MovDisordV3, PascalFrancis, Corpus, bibRecord, 001D11

Relationship between hallucinations, delusions, and rapid eye movement sleep behavior disorder in Parkinson's disease

Identifieur interne : 001D11 ( PascalFrancis/Corpus ); précédent : 001D10; suivant : 001D12

Relationship between hallucinations, delusions, and rapid eye movement sleep behavior disorder in Parkinson's disease

Auteurs : Claudio Pacchetti ; Raffaele Manni ; Roberta Zangaglia ; Francesca Mancini ; Enrico Marchioni ; Cristina Tassorelli ; Michele Terzaghi ; Maria Ossola ; Emilia Martignoni ; Arrigo Moglia ; Giuseppe Nappi

Source :

Movement disorders [ 0885-3185 ] ; 2005.

RBID : Pascal:06-0077735

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Hallucination, Délire, Trouble comportement, Parkinson maladie, Trouble sommeil, Sommeil paradoxal.

English descriptors

KwdEn :
- Behavioral disorder, Delusion, Hallucination, Nervous system diseases, Parkinson disease, Rapid eye movement sleep, Sleep disorder.

Abstract

Psychotic symptoms are the main and the most disabling "nonmotor" complications of Parkinson's disease (PD), the pathophysiology of which is poorly recognized. Polysomnographic studies have shown a relationship between visual hallucinations and rapid eye movement (REM) sleep. The objective of this study is to clarify the relationship between psychotic symptoms and REM sleep behavior disorder (RBD) in PD. In a Parkinson's disease outpatient unit, 289 consecutive subjects with idiopathic PD were administered (in the period from January to December 2002) a multiple-choice questionnaire and structured interview on sleep and mental disorders. RBD was diagnosed in accordance with the minimal diagnostic criteria of the International Classification of Sleep Disorders. Hallucinations and delusional disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. The presence or absence of psychotic symptoms, of RBD, and of daytime sleepiness, as well as motor status, cognitive status, and mood were assessed. Approximately 32% (n = 92) of the subjects presented with psychotic disorders; 30% (n = 86) had experienced hallucinations; 2% (n = 6) had delusions without hallucinations. Sixty-two (72%) hallucinators reported nocturnal hallucinations. A total of 6.6% (n = 19) of the subjects complained of a delusional disorder. There were 26.6% (n = 77) of subjects who presented with RED: 28 (36%) with onset before and 49 (63%) with onset after PD diagnosis. The presence of RBD was associated with an increased risk of manifesting hallucinations and delusions (odds ratio [OR], 2.73). Other independent clinical factors found to have an effect on psychotic disorders were cognitive impairment (OR, 3.92), disease duration (OR, 2.46), advanced age (OR, 2.34), and severity of motor symptoms (OR, 2.06). These results suggest that RBD is widely associated with psychosis in PD.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO :	PASCAL 06-0077735 INIST
ET :	Relationship between hallucinations, delusions, and rapid eye movement sleep behavior disorder in Parkinson's disease
AU :	PACCHETTI (Claudio); MANNI (Raffaele); ZANGAGLIA (Roberta); MANCINI (Francesca); MARCHIONI (Enrico); TASSORELLI (Cristina); TERZAGHI (Michele); OSSOLA (Maria); MARTIGNONI (Emilia); MOGLIA (Arrigo); NAPPI (Giuseppe)
