Evidence map›Paper›PMID 36577359›Full record

ArticleParkinsonism & related disorders2023

Gambling associated risk-taking decision in cerebellar ataxia.

Ruo-Yah Lai, Natasha A Desai, Christian J Amlang, Chi-Ying R Lin, Tiffany X Chen, Michael J Minyetty, Nadia Amokrane, Sheng-Han Kuo

Open access · greenAbstract read
In one paragraph

Article in Parkinsonism & related disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Impulsivity in cerebellar ataxia: an online, multidimensional assessment.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  4. Suicidal Ideation in Spinocerebellar Ataxia.The Journal of neuropsychiatry and clinical neurosciences · 2026
    Article
  5. Brain-Behavior Relationships: Neural Mechanisms of Impulsivity and Compulsivity in Neuropsychiatric Disorders.Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology · 2025
    Review
  6. Article
  7. Consensus Paper: Cerebellum and Reward.Cerebellum (London, England) · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ruo-Yah LaiDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA.
Natasha A DesaiDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA.
Christian J AmlangDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA.
Chi-Ying R LinAlzheimer's Disease and Parkinson's Disease Centers, Department of Neurology, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX, 77030, USA.
Tiffany X ChenDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Department of Biomedical Engineering, Whiting School of Engineering, Johns Hopkins University, 3400 N Charles St, Baltimore, MD, 21218, USA.
Michael J MinyettyDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA.
Nadia AmokraneDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA.
Sheng-Han KuoDepartment of Neurology, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA; Initiative for Columbia Ataxia and Tremor, Columbia University Medical Center, 710 W 168th St, New York, NY, 10032, USA. Electronic address: sk3295@cumc.columbia.edu.
Columbia University Irving Medical Center · USBaylor College of Medicine · US

Funding

Targeting Cerebellar Endoplasmic Reticulum Calcium Handling in Essential TremorR01NS124854 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHYLLIS L FAUST, Sheng-Han Kuo · 2022 to 2026
$2.9M
Targeting Cerebellar Excitatory Synapses for Tremor ProgressionR01NS118179 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2020 to 2024
$2.2M
Cerebellar Circuitry in the Pathophysiology of TremorR01NS104423 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2018 to 2022
$2.0M
NINDS NIH HHS R01 NS104423NINDS NIH HHS R01 NS118179NINDS NIH HHS R01 NS124854
6 · The paper itself

Abstract

introductionPeople with cerebellar ataxia (CA) can develop impulsive and compulsive behaviors that significantly affect their and their family's quality of life. To further assess the decision-making process associated with these behaviors, we used the Iowa Gambling Task (IGT) to study people with CA.

methodsSixty individuals with CA and thirty age-matched controls were enrolled in the study to complete the IGT. No participants had a prior or comorbid neurologic or psychiatric disorder associated with impulsivity. IGT performance in each of the five 20-trial blocks was compared between groups and the progression of participants' performance was assessed with simple linear regression models. Subgroup analyses were performed with genetic and non-genetic CA cases.

resultsCA cases obtained significantly lower IGT total scores than controls (-5.30 ± 37.53 vs. 21.30 ± 37.37, p = 0.004). In addition, those with CA made riskier decisions throughout the task compared to controls. Although both CA and controls learned to make decisions with more favorable outcomes over the course of completing the IGT, CA participants never matched the controls' performance. IGT performance did not correlate with ataxia severity or depressive symptoms.

conclusionThe IGT may capture a unique behavioral symptom of CA. Future studies may help elucidate the mechanisms underlying impaired decision-making in CA and further the understanding of a broader spectrum of cerebellar cognitive affective syndrome.

Indexed as

Cerebellar AtaxiaGamblingDecision MakingHumansImpulsive BehaviorNeuropsychological TestsQuality of LifeCerebellar ataxiaCerebellumDecision makingGamblingImpulsivityRisk taking

Identifiers

PMID36577359
PMCPMC9905314
OpenAlexW4313252487

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.