean (SD)

 HADSvii-anxiety subscore
6.15 (4.61)6.24 (4.10)4.50 (2.74)2.10; 0.27
 HADS-depression subscore4.92 (3.67)7.12 (3.50)2.78 (2.59)12.56;
<0.001a, d, e
 Apathy Scale7.94 (8.54)17.62 (11.92)9.87 (5.09)10.17; <0.001a, e

viApathy Inventory (AI); viiHospital Anxiety and Depression Scale.
Post  hoc bonferroni for two group comparison, 𝑃 < 0 . 0 5 : aPD-NC versus PD-MCI; bPD-MCI versus PDD; cPD-NC versus PDD; dPD-NC versus HC; ePD-MCI versus HC.