AF :	Parkinson's Disease and Movement Disorders Unit, IRCCS C. Mondino Institute of Neurology/Pavia/Italie (1 aut., 3 aut., 4 aut., 6 aut., 8 aut., 10 aut.); Sleep Medicine Unit, IRCCS C. Mondino Institute of Neurology/Pavia/Italie (2 aut., 7 aut.); Laboratory of Epidemiology and Statistics, IRCCS C. Mondino Institute of Neurology/Pavia/Italie (5 aut.); Department of Medical Science, University A. Avogadro/Novara/Italie (9 aut.); Department of Neurology and Otolaryngology, University La Sapienza/Rome/Italie (11 aut.); IRCCS C. Mondino Institute of Neurology/Pavia/Italie (11 aut.)
DT :	Publication en série; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 11; Pp. 1439-1448; Bibl. 62 ref.
LA :	Anglais
EA :	Psychotic symptoms are the main and the most disabling "nonmotor" complications of Parkinson's disease (PD), the pathophysiology of which is poorly recognized. Polysomnographic studies have shown a relationship between visual hallucinations and rapid eye movement (REM) sleep. The objective of this study is to clarify the relationship between psychotic symptoms and REM sleep behavior disorder (RBD) in PD. In a Parkinson's disease outpatient unit, 289 consecutive subjects with idiopathic PD were administered (in the period from January to December 2002) a multiple-choice questionnaire and structured interview on sleep and mental disorders. RBD was diagnosed in accordance with the minimal diagnostic criteria of the International Classification of Sleep Disorders. Hallucinations and delusional disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. The presence or absence of psychotic symptoms, of RBD, and of daytime sleepiness, as well as motor status, cognitive status, and mood were assessed. Approximately 32% (n = 92) of the subjects presented with psychotic disorders; 30% (n = 86) had experienced hallucinations; 2% (n = 6) had delusions without hallucinations. Sixty-two (72%) hallucinators reported nocturnal hallucinations. A total of 6.6% (n = 19) of the subjects complained of a delusional disorder. There were 26.6% (n = 77) of subjects who presented with RED: 28 (36%) with onset before and 49 (63%) with onset after PD diagnosis. The presence of RBD was associated with an increased risk of manifesting hallucinations and delusions (odds ratio [OR], 2.73). Other independent clinical factors found to have an effect on psychotic disorders were cognitive impairment (OR, 3.92), disease duration (OR, 2.46), advanced age (OR, 2.34), and severity of motor symptoms (OR, 2.06). These results suggest that RBD is widely associated with psychosis in PD.
CC :	002B17; 002B17G; 002B17A02
FD :	Système nerveux pathologie; Hallucination; Délire; Trouble comportement; Parkinson maladie; Trouble sommeil; Sommeil paradoxal
FG :	Cycle veille sommeil; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Trouble neurologique
ED :	Nervous system diseases; Hallucination; Delusion; Behavioral disorder; Parkinson disease; Sleep disorder; Rapid eye movement sleep
EG :	Sleep wake cycle; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Neurological disorder
SD :	Sistema nervioso patología; Alucinación; Delirio; Trastorno conducta; Parkinson enfermedad; Trastorno sueño; Sueño paradojal
LO :	INIST-20953.354000134570810070
ID :	06-0077735

