[Non-motor symptoms in Parkinson's disease: cognition and behavior].
Identifieur interne : 001211 ( Ncbi/Checkpoint ); précédent : 001210; suivant : 001212[Non-motor symptoms in Parkinson's disease: cognition and behavior].
Auteurs : Anne Marie Bonnet [France] ; Virginie CzerneckiSource :
- Geriatrie et psychologie neuropsychiatrie du vieillissement [ 2115-8789 ] ; 2013.
English descriptors
- KwdEn :
- Anxiety Disorders (diagnosis), Anxiety Disorders (physiopathology), Anxiety Disorders (psychology), Apathy (physiology), Brain (physiopathology), Cognition Disorders (diagnosis), Cognition Disorders (physiopathology), Cognition Disorders (psychology), Delusions (diagnosis), Delusions (physiopathology), Delusions (psychology), Depressive Disorder (diagnosis), Depressive Disorder (physiopathology), Depressive Disorder (psychology), Disruptive, Impulse Control, and Conduct Disorders (diagnosis), Disruptive, Impulse Control, and Conduct Disorders (physiopathology), Disruptive, Impulse Control, and Conduct Disorders (psychology), Dopamine (physiology), Hallucinations (diagnosis), Hallucinations (physiopathology), Hallucinations (psychology), Humans, Neuropsychological Tests, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Quality of Life (psychology).
- MESH :
- chemical , physiology : Dopamine.
- diagnosis : Anxiety Disorders, Cognition Disorders, Delusions, Depressive Disorder, Disruptive, Impulse Control, and Conduct Disorders, Hallucinations, Parkinson Disease.
- physiology : Apathy.
- physiopathology : Anxiety Disorders, Brain, Cognition Disorders, Delusions, Depressive Disorder, Disruptive, Impulse Control, and Conduct Disorders, Hallucinations, Parkinson Disease.
- psychology : Anxiety Disorders, Cognition Disorders, Delusions, Depressive Disorder, Disruptive, Impulse Control, and Conduct Disorders, Hallucinations, Parkinson Disease, Quality of Life.
- Humans, Neuropsychological Tests.
Abstract
Although the diagnosis of Parkinson disease is based on motor symptoms, it is now well known that non-motor symptoms are an integral part of this pathology, involving in fact multiple systems. These non-motor symptoms affect large population of patients and can appear sometimes before the motor disorders. The non-motor symptoms include mainly neuropsychological difficulties, neuropsychiatric symptoms, and autonomic disorders, but involve also pain and sleep disturbances for example. Depression may occur at any stage of the disease, and consists in major depressive disorder, minor depressive disorder, and dysthymia. During the course of the disease, 50% of patients experience anxiety. Apathy is present in up to 30-40% of patients, due to loss of motivation, appearing in emotional, intellectual and behavioral domains. Dopamine dysregulation syndrome and impulse control disorders are not rare, and in relation with dopaminergic therapies. Impulse control disorders include pathological gambling, hyper sexuality, compulsive shopping, and eating disorder. Visual hallucinations can occur in 30% of patients, mostly induced by dopaminergic therapies. Often, they have deeper impact on the quality of life than the motor symptoms themselves, which stay the focus of attention during consulting. Identifying those can help in providing better care with a positive impact on the quality of life of the patients.
DOI: 10.1684/pnv.2013.0423
PubMed: 24026132
Affiliations:
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pubmed:24026132Le document en format XML
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sortKey="Bonnet, Anne Marie" sort="Bonnet, Anne Marie" uniqKey="Bonnet A" first="Anne Marie" last="Bonnet">Anne Marie Bonnet</name><affiliation wicri:level="3"><nlm:affiliation>Inserm CIC 9503, CRICM UMR S975, Département de neurologie, Groupe hospitalier Pitié-Salpêtrière, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm CIC 9503, CRICM UMR S975, Département de neurologie, Groupe hospitalier Pitié-Salpêtrière, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Czernecki, Virginie" sort="Czernecki, Virginie" uniqKey="Czernecki V" first="Virginie" last="Czernecki">Virginie Czernecki</name></author></analytic><series><title level="j">Geriatrie et psychologie neuropsychiatrie du vieillissement</title><idno type="ISSN">2115-8789</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety Disorders (diagnosis)</term><term>Anxiety Disorders (physiopathology)</term><term>Anxiety Disorders (psychology)</term><term>Apathy (physiology)</term><term>Brain (physiopathology)</term><term>Cognition Disorders (diagnosis)</term><term>Cognition Disorders (physiopathology)</term><term>Cognition Disorders (psychology)</term><term>Delusions (diagnosis)</term><term>Delusions (physiopathology)</term><term>Delusions (psychology)</term><term>Depressive Disorder (diagnosis)</term><term>Depressive Disorder (physiopathology)</term><term>Depressive Disorder (psychology)</term><term>Disruptive, Impulse Control, and Conduct Disorders (diagnosis)</term><term>Disruptive, Impulse Control, and Conduct Disorders (physiopathology)</term><term>Disruptive, Impulse Control, and Conduct Disorders (psychology)</term><term>Dopamine (physiology)</term><term>Hallucinations (diagnosis)</term><term>Hallucinations (physiopathology)</term><term>Hallucinations (psychology)</term><term>Humans</term><term>Neuropsychological Tests</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Quality of Life (psychology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="physiology" xml:lang="en"><term>Dopamine</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anxiety Disorders</term><term>Cognition Disorders</term><term>Delusions</term><term>Depressive Disorder</term><term>Disruptive, Impulse Control, and Conduct Disorders</term><term>Hallucinations</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Apathy</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Anxiety Disorders</term><term>Brain</term><term>Cognition Disorders</term><term>Delusions</term><term>Depressive Disorder</term><term>Disruptive, Impulse Control, and Conduct Disorders</term><term>Hallucinations</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety Disorders</term><term>Cognition Disorders</term><term>Delusions</term><term>Depressive Disorder</term><term>Disruptive, Impulse Control, and Conduct Disorders</term><term>Hallucinations</term><term>Parkinson Disease</term><term>Quality of Life</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Neuropsychological Tests</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although the diagnosis of Parkinson disease is based on motor symptoms, it is now well known that non-motor symptoms are an integral part of this pathology, involving in fact multiple systems. These non-motor symptoms affect large population of patients and can appear sometimes before the motor disorders. The non-motor symptoms include mainly neuropsychological difficulties, neuropsychiatric symptoms, and autonomic disorders, but involve also pain and sleep disturbances for example. Depression may occur at any stage of the disease, and consists in major depressive disorder, minor depressive disorder, and dysthymia. During the course of the disease, 50% of patients experience anxiety. Apathy is present in up to 30-40% of patients, due to loss of motivation, appearing in emotional, intellectual and behavioral domains. Dopamine dysregulation syndrome and impulse control disorders are not rare, and in relation with dopaminergic therapies. Impulse control disorders include pathological gambling, hyper sexuality, compulsive shopping, and eating disorder. Visual hallucinations can occur in 30% of patients, mostly induced by dopaminergic therapies. Often, they have deeper impact on the quality of life than the motor symptoms themselves, which stay the focus of attention during consulting. Identifying those can help in providing better care with a positive impact on the quality of life of the patients.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Czernecki, Virginie" sort="Czernecki, Virginie" uniqKey="Czernecki V" first="Virginie" last="Czernecki">Virginie Czernecki</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Bonnet, Anne Marie" sort="Bonnet, Anne Marie" uniqKey="Bonnet A" first="Anne Marie" last="Bonnet">Anne Marie Bonnet</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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