Psychiatric Issues in Cognitive Impairment
Identifieur interne : 000458 ( Main/Exploration ); précédent : 000457; suivant : 000459Psychiatric Issues in Cognitive Impairment
Auteurs : Dag Aarsland [Suède, Norvège] ; John-Paul Taylor ; Daniel Weintraub [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2014.
English descriptors
- KwdEn :
- Cognition (physiology), Cognition Disorders (complications), Cognition Disorders (epidemiology), Cognition Disorders (psychology), Cognition Disorders (therapy), Depression (complications), Depression (diagnosis), Depression (epidemiology), Depression (psychology), Humans, Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Parkinson Disease (psychology), Parkinson Disease (therapy), Quality of Life, Sleep Disorders (diagnosis), Sleep Disorders (epidemiology), Sleep Disorders (psychology).
- MESH :
- complications : Cognition Disorders, Depression.
- diagnosis : Depression, Parkinson Disease, Sleep Disorders.
- epidemiology : Cognition Disorders, Depression, Parkinson Disease, Sleep Disorders.
- physiology : Cognition.
- psychology : Cognition Disorders, Depression, Parkinson Disease, Sleep Disorders.
- therapy : Cognition Disorders, Parkinson Disease.
- Humans, Quality of Life.
Abstract
Neuropsychiatric symptoms (NPS) such as depression, hallucinations and apathy commonly occur in Parkinson’s disease (PD) and have major clinical consequences including a negative impact on quality of life. This review discusses the epidemiology, clinical features, diagnostic procedures and treatment issues of NPS in PD and related disorders in the perspective of cognitive impairment, focusing on depression, anxiety, visual hallucinations, apathy, sleep disturbances, impulse control disorder and non-motor fluctuations. The majority of NPS are more common in PD patients with dementia, possibly related to shared underlying pathologies. Recent studies also suggest that NPS are associated with mild cognitive impairment in PD, in particular with the amnestic type. Accurate diagnosis of NPS is important but can be difficult, due to overlapping symptoms and similar appearance of symptoms of motor symptoms of parkinsonism, cognitive impairment, mood disorders and apathy. There are few systematic studies focusing on the management of NPS in PD with cognitive impairment.
Url:
DOI: 10.1002/mds.25873
PubMed: 24757113
PubMed Central: 4380016
Affiliations:
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Le document en format XML
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Oslo</wicri:regionArea><wicri:noRegion>Oslo</wicri:noRegion></affiliation></author><author><name sortKey="Taylor, John Paul" sort="Taylor, John Paul" uniqKey="Taylor J" first="John-Paul" last="Taylor">John-Paul Taylor</name><affiliation><nlm:aff id="A4">Wellcome Trust Intermediate Clinical Fellow, Institute for Ageing and Health, and Honorary Consultant in Old Age Psychiatry, Northumberland, Tyne and Wear NHS Trust</nlm:aff><wicri:noCountry code="subfield">Tyne and Wear NHS Trust</wicri:noCountry></affiliation></author><author><name sortKey="Weintraub, Daniel" sort="Weintraub, Daniel" uniqKey="Weintraub D" first="Daniel" last="Weintraub">Daniel Weintraub</name><affiliation wicri:level="2"><nlm:aff id="A5">Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Perelman School of Medicine at the University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A6">Parkinson’s Disease Research, Education and Clinical Center (PADRECC), 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</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A7">Mental Illness Research, Education and Clinical Center (MIRECC), Philadelphia, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Mental Illness Research, Education and Clinical Center (MIRECC), Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A8">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>Philadelphia Veterans Affairs Medical Center, Philadelphia</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="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cognition (physiology)</term><term>Cognition Disorders (complications)</term><term>Cognition Disorders (epidemiology)</term><term>Cognition Disorders (psychology)</term><term>Cognition Disorders (therapy)</term><term>Depression (complications)</term><term>Depression (diagnosis)</term><term>Depression (epidemiology)</term><term>Depression (psychology)</term><term>Humans</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (epidemiology)</term><term>Parkinson Disease (psychology)</term><term>Parkinson Disease (therapy)</term><term>Quality of Life</term><term>Sleep Disorders (diagnosis)</term><term>Sleep Disorders (epidemiology)</term><term>Sleep Disorders (psychology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cognition Disorders</term><term>Depression</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Depression</term><term>Parkinson Disease</term><term>Sleep Disorders</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cognition Disorders</term><term>Depression</term><term>Parkinson Disease</term><term>Sleep Disorders</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cognition</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cognition Disorders</term><term>Depression</term><term>Parkinson Disease</term><term>Sleep Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cognition Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Quality of Life</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Neuropsychiatric symptoms (NPS) such as depression, hallucinations and apathy commonly occur in Parkinson’s disease (PD) and have major clinical consequences including a negative impact on quality of life. This review discusses the epidemiology, clinical features, diagnostic procedures and treatment issues of NPS in PD and related disorders in the perspective of cognitive impairment, focusing on depression, anxiety, visual hallucinations, apathy, sleep disturbances, impulse control disorder and non-motor fluctuations. The majority of NPS are more common in PD patients with dementia, possibly related to shared underlying pathologies. Recent studies also suggest that NPS are associated with mild cognitive impairment in PD, in particular with the amnestic type. Accurate diagnosis of NPS is important but can be difficult, due to overlapping symptoms and similar appearance of symptoms of motor symptoms of parkinsonism, cognitive impairment, mood disorders and apathy. There are few systematic studies focusing on the management of NPS in PD with cognitive impairment.</p></div></front></TEI><affiliations><list><country><li>Norvège</li><li>Suède</li><li>États-Unis</li></country><region><li>Pennsylvanie</li><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><noCountry><name sortKey="Taylor, John Paul" sort="Taylor, John Paul" uniqKey="Taylor J" first="John-Paul" last="Taylor">John-Paul Taylor</name></noCountry><country name="Suède"><region name="Svealand"><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name></region></country><country name="Norvège"><noRegion><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name></noRegion><name sortKey="Aarsland, Dag" sort="Aarsland, Dag" uniqKey="Aarsland D" first="Dag" last="Aarsland">Dag Aarsland</name></country><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="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></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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