Predictors of punding in Parkinson's disease: results from a questionnaire survey.
Identifieur interne : 002634 ( PubMed/Checkpoint ); précédent : 002633; suivant : 002635Predictors of punding in Parkinson's disease: results from a questionnaire survey.
Auteurs : Andrew J. Lawrence [Royaume-Uni] ; Andrew D. Blackwell ; Roger A. Barker ; Francesca Spagnolo ; Luke Clark ; Michael R F. Aitken ; Barbara J. SahakianSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Age Factors, Age of Onset, Aged, Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), Behavior (drug effects), Behavior (physiology), Behavioral Symptoms (chemically induced), Behavioral Symptoms (etiology), Behavioral Symptoms (psychology), Data Collection, Data Interpretation, Statistical, Female, Hobbies (psychology), Humans, Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (psychology), Predictive Value of Tests, Questionnaires, Smoking (adverse effects), Socioeconomic Factors.
- MESH :
- chemical , adverse effects : Antiparkinson Agents.
- chemical , therapeutic use : Antiparkinson Agents.
- adverse effects : Smoking.
- chemically induced : Behavioral Symptoms.
- complications : Parkinson Disease.
- drug effects : Behavior.
- drug therapy : Parkinson Disease.
- etiology : Behavioral Symptoms.
- physiology : Behavior.
- psychology : Behavioral Symptoms, Hobbies, Parkinson Disease.
- Age Factors, Age of Onset, Aged, Data Collection, Data Interpretation, Statistical, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Questionnaires, Socioeconomic Factors.
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.
DOI: 10.1002/mds.21702
PubMed: 17914729
Affiliations:
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pubmed:17914729Le document en format XML
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<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>
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