Validation of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP)
Identifieur interne : 000A87 ( Ncbi/Merge ); précédent : 000A86; suivant : 000A88Validation of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP)
Auteurs : Daniel Weintraub [États-Unis] ; Staci Stewart [États-Unis] ; Judy A. Shea [États-Unis] ; Kelly E. Lyons [États-Unis] ; Rajesh Pahwa [États-Unis] ; Erika D. Driver-Dunckley [États-Unis] ; Charles H. Adler [États-Unis] ; Marc N. Potenza [États-Unis] ; Janis Miyasaki [Canada] ; Andrew D. Siderowf [États-Unis] ; John E. Duda [États-Unis] ; Howard I. Hurtig [États-Unis] ; Amy Colcher [États-Unis] ; Stacy S. Horn [États-Unis] ; Matthew B. Stern [États-Unis] ; Valerie Voon [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2009.
Abstract
As no comprehensive assessment instrument for impulse control disorders (ICDs) in Parkinson’s disease (PD) exists, the aim of this study was to design and assess the psychometric properties of a self-administered screening questionnaire for ICDs and other compulsive behaviors in PD.
The Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP) has 3 sections: Section 1 assesses four ICDs (involving gambling, sexual, buying, and eating behaviors), Section 2 other compulsive behaviors (punding, hobbyism and walkabout), and Section 3 compulsive medication use. For validation, a convenience sample of 157 PD patients at 4 movement disorders centers first completed the QUIP, and then was administered a diagnostic interview by a trained rater blinded to the QUIP results. A shortened instrument (QUIP-S) was then explored.
The discriminant validity of the QUIP was high for each disorder or behavior (receiver operating characteristic area under the curve [ROC AUC]: gambling=0.95, sexual behavior=0.97, buying=0.87, eating=0.88, punding=0.78, hobbyism=0.93, walkabout=0.79). On post hoc analysis, the QUIP-S ICD section had similar properties (ROC AUC: gambling=0.95, sexual behavior=0.96, buying=0.87, eating=0.88). When disorders/behaviors were combined, the sensitivity of the QUIP and QUIP-S to detect an individual with any disorder was 96% and 94%, respectively.
Scores on the QUIP appear to be valid as a self-assessment screening instrument for a range of ICDs and other compulsive behaviors that occur in PD, and a shortened version may perform as well as the full version. A positive screen should be followed by a comprehensive, clinical interview to determine the range and severity of symptoms, as well as need for clinical management.
Url:
DOI: 10.1002/mds.22571
PubMed: 19452562
PubMed Central: 2848971
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<wicri:cityArea> Department of Neurology, University of Pennsylvania, Philadelphia</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A3"> Parkinson’s Disease Research, Education and Clinical Center (PADRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, PA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea> Parkinson’s Disease Research, Education and Clinical Center (PADRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Voon, Valerie" sort="Voon, Valerie" uniqKey="Voon V" first="Valerie" last="Voon">Valerie Voon</name>
<affiliation wicri:level="2"><nlm:aff id="A11"> National Institute of Neurological Disorders and Stroke (NINDS), Bethesda, MD</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
<wicri:cityArea> National Institute of Neurological Disorders and Stroke (NINDS), Bethesda</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">As no comprehensive assessment instrument for impulse control disorders (ICDs) in Parkinson’s disease (PD) exists, the aim of this study was to design and assess the psychometric properties of a self-administered screening questionnaire for ICDs and other compulsive behaviors in PD.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">The Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP) has 3 sections: Section 1 assesses four ICDs (involving gambling, sexual, buying, and eating behaviors), Section 2 other compulsive behaviors (punding, hobbyism and walkabout), and Section 3 compulsive medication use. For validation, a convenience sample of 157 PD patients at 4 movement disorders centers first completed the QUIP, and then was administered a diagnostic interview by a trained rater blinded to the QUIP results. A shortened instrument (QUIP-S) was then explored.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The discriminant validity of the QUIP was high for each disorder or behavior (receiver operating characteristic area under the curve [ROC AUC]: gambling=0.95, sexual behavior=0.97, buying=0.87, eating=0.88, punding=0.78, hobbyism=0.93, walkabout=0.79). On post hoc analysis, the QUIP-S ICD section had similar properties (ROC AUC: gambling=0.95, sexual behavior=0.96, buying=0.87, eating=0.88). When disorders/behaviors were combined, the sensitivity of the QUIP and QUIP-S to detect an individual with any disorder was 96% and 94%, respectively.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Scores on the QUIP appear to be valid as a self-assessment screening instrument for a range of ICDs and other compulsive behaviors that occur in PD, and a shortened version may perform as well as the full version. A positive screen should be followed by a comprehensive, clinical interview to determine the range and severity of symptoms, as well as need for clinical management.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8610688</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5937</journal-id>
