Artistic profession: A potential risk factor for dopamine dysregulation syndrome in Parkinson's disease?
Identifieur interne : 001E45 ( Main/Exploration ); précédent : 001E44; suivant : 001E46Artistic profession: A potential risk factor for dopamine dysregulation syndrome in Parkinson's disease?
Auteurs : Petra Schwingenschuh [Royaume-Uni, Autriche] ; Petra Katschnig [Royaume-Uni, Autriche] ; Ronald Saurugg [Autriche] ; Erwin Ott [Autriche] ; Kailash P. Bhatia [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-03-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Aged, Art, Artist, Creativity, DDS, Dopamine, Dopamine (physiology), Dopamine Agents (administration & dosage), Dopamine Agents (adverse effects), Female, Humans, Male, Middle Aged, Nervous system diseases, Occupations, Parkinson Disease (complications), Parkinson Disease (physiopathology), Parkinson disease, Parkinson's disease, Profession, Risk Factors, Risk factor, Substance-Related Disorders (complications), Substance-Related Disorders (diagnosis), artists, creativity, dopamine.
- MESH :
- chemical , administration & dosage : Dopamine Agents.
- chemical , adverse effects : Dopamine Agents.
- chemical , physiology : Dopamine.
- complications : Parkinson Disease, Substance-Related Disorders.
- diagnosis : Substance-Related Disorders.
- physiopathology : Parkinson Disease.
- Adult, Aged, Art, Creativity, Female, Humans, Male, Middle Aged, Occupations, Risk Factors.
Abstract
A small proportion of patients with Parkinson's disease (PD) develop a dopamine dysregulation syndrome (DDS). Management of such patients can be difficult; hence, early identification and careful monitoring of at‐risk individuals are important. Based on four illustrative cases, we wish to draw attention to the risk of developing DDS in PD patients engaged in a creative and artistic profession, who compulsively abuse dopaminergic drugs to maintain or enhance their artistic creativity. Balancing the drug requirement for treating motor symptoms on one hand and improving creativity on the other hand has to be carefully evaluated and early neuropsychiatric intervention may be necessary. Apart from the known risk factors—young age at PD onset, male gender, heavy alcohol consumption, illegal drug use, and history of affective disorder—engagement in a creative or artistic profession may be an additional risk factor for developing DDS. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.22936
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">A small proportion of patients with Parkinson's disease (PD) develop a dopamine dysregulation syndrome (DDS). Management of such patients can be difficult; hence, early identification and careful monitoring of at‐risk individuals are important. Based on four illustrative cases, we wish to draw attention to the risk of developing DDS in PD patients engaged in a creative and artistic profession, who compulsively abuse dopaminergic drugs to maintain or enhance their artistic creativity. Balancing the drug requirement for treating motor symptoms on one hand and improving creativity on the other hand has to be carefully evaluated and early neuropsychiatric intervention may be necessary. Apart from the known risk factors—young age at PD onset, male gender, heavy alcohol consumption, illegal drug use, and history of affective disorder—engagement in a creative or artistic profession may be an additional risk factor for developing DDS. © 2010 Movement Disorder Society</div>
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