Predictors of Punding in Parkinson's Disease : Results from a Questionnaire Survey
Identifieur interne : 001527 ( PascalFrancis/Checkpoint ); précédent : 001526; suivant : 001528Predictors of Punding in Parkinson's Disease : Results from a Questionnaire Survey
Auteurs : Andrew J. Lawrence [Royaume-Uni] ; Andrew D. Blackwell [Royaume-Uni] ; Roger A. Barker [Royaume-Uni] ; Francesca Spagnolo [Italie] ; Luke Clark [Royaume-Uni] ; Michael R. F. Aitken [Royaume-Uni] ; Barbara J. Sahakian [Royaume-Uni]Source :
- Movement disorders [ 0885-3185 ] ; 2007.
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Abstract
Dopamine replacement therapy (DRT) for Parkinson's disease (PD) has recently been linked to the development of a number of nonmotor behavioral control problems. Punding, one of these nonmotor problems, is a term used to describe complex, purposeless stereotyped behaviors such as the repetitive handling or sorting of objects. A self-report questionnaire was adapted to assess punding in the context of dysfunctional hobby-related activities. We report the results of a survey of PD outpatients from a PD research clinic (n = 141) and non-PD controls (n = 103); conducted to identify clinical and psychological factors predictive of punding behaviors. The PD group reported hobbies and activities, which scored significantly higher on the Punding Scale than controls. Higher impulsivity, poorer disease-related quality of life, younger age of disease onset, and concomitant daily medication dosage from dopamine receptor agonists were independently predictive of higher Punding Scale scores in the PD group. These findings are similar to those seen in dopamine dysregulation syndrome, and provide further evidence for the role of impulsivity and age at disease onset in DRT-related nonmotor behavioral problems in PD.
Affiliations:
- Italie, Royaume-Uni
- Angleterre, Angleterre de l'Est, Lombardie
- Cambridge, Milan
- Université de Cambridge
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Lawrence</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Experimental Psychology, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Behavioural and Clinical Neuroscience Institute, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation></author><author><name sortKey="Blackwell, Andrew D" sort="Blackwell, Andrew D" uniqKey="Blackwell A" first="Andrew D." last="Blackwell">Andrew D. Blackwell</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Psychiatry, University of Cambridge School of Medicine</s1><s2>Cambridge</s2><s3>GBR</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Cambridge</wicri:noRegion></affiliation></author><author><name sortKey="Barker, Roger A" sort="Barker, Roger A" uniqKey="Barker R" first="Roger A." last="Barker">Roger A. Barker</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Behavioural and Clinical Neuroscience Institute, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Cambridge Centre for Brain Repair, Department of Clinical Neuroscience, Addenbrooke's Hospital</s1><s2>Cambridge</s2><s3>GBR</s3><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Cambridge</wicri:noRegion></affiliation></author><author><name sortKey="Spagnolo, Francesca" sort="Spagnolo, Francesca" uniqKey="Spagnolo F" first="Francesca" last="Spagnolo">Francesca Spagnolo</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Neurology, San Raffaele Hospital</s1><s2>Milan</s2><s3>ITA</s3><sZ>4 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Clark, Luke" sort="Clark, Luke" uniqKey="Clark L" first="Luke" last="Clark">Luke Clark</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Experimental Psychology, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Behavioural and Clinical Neuroscience Institute, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation></author><author><name sortKey="Aitken, Michael R F" sort="Aitken, Michael R F" uniqKey="Aitken M" first="Michael R. F." last="Aitken">Michael R. F. Aitken</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Experimental Psychology, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Behavioural and Clinical Neuroscience Institute, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation></author><author><name sortKey="Sahakian, Barbara J" sort="Sahakian, Barbara J" uniqKey="Sahakian B" first="Barbara J." last="Sahakian">Barbara J. Sahakian</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Behavioural and Clinical Neuroscience Institute, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Cambridge</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Angleterre de l'Est</region></placeName><orgName type="university">Université de Cambridge</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Psychiatry, University of Cambridge School of Medicine</s1><s2>Cambridge</s2><s3>GBR</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Cambridge</wicri:noRegion></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="2007">2007</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>Age of onset</term><term>Behavioral disorder</term><term>Compulsion</term><term>Dopamine</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Questionnaire</term><term>Survey</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Trouble du comportement</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Questionnaire</term><term>Enquête</term><term>Dopamine</term><term>Compulsion</term><term>Age apparition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dopamine replacement therapy (DRT) for Parkinson's disease (PD) has recently been linked to the development of a number of nonmotor behavioral control problems. Punding, one of these nonmotor problems, is a term used to describe complex, purposeless stereotyped behaviors such as the repetitive handling or sorting of objects. A self-report questionnaire was adapted to assess punding in the context of dysfunctional hobby-related activities. We report the results of a survey of PD outpatients from a PD research clinic (n = 141) and non-PD controls (n = 103); conducted to identify clinical and psychological factors predictive of punding behaviors. The PD group reported hobbies and activities, which scored significantly higher on the Punding Scale than controls. Higher impulsivity, poorer disease-related quality of life, younger age of disease onset, and concomitant daily medication dosage from dopamine receptor agonists were independently predictive of higher Punding Scale scores in the PD group. These findings are similar to those seen in dopamine dysregulation syndrome, and provide further evidence for the role of impulsivity and age at disease onset in DRT-related nonmotor behavioral problems in PD.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>22</s2></fA05><fA06><s2>16</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Predictors of Punding in Parkinson's Disease : Results from a Questionnaire Survey</s1></fA08><fA11 i1="01" i2="1"><s1>LAWRENCE (Andrew J.)