The Changing Face of Parkinson's Disease-Associated Psychosis: A Cross-Sectional Study Based on the New NINDS-NIMH Criteria
Identifieur interne : 002393 ( Main/Merge ); précédent : 002392; suivant : 002394The Changing Face of Parkinson's Disease-Associated Psychosis: A Cross-Sectional Study Based on the New NINDS-NIMH Criteria
Auteurs : Gilles Fenelon [France] ; Thierry Soulas [France] ; Franck Zenasni [France] ; Laurent Cleret De Langavant [France]Source :
- Movement disorders [ 0885-3185 ] ; 2010.
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Abstract
New criteria for Parkinson's disease-associated psychosis (PDAP) were recently proposed by a NINDS-NIMH working group. We assessed 116 consecutive unselected outpatients with PD for the existence of psychotic symptoms during the previous month, using a structured questionnaire covering the whole spectrum of PDAP symptoms. Hallucinations occurred in 42% of the patients (visual: 16%; nonvisual: 35%), delusions in 4%, and minor symptoms in 45% (sense of presence, visual illusions, or passage hallucinations). The prevalence of PDAP was 43% when the usual definition was used (hallucinations and/or delusions) and 60% when the NINDS-NIHM criteria were used. Correlations between PDAP and patient characteristics varied with the definition of PDAP. These findings suggest that the epidemiology of PDAP should be re-evaluated with the new criteria. Minor symptoms and nonvisual hallucinations are an important part of the PDAP spectrum, which has commonly been restricted to visual hallucinations and delusions.
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aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Créteil</settlement></placeName></affiliation></author><author><name sortKey="Soulas, Thierry" sort="Soulas, Thierry" uniqKey="Soulas T" first="Thierry" last="Soulas">Thierry Soulas</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Laboratory of Psychopathology and Clinical Neuropsychology, University of Paris-Descartes</s1><s2>Boulogne</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Boulogne</wicri:noRegion><wicri:noRegion>University of Paris-Descartes</wicri:noRegion><wicri:noRegion>Boulogne</wicri:noRegion></affiliation></author><author><name sortKey="Zenasni, Franck" sort="Zenasni, Franck" uniqKey="Zenasni F" first="Franck" last="Zenasni">Franck Zenasni</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Laboratory of Psychology and Cognitive Neurosciences, University of Paris-Descartes</s1><s2>Boulogne</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Boulogne</wicri:noRegion><wicri:noRegion>University of Paris-Descartes</wicri:noRegion><wicri:noRegion>Boulogne</wicri:noRegion></affiliation></author><author><name sortKey="Cleret De Langavant, Laurent" sort="Cleret De Langavant, Laurent" uniqKey="Cleret De Langavant L" first="Laurent" last="Cleret De Langavant">Laurent Cleret De Langavant</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>AP-HP, Department of Neurology, CHU Henri Mondor</s1><s2>Créteil</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Créteil</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>INSERM U955, Team I</s1><s2>Créteil</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Créteil</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross sectional study</term><term>Delusion</term><term>Face</term><term>Hallucination</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Psychosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Psychose</term><term>Hallucination</term><term>Délire</term><term>Pathologie du système nerveux</term><term>Face</term><term>Etude transversale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">New criteria for Parkinson's disease-associated psychosis (PDAP) were recently proposed by a NINDS-NIMH working group. We assessed 116 consecutive unselected outpatients with PD for the existence of psychotic symptoms during the previous month, using a structured questionnaire covering the whole spectrum of PDAP symptoms. Hallucinations occurred in 42% of the patients (visual: 16%; nonvisual: 35%), delusions in 4%, and minor symptoms in 45% (sense of presence, visual illusions, or passage hallucinations). The prevalence of PDAP was 43% when the usual definition was used (hallucinations and/or delusions) and 60% when the NINDS-NIHM criteria were used. Correlations between PDAP and patient characteristics varied with the definition of PDAP. These findings suggest that the epidemiology of PDAP should be re-evaluated with the new criteria. Minor symptoms and nonvisual hallucinations are an important part of the PDAP spectrum, which has commonly been restricted to visual hallucinations and delusions.</div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Créteil</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Fenelon, Gilles" sort="Fenelon, Gilles" uniqKey="Fenelon G" first="Gilles" last="Fenelon">Gilles Fenelon</name></noRegion><name sortKey="Cleret De Langavant, Laurent" sort="Cleret De Langavant, Laurent" uniqKey="Cleret De Langavant L" first="Laurent" last="Cleret De Langavant">Laurent Cleret De Langavant</name><name sortKey="Cleret De Langavant, Laurent" sort="Cleret De Langavant, Laurent" uniqKey="Cleret De Langavant L" first="Laurent" last="Cleret De Langavant">Laurent Cleret De Langavant</name><name sortKey="Fenelon, Gilles" sort="Fenelon, Gilles" uniqKey="Fenelon G" first="Gilles" last="Fenelon">Gilles Fenelon</name><name sortKey="Soulas, Thierry" sort="Soulas, Thierry" uniqKey="Soulas T" first="Thierry" last="Soulas">Thierry Soulas</name><name sortKey="Zenasni, Franck" sort="Zenasni, Franck" uniqKey="Zenasni F" first="Franck" last="Zenasni">Franck Zenasni</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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