Pathologic gambling in Parkinson's disease: A behavioral manifestation of pharmacologic treatment?
Identifieur interne : 004A03 ( Main/Exploration ); précédent : 004A02; suivant : 004A04Pathologic gambling in Parkinson's disease: A behavioral manifestation of pharmacologic treatment?
Auteurs : José Antonio Molina [Espagne] ; María José Sáinz-Artiga [Espagne] ; Alicia Fraile [Espagne] ; Félix Javier Jiménez-Jiménez [Espagne] ; Clara Villanueva [Espagne] ; Miguel Ortí-Pareja [Espagne] ; Félix Bermejo-P [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Antiparkinson Agents (adverse effects), Antiparkinson agent, Behavioral disorder, Chemotherapy, Complication, Diagnosis, Female, Gambling (psychology), Human, Humans, Impulse Control Disorders (chemically induced), Impulse control disorders, Levodopa, Levodopa (adverse effects), Male, Middle Aged, Movement disorders, Parkinson Disease (drug therapy), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Pathologic gambling, Pathological gambling, Psychometrics.
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemically induced : Impulse Control Disorders.
- drug therapy : Parkinson Disease.
- psychology : Gambling, Parkinson Disease.
- Adult, Aged, Female, Humans, Male, Middle Aged.
Abstract
We describe 12 patients with Parkinson's disease and pathologic gambling. This association has apparently never been reported. The patients were selected from a Parkinson's disease unit of 250 patients. They met Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for pathologic gambling. All patients underwent a neurologic, psychiatric, and psychologic examination, specifically noting the presence or absence of psychopathology in the spectrum of impulse control disorder and the nature of the gambling. Ten patients started gambling after the onset of Parkinson's disease and treatment with levodopa. The pathologic behavior was exclusively present or was markedly increased in “on” periods in 11 patients. All patients had motor fluctuations at the time of the study. Slot machines were the preferred source of gambling for 10 patients, similar to the Spanish gambling population. That the gambling behavior appears more often in the “on” periods of motor fluctuations and that it begins after the onset of Parkinson's disease in most patients and worsens with levodopa therapy suggest that it could be related to the dopaminergic tone in patients with Parkinson's disease and motor fluctuations (that is, it could represent a behavioral manifestation of pharmacologic treatment).
Url:
DOI: 10.1002/1531-8257(200009)15:5<869::AID-MDS1016>3.0.CO;2-I
Affiliations:
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Le document en format XML
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xml:lang="fr">Espagne</country><wicri:regionArea>Department of Neurology, Hospital Universitario Doce de Octubre, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Fraile, Alicia" sort="Fraile, Alicia" uniqKey="Fraile A" first="Alicia" last="Fraile">Alicia Fraile</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Psychiatry, Hospital Universitario Doce de Octubre, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Jimenez Imenez, Felix Javier" sort="Jimenez Imenez, Felix Javier" uniqKey="Jimenez Imenez F" first="Félix Javier" last="Jiménez-Jiménez">Félix Javier Jiménez-Jiménez</name><affiliation wicri:level="3"><country 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xml:lang="fr">Espagne</country><wicri:regionArea>Department of Medicine–Neurology, Hospital Principe de Asturias, Universidad de Alcala, Alcala de Henares, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Bermejo, Felix" sort="Bermejo, Felix" uniqKey="Bermejo F" first="Félix" last="Bermejo-P">Félix Bermejo-P</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Neurology, Hospital Universitario Doce de Octubre, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2000-09">2000-09</date><biblScope unit="vol">15</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="869">869</biblScope><biblScope unit="page" to="872">872</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D2441E26F52B69FC5FE05EE9815A10F6DF81A66B</idno><idno type="DOI">10.1002/1531-8257(200009)15:5<869::AID-MDS1016>3.0.CO;2-I</idno><idno type="ArticleID">MDS1016</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Antiparkinson Agents (adverse effects)</term><term>Antiparkinson agent</term><term>Behavioral disorder</term><term>Chemotherapy</term><term>Complication</term><term>Diagnosis</term><term>Female</term><term>Gambling (psychology)</term><term>Human</term><term>Humans</term><term>Impulse Control Disorders (chemically induced)</term><term>Impulse control disorders</term><term>Levodopa</term><term>Levodopa (adverse effects)</term><term>Male</term><term>Middle Aged</term><term>Movement disorders</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (psychology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Pathologic gambling</term><term>Pathological gambling</term><term>Psychometrics</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Impulse Control Disorders</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Gambling</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Antiparkinsonien</term><term>Chimiothérapie</term><term>Complication</term><term>Diagnostic</term><term>Homme</term><term>Jeu pathologique</term><term>Lévodopa</term><term>Parkinson maladie</term><term>Psychométrie</term><term>Trouble comportement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe 12 patients with Parkinson's disease and pathologic gambling. This association has apparently never been reported. The patients were selected from a Parkinson's disease unit of 250 patients. They met Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for pathologic gambling. All patients underwent a neurologic, psychiatric, and psychologic examination, specifically noting the presence or absence of psychopathology in the spectrum of impulse control disorder and the nature of the gambling. Ten patients started gambling after the onset of Parkinson's disease and treatment with levodopa. The pathologic behavior was exclusively present or was markedly increased in “on” periods in 11 patients. All patients had motor fluctuations at the time of the study. Slot machines were the preferred source of gambling for 10 patients, similar to the Spanish gambling population. That the gambling behavior appears more often in the “on” periods of motor fluctuations and that it begins after the onset of Parkinson's disease in most patients and worsens with levodopa therapy suggest that it could be related to the dopaminergic tone in patients with Parkinson's disease and motor fluctuations (that is, it could represent a behavioral manifestation of pharmacologic treatment).</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Molina, Jose Antonio" sort="Molina, Jose Antonio" uniqKey="Molina J" first="José Antonio" last="Molina">José Antonio Molina</name></region><name sortKey="Bermejo, Felix" sort="Bermejo, Felix" uniqKey="Bermejo F" first="Félix" last="Bermejo-P">Félix Bermejo-P</name><name sortKey="Fraile, Alicia" sort="Fraile, Alicia" uniqKey="Fraile A" first="Alicia" last="Fraile">Alicia Fraile</name><name sortKey="Jimenez Imenez, Felix Javier" sort="Jimenez Imenez, Felix Javier" uniqKey="Jimenez Imenez F" first="Félix Javier" last="Jiménez-Jiménez">Félix Javier Jiménez-Jiménez</name><name sortKey="Orti Areja, Miguel" sort="Orti Areja, Miguel" uniqKey="Orti Areja M" first="Miguel" last="Ortí-Pareja">Miguel Ortí-Pareja</name><name sortKey="Sainz Rtiga, Maria Jose" sort="Sainz Rtiga, Maria Jose" uniqKey="Sainz Rtiga M" first="María José" last="Sáinz-Artiga">María José Sáinz-Artiga</name><name sortKey="Villanueva, Clara" sort="Villanueva, Clara" uniqKey="Villanueva C" first="Clara" last="Villanueva">Clara Villanueva</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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