Compulsive Use of Dopaminergic Drug Therapy in Parkinson's Disease: Reward and Anti-Reward
Identifieur interne : 000432 ( PascalFrancis/Corpus ); précédent : 000431; suivant : 000433Compulsive Use of Dopaminergic Drug Therapy in Parkinson's Disease: Reward and Anti-Reward
Auteurs : Andrew H. Evans ; Andrew D. Lawrence ; Silke Appel Cresswell ; Regina Katzenschlager ; Andrew J. LeesSource :
- Movement disorders [ 0885-3185 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
A few Parkinson patients develop a disabling pattern of compulsive dopaminergic drug use ("dopamine dysregulation syndrome"-DDS). DDS patients commonly identify aversive dysphoric "OFF" mood-states as a primary motivation to compulsively use their drugs. We compared motoric, affective, nonmotor symptoms and incentive arousal after overnight medication withdrawal and after levodopa in DDS and control PD patients. Twenty DDS patients were matched to 20 control PD patients for age, gender, and disease duration and underwent a standard levodopa challenge. Somatic symptomatology, positive and negative affective states, drug effects, reward responsivity, motor disability, and dyskinesias were tested in the "OFF"-state after overnight withdrawal of medications, and then after a challenge with a standard dose of levodopa, after a full "ON"-state was achieved. In the "OFF"-state, DDS patients reported lower positive affect, and more motor and non-motor disability. In the "ON"-state, DDS patients had higher expressions of drug "wanting," reward responsivity, and dyskinesias. Positive and negative affect, non-motor symptomatology, and motor disability were comparable. These findings suggest that affective, motivational, and motoric disturbances in PD are associated with the transition to compulsive drug use in individuals who inappropriately overuse their dopaminergic medication.
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Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 10-0288348 INIST |
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ET : | Compulsive Use of Dopaminergic Drug Therapy in Parkinson's Disease: Reward and Anti-Reward |
AU : | EVANS (Andrew H.); LAWRENCE (Andrew D.); CRESSWELL (Silke Appel); KATZENSCHLAGER (Regina); LEES (Andrew J.) |
AF : | Department of Neurology, The Royal Melbourne Hospital/Parkville, Victoria/Australie (1 aut.); Department of Medicine, University of Melbourne/Victoria/Australie (1 aut.); Reta Lila Weston Institute of Neurological Studies and The National Hospital for Neurology and Neurosurgery/Queen Square, London/Royaume-Uni (1 aut., 4 aut., 5 aut.); Wales Institute of Cognitive Neuroscience, School of Psychology, Cardiff University/Cardiff/Royaume-Uni (2 aut.); Pacific Parkinson's Research Centre, University of British Columbia/Vancouver, British Columbia/Canada (3 aut.); Department of Neurology, Donauspital/SMZ-Ost/Vienna/Autriche (4 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 7; Pp. 867-876; Bibl. 44 ref. |
LA : | Anglais |
EA : | A few Parkinson patients develop a disabling pattern of compulsive dopaminergic drug use ("dopamine dysregulation syndrome"-DDS). DDS patients commonly identify aversive dysphoric "OFF" mood-states as a primary motivation to compulsively use their drugs. We compared motoric, affective, nonmotor symptoms and incentive arousal after overnight medication withdrawal and after levodopa in DDS and control PD patients. Twenty DDS patients were matched to 20 control PD patients for age, gender, and disease duration and underwent a standard levodopa challenge. Somatic symptomatology, positive and negative affective states, drug effects, reward responsivity, motor disability, and dyskinesias were tested in the "OFF"-state after overnight withdrawal of medications, and then after a challenge with a standard dose of levodopa, after a full "ON"-state was achieved. In the "OFF"-state, DDS patients reported lower positive affect, and more motor and non-motor disability. In the "ON"-state, DDS patients had higher expressions of drug "wanting," reward responsivity, and dyskinesias. Positive and negative affect, non-motor symptomatology, and motor disability were comparable. These findings suggest that affective, motivational, and motoric disturbances in PD are associated with the transition to compulsive drug use in individuals who inappropriately overuse their dopaminergic medication. |