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Pascal:06-0077735

Le document en format XML

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<author><name sortKey="Marchioni, Enrico" sort="Marchioni, Enrico" uniqKey="Marchioni E" first="Enrico" last="Marchioni">Enrico Marchioni</name>
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<author><name sortKey="Tassorelli, Cristina" sort="Tassorelli, Cristina" uniqKey="Tassorelli C" first="Cristina" last="Tassorelli">Cristina Tassorelli</name>
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<author><name sortKey="Terzaghi, Michele" sort="Terzaghi, Michele" uniqKey="Terzaghi M" first="Michele" last="Terzaghi">Michele Terzaghi</name>
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<author><name sortKey="Ossola, Maria" sort="Ossola, Maria" uniqKey="Ossola M" first="Maria" last="Ossola">Maria Ossola</name>
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<author><name sortKey="Moglia, Arrigo" sort="Moglia, Arrigo" uniqKey="Moglia A" first="Arrigo" last="Moglia">Arrigo Moglia</name>
<affiliation><inist:fA14 i1="01"><s1>Parkinson's Disease and Movement Disorders Unit, IRCCS C. Mondino Institute of Neurology</s1>
<s2>Pavia</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
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<author><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name>
<affiliation><inist:fA14 i1="05"><s1>Department of Neurology and Otolaryngology, University La Sapienza</s1>
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<s3>ITA</s3>
<sZ>11 aut.</sZ>
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<series><title level="j" type="main">Movement disorders</title>
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<front><div type="abstract" xml:lang="en">Psychotic symptoms are the main and the most disabling "nonmotor" complications of Parkinson's disease (PD), the pathophysiology of which is poorly recognized. Polysomnographic studies have shown a relationship between visual hallucinations and rapid eye movement (REM) sleep. The objective of this study is to clarify the relationship between psychotic symptoms and REM sleep behavior disorder (RBD) in PD. In a Parkinson's disease outpatient unit, 289 consecutive subjects with idiopathic PD were administered (in the period from January to December 2002) a multiple-choice questionnaire and structured interview on sleep and mental disorders. RBD was diagnosed in accordance with the minimal diagnostic criteria of the International Classification of Sleep Disorders. Hallucinations and delusional disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. The presence or absence of psychotic symptoms, of RBD, and of daytime sleepiness, as well as motor status, cognitive status, and mood were assessed. Approximately 32% (n = 92) of the subjects presented with psychotic disorders; 30% (n = 86) had experienced hallucinations; 2% (n = 6) had delusions without hallucinations. Sixty-two (72%) hallucinators reported nocturnal hallucinations. A total of 6.6% (n = 19) of the subjects complained of a delusional disorder. There were 26.6% (n = 77) of subjects who presented with RED: 28 (36%) with onset before and 49 (63%) with onset after PD diagnosis. The presence of RBD was associated with an increased risk of manifesting hallucinations and delusions (odds ratio [OR], 2.73). Other independent clinical factors found to have an effect on psychotic disorders were cognitive impairment (OR, 3.92), disease duration (OR, 2.46), advanced age (OR, 2.34), and severity of motor symptoms (OR, 2.06). These results suggest that RBD is widely associated with psychosis in PD.</div>
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<ET>Relationship between hallucinations, delusions, and rapid eye movement sleep behavior disorder in Parkinson's disease</ET>
<AU>PACCHETTI (Claudio); MANNI (Raffaele); ZANGAGLIA (Roberta); MANCINI (Francesca); MARCHIONI (Enrico); TASSORELLI (Cristina); TERZAGHI (Michele); OSSOLA (Maria); MARTIGNONI (Emilia); MOGLIA (Arrigo); NAPPI (Giuseppe)</AU>
<AF>Parkinson's Disease and Movement Disorders Unit, IRCCS C. Mondino Institute of Neurology/Pavia/Italie (1 aut., 3 aut., 4 aut., 6 aut., 8 aut., 10 aut.); Sleep Medicine Unit, IRCCS C. Mondino Institute of Neurology/Pavia/Italie (2 aut., 7 aut.); Laboratory of Epidemiology and Statistics, IRCCS C. Mondino Institute of Neurology/Pavia/Italie (5 aut.); Department of Medical Science, University A. Avogadro/Novara/Italie (9 aut.); Department of Neurology and Otolaryngology, University La Sapienza/Rome/Italie (11 aut.); IRCCS C. Mondino Institute of Neurology/Pavia/Italie (11 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
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<EA>Psychotic symptoms are the main and the most disabling "nonmotor" complications of Parkinson's disease (PD), the pathophysiology of which is poorly recognized. Polysomnographic studies have shown a relationship between visual hallucinations and rapid eye movement (REM) sleep. The objective of this study is to clarify the relationship between psychotic symptoms and REM sleep behavior disorder (RBD) in PD. In a Parkinson's disease outpatient unit, 289 consecutive subjects with idiopathic PD were administered (in the period from January to December 2002) a multiple-choice questionnaire and structured interview on sleep and mental disorders. RBD was diagnosed in accordance with the minimal diagnostic criteria of the International Classification of Sleep Disorders. Hallucinations and delusional disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. The presence or absence of psychotic symptoms, of RBD, and of daytime sleepiness, as well as motor status, cognitive status, and mood were assessed. Approximately 32% (n = 92) of the subjects presented with psychotic disorders; 30% (n = 86) had experienced hallucinations; 2% (n = 6) had delusions without hallucinations. Sixty-two (72%) hallucinators reported nocturnal hallucinations. A total of 6.6% (n = 19) of the subjects complained of a delusional disorder. There were 26.6% (n = 77) of subjects who presented with RED: 28 (36%) with onset before and 49 (63%) with onset after PD diagnosis. The presence of RBD was associated with an increased risk of manifesting hallucinations and delusions (odds ratio [OR], 2.73). Other independent clinical factors found to have an effect on psychotic disorders were cognitive impairment (OR, 3.92), disease duration (OR, 2.46), advanced age (OR, 2.34), and severity of motor symptoms (OR, 2.06). These results suggest that RBD is widely associated with psychosis in PD.</EA>
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<ED>Nervous system diseases; Hallucination; Delusion; Behavioral disorder; Parkinson disease; Sleep disorder; Rapid eye movement sleep</ED>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Relationship between hallucinations, delusions, and rapid eye movement sleep behavior disorder in Parkinson's disease

Relationship between hallucinations, delusions, and rapid eye movement sleep behavior disorder in Parkinson's disease

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