Addictive behaviors and Parkinson's disease.
Identifieur interne : 000F68 ( Ncbi/Merge ); précédent : 000F67; suivant : 000F69Addictive behaviors and Parkinson's disease.
Auteurs : T. Witjas [France] ; A. Eusebio ; F. Fluchère ; J-P AzulaySource :
- Revue neurologique [ 0035-3787 ]
English descriptors
- KwdEn :
- Behavior, Addictive (chemically induced), Behavior, Addictive (epidemiology), Behavior, Addictive (therapy), Brain (drug effects), Brain (physiopathology), Compulsive Behavior (chemically induced), Compulsive Behavior (epidemiology), Compulsive Behavior (therapy), Disruptive, Impulse Control, and Conduct Disorders (chemically induced), Disruptive, Impulse Control, and Conduct Disorders (epidemiology), Disruptive, Impulse Control, and Conduct Disorders (therapy), Dopamine (adverse effects), Dopamine (therapeutic use), Humans, Models, Biological, Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (therapy), Reward.
- MESH :
- chemical , adverse effects : Dopamine.
- chemically induced : Behavior, Addictive, Compulsive Behavior, Disruptive, Impulse Control, and Conduct Disorders.
- complications : Parkinson Disease.
- drug effects : Brain.
- drug therapy : Parkinson Disease.
- epidemiology : Behavior, Addictive, Compulsive Behavior, Disruptive, Impulse Control, and Conduct Disorders.
- physiopathology : Brain.
- chemical , therapeutic use : Dopamine.
- therapy : Behavior, Addictive, Compulsive Behavior, Disruptive, Impulse Control, and Conduct Disorders, Parkinson Disease.
- Humans, Models, Biological, Reward.
Abstract
In Parkinson's disease, the degeneration of the dopaminergic system and the longstanding exposure to dopamine replacement therapy (DRT) may cause, in a group of vulnerable patients, dysregulation of the brain reward system.
DOI: 10.1016/j.neurol.2012.06.014
PubMed: 22921247
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pubmed:22921247Le document en format XML
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<term>Behavior, Addictive (therapy)</term>
<term>Brain (drug effects)</term>
<term>Brain (physiopathology)</term>
<term>Compulsive Behavior (chemically induced)</term>
<term>Compulsive Behavior (epidemiology)</term>
<term>Compulsive Behavior (therapy)</term>
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<term>Disruptive, Impulse Control, and Conduct Disorders (epidemiology)</term>
<term>Disruptive, Impulse Control, and Conduct Disorders (therapy)</term>
<term>Dopamine (adverse effects)</term>
<term>Dopamine (therapeutic use)</term>
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<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (therapy)</term>
<term>Reward</term>
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<front><div type="abstract" xml:lang="en">In Parkinson's disease, the degeneration of the dopaminergic system and the longstanding exposure to dopamine replacement therapy (DRT) may cause, in a group of vulnerable patients, dysregulation of the brain reward system.</div>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">In Parkinson's disease, the degeneration of the dopaminergic system and the longstanding exposure to dopamine replacement therapy (DRT) may cause, in a group of vulnerable patients, dysregulation of the brain reward system.</AbstractText>
<AbstractText Label="STATE OF THE ARTS" NlmCategory="UNASSIGNED">These patients develop DRT-related compulsions, which include addiction to levodopa or dopamine dysregulation syndrome (DDS), punding, and impulse control disorders (ICDs). ICDs or behavioral addiction reported in Parkinson's disease include pathological gambling, hypersexuality, compulsive buying and binge eating. Although the underlying pathophysiology is still poorly understood, these behaviors are linked by their reward-based and repetitive nature. Such behaviors may result in devastating psychosocial impairment for the patients and are often hidden.</AbstractText>
<AbstractText Label="PERSPECTIVE AND CONCLUSIONS" NlmCategory="UNASSIGNED">The recognition of these behaviors is important and allows a better clinical management. Although the limited data do not permit particular therapeutic strategies, some approaches are worth considering: DRT reduction, trials of non-dopaminergic medications and subthalamic chronic stimulation.</AbstractText>
<CopyrightInformation>Copyright © 2012. Published by Elsevier Masson SAS.</CopyrightInformation>
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