TY - JOUR
PY - 2015//
TI - Visual priming and visual hallucinations in Parkinson's disease. Evidence for normal top-down processes
JO - Journal of geriatric psychiatry and neurology
A1 - Straughan, Sarah
A1 - Collerton, Daniel
A1 - Bruce, Vicki
SP - 25
EP - 30
VL - 29
IS - 1
N2 - BACKGROUND: Visual hallucinations (VH) are common in Parkinson's disease (PD) and are associated with increased morbidity and mortality. Current explanations for VH in PD suggest combined impairments in top-down attentional and bottom-up perceptual processes, which allow the passive "release" of stored images. Alternative models in other disorders have suggested that top-down factors may actively encourage hallucinations. In order to explore the interaction between top-down and bottom-up visual processing in PDVH, we developed novel experimental priming tasks in which top-down verbal cues were used to prime the bottom-up recognition of partial or ambiguous pictures.
METHOD: Two groups of PD participants with (PD + VH, n = 16), and without VH (PD - VH, n = 20) were compared to a group of healthy older adults (NC, n = 20) on 3 novel measures of visual priming.
RESULTS: All tasks showed significant priming effects. The PD + VH group was more impaired at accurately identifying silhouette and fragmented images compared to the PD - VH group. There were no differences in priming between the 2 PD groups.
CONCLUSIONS: The study showed that VH in PD are not associated with relatively greater top-down activation, and that the interaction between top-down and bottom-up processes is intact.
Language: en
LA - en SN - 0891-9887 UR - http://dx.doi.org/10.1177/0891988715598237 ID - ref1 ER -