<journal-id journal-id-type="nlm-ta">Mov Disord</journal-id>
<journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title>
<issn pub-type="ppub">0885-3185</issn>
<issn pub-type="epub">1531-8257</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">19452562</article-id>
<article-id pub-id-type="pmc">2848971</article-id>
<article-id pub-id-type="doi">10.1002/mds.22571</article-id>
<article-id pub-id-type="manuscript">NIHMS188965</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Validation of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP)</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Weintraub</surname>
<given-names>Daniel</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="A3" ref-type="aff">3</xref>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Stewart</surname>
<given-names>Staci</given-names>
</name>
<degrees>BA</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shea</surname>
<given-names>Judy A.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A5" ref-type="aff">5</xref>
<xref rid="A6" ref-type="aff">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lyons</surname>
<given-names>Kelly E.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A7" ref-type="aff">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pahwa</surname>
<given-names>Rajesh</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A7" ref-type="aff">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Driver-Dunckley</surname>
<given-names>Erika D.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A8" ref-type="aff">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Adler</surname>
<given-names>Charles H.</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref rid="A8" ref-type="aff">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Potenza</surname>
<given-names>Marc N.</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref rid="A9" ref-type="aff">9</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miyasaki</surname>
<given-names>Janis</given-names>
</name>
<degrees>MD, MEd, FRCPC</degrees>
<xref rid="A10" ref-type="aff">10</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Siderowf</surname>
<given-names>Andrew D.</given-names>
</name>
<degrees>MD, MSCE</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duda</surname>
<given-names>John E.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hurtig</surname>
<given-names>Howard I.</given-names>
</name>
<degrees>M.D.</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Colcher</surname>
<given-names>Amy</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Horn</surname>
<given-names>Stacy S.</given-names>
</name>
<degrees>DO</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Stern</surname>
<given-names>Matthew B.</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Voon</surname>
<given-names>Valerie</given-names>
</name>
<degrees>MD</degrees>
<xref rid="A11" ref-type="aff">11</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA</aff>
<aff id="A2"><label>2</label>
Department of Neurology, University of Pennsylvania, Philadelphia, PA</aff>
<aff id="A3"><label>3</label>
Parkinson’s Disease Research, Education and Clinical Center (PADRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, PA</aff>
<aff id="A4"><label>4</label>
Mental Illness Research, Education and Clinical Center (MIRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, PA</aff>
<aff id="A5"><label>5</label>
Department of Medicine, University of Pennsylvania, Philadelphia, PA</aff>
<aff id="A6"><label>6</label>
Center for Health Equity Research and Promotion (CHERP), Philadelphia Veterans Affairs Medical, Philadelphia, PA</aff>
<aff id="A7"><label>7</label>
Department of Neurology, University of Kansas Medical Center, Kansas City, KS</aff>
<aff id="A8"><label>8</label>
Department of Neurology, Mayo Clinic Scottsdale, Scottsdale, AZ</aff>
<aff id="A9"><label>9</label>
Department of Psychiatry, Yale University, New Haven, CT</aff>
<aff id="A10"><label>10</label>
Division of Neurology, University of Toronto, Toronto, Canada</aff>
<aff id="A11"><label>11</label>
National Institute of Neurological Disorders and Stroke (NINDS), Bethesda, MD</aff>
<author-notes><corresp id="FN1">Corresponding Author: Daniel Weintraub, MD, 3615 Chestnut St., Room 330, Philadelphia, PA 19104-2676, phone: (215) 349-8207, fax: (215) 349-8389, <email>weintrau@mail.med.upenn.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>23</day>
<month>3</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><day>30</day>
<month>7</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>4</day>
<month>4</month>
<year>2010</year>
</pub-date>
<volume>24</volume>
<issue>10</issue>
<fpage>1461</fpage>
