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Impulse control disorders in patients with Parkinson's disease receiving dopamine replacement therapy: evidence and implications for the addictions field

Identifieur interne : 000361 ( Main/Corpus ); précédent : 000360; suivant : 000362

Impulse control disorders in patients with Parkinson's disease receiving dopamine replacement therapy: evidence and implications for the addictions field

Auteurs : Polly Ambermoon ; Adrian Carter ; Wayne D. Hall ; Nadeeka N. W. Dissanayaka ; John D. O'Sullivan

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RBID : ISTEX:4CE84BAE539D3A0F9190551A4D76F5287C34B23D

English descriptors

Abstract

Aims  To describe the prevalence, phenomenology and correlates of ‘impulse control disorders’ (ICDs) in patients with Parkinson's disease (PD) treated with dopamine replacement therapy (DRT); to assess the strength of the evidence that DRT plays a contributory causal role in these disorders; and to highlight the implications of these disorders for research in the addiction field. Methods  PubMed and Web of Science databases were searched and the reference lists of papers examined. Results  The prevalence of ICDs in Parkinson's patients using DRT varied between 3.5% and 13.6%, depending on the severity and range of disorders assessed. PD patients with ICDs were: generally younger; had an earlier onset of PD; had a personal or family history of substance abuse or an ICD; and were more likely to be treated with dopamine receptor agonists (DA agonists) than levodopa (l‐dopa). There is reasonable evidence that dopaminergic medications play a causal role in ICDs in that they occur at a higher rate in an otherwise low‐risk population of adults, begin after initiation of DA agonist therapy and cease upon its discontinuation. A causal relationship is biologically plausible, but the role of other factors (such as concurrent mood disorders) remain to be clarified by better‐controlled studies. Conclusions  Impulse control disorders among patients with Parkinson's disease receiving dopamine replacement therapy may provide a unique opportunity for addiction researchers to study the neurobiology of impulsive forms of behaviour (such as problem gambling) that appear to be caused, in part, by the therapeutic use of dopamine receptor agonists.

Url:
DOI: 10.1111/j.1360-0443.2010.03218.x

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ISTEX:4CE84BAE539D3A0F9190551A4D76F5287C34B23D

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<title type="main">Impulse control disorders in patients with Parkinson's disease receiving dopamine replacement therapy: evidence and implications for the addictions field</title>
<title type="shortAuthors">Polly Ambermoon et al.</title>
<title type="short">Impulse control disorders in PD patients</title>
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<personName>
<givenNames>Nadeeka N. W.</givenNames>
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<unparsedAffiliation>The University of Melbourne, School of Psychological Sciences, Australia</unparsedAffiliation>
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<unparsedAffiliation>The University of Queensland, Queensland Brain Institute, Australia</unparsedAffiliation>
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<keyword xml:id="k1">Behavioural addictions</keyword>
<keyword xml:id="k2">dopamine agonists</keyword>
<keyword xml:id="k3">gambling</keyword>
<keyword xml:id="k4">hypersexuality</keyword>
<keyword xml:id="k5">impulse control disorders</keyword>
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<b>Aims </b>
To describe the prevalence, phenomenology and correlates of ‘impulse control disorders’ (ICDs) in patients with Parkinson's disease (PD) treated with dopamine replacement therapy (DRT); to assess the strength of the evidence that DRT plays a contributory causal role in these disorders; and to highlight the implications of these disorders for research in the addiction field.</p>
<p>
<b>Methods </b>
PubMed and Web of Science databases were searched and the reference lists of papers examined.</p>
<p>
<b>Results </b>
The prevalence of ICDs in Parkinson's patients using DRT varied between 3.5% and 13.6%, depending on the severity and range of disorders assessed. PD patients with ICDs were: generally younger; had an earlier onset of PD; had a personal or family history of substance abuse or an ICD; and were more likely to be treated with dopamine receptor agonists (DA agonists) than levodopa (
<sc>l</sc>
‐dopa). There is reasonable evidence that dopaminergic medications play a causal role in ICDs in that they occur at a higher rate in an otherwise low‐risk population of adults, begin after initiation of DA agonist therapy and cease upon its discontinuation. A causal relationship is biologically plausible, but the role of other factors (such as concurrent mood disorders) remain to be clarified by better‐controlled studies.</p>
<p>
<b>Conclusions </b>
Impulse control disorders among patients with Parkinson's disease receiving dopamine replacement therapy may provide a unique opportunity for addiction researchers to study the neurobiology of impulsive forms of behaviour (such as problem gambling) that appear to be caused, in part, by the therapeutic use of dopamine receptor agonists.</p>
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<description>Correspondence: Wayne Hall, Room 708, Building 71/918, UQCCR, The University of Queensland, Royal Brisbane Hospital Site, Herston, 4029, Queensland, Australia. E‐mail: </description>
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<affiliation>Neurology Research Centre, Royal Brisbane Womens' Hospital, Herston, Australia</affiliation>
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<abstract lang="en">Aims  To describe the prevalence, phenomenology and correlates of ‘impulse control disorders’ (ICDs) in patients with Parkinson's disease (PD) treated with dopamine replacement therapy (DRT); to assess the strength of the evidence that DRT plays a contributory causal role in these disorders; and to highlight the implications of these disorders for research in the addiction field. Methods  PubMed and Web of Science databases were searched and the reference lists of papers examined. Results  The prevalence of ICDs in Parkinson's patients using DRT varied between 3.5% and 13.6%, depending on the severity and range of disorders assessed. PD patients with ICDs were: generally younger; had an earlier onset of PD; had a personal or family history of substance abuse or an ICD; and were more likely to be treated with dopamine receptor agonists (DA agonists) than levodopa (l‐dopa). There is reasonable evidence that dopaminergic medications play a causal role in ICDs in that they occur at a higher rate in an otherwise low‐risk population of adults, begin after initiation of DA agonist therapy and cease upon its discontinuation. A causal relationship is biologically plausible, but the role of other factors (such as concurrent mood disorders) remain to be clarified by better‐controlled studies. Conclusions  Impulse control disorders among patients with Parkinson's disease receiving dopamine replacement therapy may provide a unique opportunity for addiction researchers to study the neurobiology of impulsive forms of behaviour (such as problem gambling) that appear to be caused, in part, by the therapeutic use of dopamine receptor agonists.</abstract>
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<topic>Behavioural addictions</topic>
<topic>dopamine agonists</topic>
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<topic>hypersexuality</topic>
<topic>impulse control disorders</topic>
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<identifier type="ISSN">0965-2140</identifier>
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<identifier type="DOI">10.1111/(ISSN)1360-0443</identifier>
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