CC : | 002B17; 002B17G |
FD : | Maladie de Parkinson; Pathologie du système nerveux; Traitement |
FG : | Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central |
ED : | Parkinson disease; Nervous system diseases; Treatment |
EG : | Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
SD : | Parkinson enfermedad; Sistema nervioso patología; Tratamiento |
LO : | INIST-20953.354000193040220080 |
ID : | 10-0288348 |
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<front><div type="abstract" xml:lang="en">A few Parkinson patients develop a disabling pattern of compulsive dopaminergic drug use ("dopamine dysregulation syndrome"-DDS). DDS patients commonly identify aversive dysphoric "OFF" mood-states as a primary motivation to compulsively use their drugs. We compared motoric, affective, nonmotor symptoms and incentive arousal after overnight medication withdrawal and after levodopa in DDS and control PD patients. Twenty DDS patients were matched to 20 control PD patients for age, gender, and disease duration and underwent a standard levodopa challenge. Somatic symptomatology, positive and negative affective states, drug effects, reward responsivity, motor disability, and dyskinesias were tested in the "OFF"-state after overnight withdrawal of medications, and then after a challenge with a standard dose of levodopa, after a full "ON"-state was achieved. In the "OFF"-state, DDS patients reported lower positive affect, and more motor and non-motor disability. In the "ON"-state, DDS patients had higher expressions of drug "wanting," reward responsivity, and dyskinesias. Positive and negative affect, non-motor symptomatology, and motor disability were comparable. These findings suggest that affective, motivational, and motoric disturbances in PD are associated with the transition to compulsive drug use in individuals who inappropriately overuse their dopaminergic medication.</div>
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<ET>Compulsive Use of Dopaminergic Drug Therapy in Parkinson's Disease: Reward and Anti-Reward</ET>
<AU>EVANS (Andrew H.); LAWRENCE (Andrew D.); CRESSWELL (Silke Appel); KATZENSCHLAGER (Regina); LEES (Andrew J.)</AU>
<AF>Department of Neurology, The Royal Melbourne Hospital/Parkville, Victoria/Australie (1 aut.); Department of Medicine, University of Melbourne/Victoria/Australie (1 aut.); Reta Lila Weston Institute of Neurological Studies and The National Hospital for Neurology and Neurosurgery/Queen Square, London/Royaume-Uni (1 aut., 4 aut., 5 aut.); Wales Institute of Cognitive Neuroscience, School of Psychology, Cardiff University/Cardiff/Royaume-Uni (2 aut.); Pacific Parkinson's Research Centre, University of British Columbia/Vancouver, British Columbia/Canada (3 aut.); Department of Neurology, Donauspital/SMZ-Ost/Vienna/Autriche (4 aut.)</AF>
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<EA>A few Parkinson patients develop a disabling pattern of compulsive dopaminergic drug use ("dopamine dysregulation syndrome"-DDS). DDS patients commonly identify aversive dysphoric "OFF" mood-states as a primary motivation to compulsively use their drugs. We compared motoric, affective, nonmotor symptoms and incentive arousal after overnight medication withdrawal and after levodopa in DDS and control PD patients. Twenty DDS patients were matched to 20 control PD patients for age, gender, and disease duration and underwent a standard levodopa challenge. Somatic symptomatology, positive and negative affective states, drug effects, reward responsivity, motor disability, and dyskinesias were tested in the "OFF"-state after overnight withdrawal of medications, and then after a challenge with a standard dose of levodopa, after a full "ON"-state was achieved. In the "OFF"-state, DDS patients reported lower positive affect, and more motor and non-motor disability. In the "ON"-state, DDS patients had higher expressions of drug "wanting," reward responsivity, and dyskinesias. Positive and negative affect, non-motor symptomatology, and motor disability were comparable. These findings suggest that affective, motivational, and motoric disturbances in PD are associated with the transition to compulsive drug use in individuals who inappropriately overuse their dopaminergic medication.</EA>
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