</s1></fA11><fA11 i1="02" i2="1"><s1>BLACKWELL (Andrew D.)</s1></fA11><fA11 i1="03" i2="1"><s1>BARKER (Roger A.)</s1></fA11><fA11 i1="04" i2="1"><s1>SPAGNOLO (Francesca)</s1></fA11><fA11 i1="05" i2="1"><s1>CLARK (Luke)</s1></fA11><fA11 i1="06" i2="1"><s1>AITKEN (Michael R. F.)</s1></fA11><fA11 i1="07" i2="1"><s1>SAHAKIAN (Barbara J.)</s1></fA11><fA14 i1="01"><s1>Department of Experimental Psychology, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></fA14><fA14 i1="02"><s1>Behavioural and Clinical Neuroscience Institute, University of Cambridge</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Psychiatry, University of Cambridge School of Medicine</s1><s2>Cambridge</s2><s3>GBR</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="04"><s1>Cambridge Centre for Brain Repair, Department of Clinical Neuroscience, Addenbrooke's Hospital</s1><s2>Cambridge</s2><s3>GBR</s3><sZ>3 aut.</sZ></fA14><fA14 i1="05"><s1>Department of Neurology, San Raffaele Hospital</s1><s2>Milan</s2><s3>ITA</s3><sZ>4 aut.</sZ></fA14><fA20><s1>2339-2345</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000162715700060</s5></fA43><fA44><s0>0000</s0><s1>© 2008 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>37 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>08-0148507</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Dopamine replacement therapy (DRT) for Parkinson's disease (PD) has recently been linked to the development of a number of nonmotor behavioral control problems. Punding, one of these nonmotor problems, is a term used to describe complex, purposeless stereotyped behaviors such as the repetitive handling or sorting of objects. A self-report questionnaire was adapted to assess punding in the context of dysfunctional hobby-related activities. We report the results of a survey of PD outpatients from a PD research clinic (n = 141) and non-PD controls (n = 103); conducted to identify clinical and psychological factors predictive of punding behaviors. The PD group reported hobbies and activities, which scored significantly higher on the Punding Scale than controls. Higher impulsivity, poorer disease-related quality of life, younger age of disease onset, and concomitant daily medication dosage from dopamine receptor agonists were independently predictive of higher Punding Scale scores in the PD group. These findings are similar to those seen in dopamine dysregulation syndrome, and provide further evidence for the role of impulsivity and age at disease onset in DRT-related nonmotor behavioral problems in PD.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Trouble du comportement</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Behavioral disorder</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Trastorno conducta</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Maladie de Parkinson</s0><s2>NM</s2><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Parkinson disease</s0><s2>NM</s2><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s2>NM</s2><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Questionnaire</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Questionnaire</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Cuestionario</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Enquête</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Survey</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Encuesta</s0><s5>10</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Dopamine</s0><s2>NK</s2><s2>FR</s2><s5>11</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Dopamine</s0><s2>NK</s2><s2>FR</s2><s5>11</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Dopamina</s0><s2>NK</s2><s2>FR</s2><s5>11</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Compulsion</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Compulsion</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Compulsión</s0><s5>12</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Age apparition</s0><s5>13</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Age of onset</s0><s5>13</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Edad aparición</s0><s5>13</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Catécholamine</s0><s5>42</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Catecholamine</s0><s5>42</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Catecolamina</s0><s5>42</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Neurotransmetteur</s0><s5>43</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Neurotransmitter</s0><s5>43</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Neurotransmisor</s0><s5>43</s5></fC07><fN21><s1>091</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Italie</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Angleterre de l'Est</li><li>Lombardie</li></region><settlement><li>Cambridge</li><li>Milan</li></settlement><orgName><li>Université de Cambridge</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Lawrence, Andrew J" sort="Lawrence, Andrew J" uniqKey="Lawrence A" first="Andrew J." last="Lawrence">Andrew J. Lawrence</name></region><name sortKey="Aitken, Michael R F" sort="Aitken, Michael R F" uniqKey="Aitken M" first="Michael R. F." last="Aitken">Michael R. F. Aitken</name><name sortKey="Aitken, Michael R F" sort="Aitken, Michael R F" uniqKey="Aitken M" first="Michael R. F." last="Aitken">Michael R. F. Aitken</name><name sortKey="Barker, Roger A" sort="Barker, Roger A" uniqKey="Barker R" first="Roger A." last="Barker">Roger A. Barker</name><name sortKey="Barker, Roger A" sort="Barker, Roger A" uniqKey="Barker R" first="Roger A." last="Barker">Roger A. Barker</name><name sortKey="Blackwell, Andrew D" sort="Blackwell, Andrew D" uniqKey="Blackwell A" first="Andrew D." last="Blackwell">Andrew D. Blackwell</name><name sortKey="Clark, Luke" sort="Clark, Luke" uniqKey="Clark L" first="Luke" last="Clark">Luke Clark</name><name sortKey="Clark, Luke" sort="Clark, Luke" uniqKey="Clark L" first="Luke" last="Clark">Luke Clark</name><name sortKey="Lawrence, Andrew J" sort="Lawrence, Andrew J" uniqKey="Lawrence A" first="Andrew J." last="Lawrence">Andrew J. Lawrence</name><name sortKey="Sahakian, Barbara J" sort="Sahakian, Barbara J" uniqKey="Sahakian B" first="Barbara J." last="Sahakian">Barbara J. Sahakian</name><name sortKey="Sahakian, Barbara J" sort="Sahakian, Barbara J" uniqKey="Sahakian B" first="Barbara J." last="Sahakian">Barbara J. Sahakian</name></country><country name="Italie"><region name="Lombardie"><name sortKey="Spagnolo, Francesca" sort="Spagnolo, Francesca" uniqKey="Spagnolo F" first="Francesca" last="Spagnolo">Francesca Spagnolo</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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