<lpage>1467</lpage>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">As no comprehensive assessment instrument for impulse control disorders (ICDs) in Parkinson’s disease (PD) exists, the aim of this study was to design and assess the psychometric properties of a self-administered screening questionnaire for ICDs and other compulsive behaviors in PD.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">The Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP) has 3 sections: Section 1 assesses four ICDs (involving gambling, sexual, buying, and eating behaviors), Section 2 other compulsive behaviors (punding, hobbyism and walkabout), and Section 3 compulsive medication use. For validation, a convenience sample of 157 PD patients at 4 movement disorders centers first completed the QUIP, and then was administered a diagnostic interview by a trained rater blinded to the QUIP results. A shortened instrument (QUIP-S) was then explored.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The discriminant validity of the QUIP was high for each disorder or behavior (receiver operating characteristic area under the curve [ROC AUC]: gambling=0.95, sexual behavior=0.97, buying=0.87, eating=0.88, punding=0.78, hobbyism=0.93, walkabout=0.79). On post hoc analysis, the QUIP-S ICD section had similar properties (ROC AUC: gambling=0.95, sexual behavior=0.96, buying=0.87, eating=0.88). When disorders/behaviors were combined, the sensitivity of the QUIP and QUIP-S to detect an individual with any disorder was 96% and 94%, respectively.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Scores on the QUIP appear to be valid as a self-assessment screening instrument for a range of ICDs and other compulsive behaviors that occur in PD, and a shortened version may perform as well as the full version. A positive screen should be followed by a comprehensive, clinical interview to determine the range and severity of symptoms, as well as need for clinical management.</p>
</sec>
</abstract>
<kwd-group><kwd>Parkinson’s disease</kwd>
<kwd>impulse control disorders</kwd>
<kwd>dopamine dysregulation syndrome</kwd>
<kwd>punding</kwd>
<kwd>pathological gambling</kwd>
</kwd-group>
<contract-num rid="MH1">K23 MH067894-05
||MH</contract-num>
<contract-sponsor id="MH1">National Institute of Mental Health : NIMH</contract-sponsor>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Canada</li>
<li>États-Unis</li>
</country>
<region><li>Arizona</li>
<li>Connecticut</li>
<li>Kansas</li>
<li>Maryland</li>
<li>Ontario</li>
<li>Pennsylvanie</li>
</region>
<settlement><li>Toronto</li>
</settlement>
<orgName><li>Université de Toronto</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name>
</region>
<name sortKey="Adler, Charles H" sort="Adler, Charles H" uniqKey="Adler C" first="Charles H." last="Adler">Charles H. Adler</name>
<name sortKey="Colcher, Amy" sort="Colcher, Amy" uniqKey="Colcher A" first="Amy" last="Colcher">Amy Colcher</name>
<name sortKey="Driver Dunckley, Erika D" sort="Driver Dunckley, Erika D" uniqKey="Driver Dunckley E" first="Erika D." last="Driver-Dunckley">Erika D. Driver-Dunckley</name>
<name sortKey="Duda, John E" sort="Duda, John E" uniqKey="Duda J" first="John E." last="Duda">John E. Duda</name>
<name sortKey="Duda, John E" sort="Duda, John E" uniqKey="Duda J" first="John E." last="Duda">John E. Duda</name>
<name sortKey="Horn, Stacy S" sort="Horn, Stacy S" uniqKey="Horn S" first="Stacy S." last="Horn">Stacy S. Horn</name>
<name sortKey="Hurtig, Howard I" sort="Hurtig, Howard I" uniqKey="Hurtig H" first="Howard I." last="Hurtig">Howard I. Hurtig</name>
<name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. Lyons</name>
<name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name>
<name sortKey="Potenza, Marc N" sort="Potenza, Marc N" uniqKey="Potenza M" first="Marc N." last="Potenza">Marc N. Potenza</name>
<name sortKey="Shea, Judy A" sort="Shea, Judy A" uniqKey="Shea J" first="Judy A." last="Shea">Judy A. Shea</name>
<name sortKey="Shea, Judy A" sort="Shea, Judy A" uniqKey="Shea J" first="Judy A." last="Shea">Judy A. Shea</name>
<name sortKey="Siderowf, Andrew D" sort="Siderowf, Andrew D" uniqKey="Siderowf A" first="Andrew D." last="Siderowf">Andrew D. Siderowf</name>
<name sortKey="Stern, Matthew B" sort="Stern, Matthew B" uniqKey="Stern M" first="Matthew B." last="Stern">Matthew B. Stern</name>
<name sortKey="Stern, Matthew B" sort="Stern, Matthew B" uniqKey="Stern M" first="Matthew B." last="Stern">Matthew B. Stern</name>
<name sortKey="Stewart, Staci" sort="Stewart, Staci" uniqKey="Stewart S" first="Staci" last="Stewart">Staci Stewart</name>
<name sortKey="Voon, Valerie" sort="Voon, Valerie" uniqKey="Voon V" first="Valerie" last="Voon">Valerie Voon</name>
<name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name>
<name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name>
<name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name>
</country>
<country name="Canada"><region name="Ontario"><name sortKey="Miyasaki, Janis" sort="Miyasaki, Janis" uniqKey="Miyasaki J" first="Janis" last="Miyasaki">Janis Miyasaki</name>
</region>
</country>
</tree>
</affiliations>
</record>
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