Outcomes of patients with Parkinson disease and pathological gambling.
Identifieur interne : 000D21 ( Ncbi/Merge ); précédent : 000D20; suivant : 000D22Outcomes of patients with Parkinson disease and pathological gambling.
Auteurs : A. Bharmal [Canada] ; C. Lu ; J. Quickfall ; D. Crockford ; O. SuchowerskySource :
- The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [ 0317-1671 ] ; 2010.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Disruptive, Impulse Control, and Conduct Disorders (epidemiology), Disruptive, Impulse Control, and Conduct Disorders (etiology), Disruptive, Impulse Control, and Conduct Disorders (psychology), Female, Gambling (psychology), Health Surveys, Humans, Longitudinal Studies, Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (epidemiology), Parkinson Disease (psychology), Prevalence, Retrospective Studies, Statistics, Nonparametric, Treatment Outcome.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- complications : Parkinson Disease.
- drug therapy : Parkinson Disease.
- epidemiology : Disruptive, Impulse Control, and Conduct Disorders, Parkinson Disease.
- etiology : Disruptive, Impulse Control, and Conduct Disorders.
- psychology : Disruptive, Impulse Control, and Conduct Disorders, Gambling, Parkinson Disease.
- Aged, Female, Health Surveys, Humans, Longitudinal Studies, Male, Middle Aged, Prevalence, Retrospective Studies, Statistics, Nonparametric, Treatment Outcome.
Abstract
To determine the outcomes of patients with Parkinson disease (PD) with pathological gambling (PG) from one Canadian Movement Disorders Clinic.
PubMed: 20724254
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pubmed:20724254Le document en format XML
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<author><name sortKey="Bharmal, A" sort="Bharmal, A" uniqKey="Bharmal A" first="A" last="Bharmal">A. Bharmal</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation>
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<wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta</wicri:regionArea>
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<author><name sortKey="Lu, C" sort="Lu, C" uniqKey="Lu C" first="C" last="Lu">C. Lu</name>
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<author><name sortKey="Quickfall, J" sort="Quickfall, J" uniqKey="Quickfall J" first="J" last="Quickfall">J. Quickfall</name>
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<author><name sortKey="Crockford, D" sort="Crockford, D" uniqKey="Crockford D" first="D" last="Crockford">D. Crockford</name>
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<author><name sortKey="Suchowersky, O" sort="Suchowersky, O" uniqKey="Suchowersky O" first="O" last="Suchowersky">O. Suchowersky</name>
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<author><name sortKey="Lu, C" sort="Lu, C" uniqKey="Lu C" first="C" last="Lu">C. Lu</name>
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<author><name sortKey="Crockford, D" sort="Crockford, D" uniqKey="Crockford D" first="D" last="Crockford">D. Crockford</name>
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<series><title level="j">The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</title>
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<term>Antiparkinson Agents (therapeutic use)</term>
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<term>Disruptive, Impulse Control, and Conduct Disorders (etiology)</term>
<term>Disruptive, Impulse Control, and Conduct Disorders (psychology)</term>
<term>Female</term>
<term>Gambling (psychology)</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Prevalence</term>
<term>Retrospective Studies</term>
<term>Statistics, Nonparametric</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Disruptive, Impulse Control, and Conduct Disorders</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Disruptive, Impulse Control, and Conduct Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Disruptive, Impulse Control, and Conduct Disorders</term>
<term>Gambling</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Female</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Retrospective Studies</term>
<term>Statistics, Nonparametric</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">To determine the outcomes of patients with Parkinson disease (PD) with pathological gambling (PG) from one Canadian Movement Disorders Clinic.</div>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20724254</PMID>
<DateCreated><Year>2010</Year>
<Month>08</Month>
<Day>20</Day>
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<DateCompleted><Year>2010</Year>
<Month>09</Month>
<Day>28</Day>
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<DateRevised><Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0317-1671</ISSN>
<JournalIssue CitedMedium="Print"><Volume>37</Volume>
<Issue>4</Issue>
<PubDate><Year>2010</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</Title>
<ISOAbbreviation>Can J Neurol Sci</ISOAbbreviation>
</Journal>
<ArticleTitle>Outcomes of patients with Parkinson disease and pathological gambling.</ArticleTitle>
<Pagination><MedlinePgn>473-7</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the outcomes of patients with Parkinson disease (PD) with pathological gambling (PG) from one Canadian Movement Disorders Clinic.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Assessments were performed in-person during routine clinic visits of all patients currently followed by one neurologist (OS). Pathological gambling was defined according to DSM-IV-TR criteria. Chart review was performed to obtain details on medication use, dosages, and patient demographics. Follow-up of patients with PG collected information on gambling behavior, PG management interventions, medications, treatment, and psychosocial outcomes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">146 patients were surveyed with an overall prevalence of PG of 4.1% (6/146). The rate of pathological gambling for those patients on dopamine agonist therapy (DA) was 8.1% (6/74). Only patients who were recreational gamblers prior to starting DA developed PG. All PG patients discontinued, decreased, or switched to another DA, and experienced a partial or full remission of PG. 3 (50%) patients described financial losses of $100,000 or more, and 75% (3/4) patients described significant marital stresses. At follow-up (August 2008), 4 of the 6 patients with PG continued to gamble in a controlled fashion despite medication changes. No significant difference in levodopa equivalent daily dose (LEDD) pre- and post-PG were observed; however, the relative amount of DA was decreased (p= 0.0593), while levodopa was relatively increased (p= 0.5277). Despite control of PG, patients still experience financial and marital strains.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">DA (in combination with levodopa) was associated with a significantly higher prevalence of PG in PD, particularly in patients who were recreational gamblers previously. Despite control of PG, patients continued to experience significant financial and marital stresses that should be regularly enquired upon in follow-up care and managed appropriately.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bharmal</LastName>
<ForeName>A</ForeName>
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<AffiliationInfo><Affiliation>Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.</Affiliation>
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