Clinical spectrum of impulse control disorders in Parkinson's disease.
Identifieur interne : 000295 ( Main/Exploration ); précédent : 000294; suivant : 000296Clinical spectrum of impulse control disorders in Parkinson's disease.
Auteurs : Daniel Weintraub [États-Unis] ; Anthony S. David ; Andrew H. Evans ; Jon E. Grant ; Mark StacySource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
English descriptors
- KwdEn :
- Animals, Brain (drug effects), Brain (physiopathology), Compulsive Behavior (diagnosis), Compulsive Behavior (drug therapy), Dopamine (metabolism), Dopamine Agonists (therapeutic use), Humans, Impulse Control Disorders (complications), Impulse Control Disorders (diagnosis), Impulse Control Disorders (drug therapy), Impulse Control Disorders (etiology), Parkinson Disease (complications), Parkinson Disease (drug therapy).
- MESH :
- chemical , metabolism : Dopamine.
- complications : Impulse Control Disorders, Parkinson Disease.
- diagnosis : Compulsive Behavior, Impulse Control Disorders.
- drug effects : Brain.
- drug therapy : Compulsive Behavior, Impulse Control Disorders, Parkinson Disease.
- etiology : Impulse Control Disorders.
- physiopathology : Brain.
- chemical , therapeutic use : Dopamine Agonists.
- Animals, Humans.
Abstract
Impulse control disorders (ICDs), including compulsive gambling, buying, sexual behavior, and eating, are a serious and increasingly recognized psychiatric complication in Parkinson's disease (PD). Other impulsive-compulsive behaviors (ICBs) have been described in PD, including punding (stereotyped, repetitive, purposeless behaviors) and dopamine dysregulation syndrome (DDS; compulsive PD medication overuse). ICDs have been most closely related to the use of dopamine agonists (DAs), perhaps more so at higher doses; in contrast, DDS is primarily associated with shorter-acting, higher-potency dopaminergic medications, such as apomorphine and levodopa. Possible risk factors for ICDs include male sex, younger age and younger age at PD onset, a pre-PD history of ICDs, and a personal or family history of substance abuse, bipolar disorder, or gambling problems. Given the paucity of treatment options and potentially serious consequences, it is critical for PD patients to be monitored closely for development of ICDs as part of routine clinical care.
DOI: 10.1002/mds.26016
PubMed: 25370355
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Impulse control disorders (ICDs), including compulsive gambling, buying, sexual behavior, and eating, are a serious and increasingly recognized psychiatric complication in Parkinson's disease (PD). Other impulsive-compulsive behaviors (ICBs) have been described in PD, including punding (stereotyped, repetitive, purposeless behaviors) and dopamine dysregulation syndrome (DDS; compulsive PD medication overuse). ICDs have been most closely related to the use of dopamine agonists (DAs), perhaps more so at higher doses; in contrast, DDS is primarily associated with shorter-acting, higher-potency dopaminergic medications, such as apomorphine and levodopa. Possible risk factors for ICDs include male sex, younger age and younger age at PD onset, a pre-PD history of ICDs, and a personal or family history of substance abuse, bipolar disorder, or gambling problems. Given the paucity of treatment options and potentially serious consequences, it is critical for PD patients to be monitored closely for development of ICDs as part of routine clinical care.</div>
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