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Impulsivity and compulsivity in drug‐naïve patients with Parkinson's disease

Identifieur interne : 000799 ( Main/Corpus ); précédent : 000798; suivant : 000800

Impulsivity and compulsivity in drug‐naïve patients with Parkinson's disease

Auteurs : Angelo Antonini ; Chiara Siri ; Gabriella Santangelo ; Roberto Cilia ; Michele Poletti ; Margherita Canesi ; Alessandra Caporali ; Francesca Mancini ; Gianni Pezzoli ; Roberto Ceravolo ; Ubaldo Bonuccelli ; Paolo Barone

Source :

RBID : ISTEX:FEBA60850AD60B8B66A4B497347A767D211171EF

English descriptors

Abstract

Background:: Abnormal repetitive behaviors have been reported in Parkinson's disease (PD) during dopamine replacement therapy (DRT) and associated with individual predisposing features, including impulsivity. However, impulsivity and compulsive symptoms have never been explored in PD patients before initiation of DRT. We previously reported a 20% of impulse control disorders (ICD) in an Italian cohort. Methods:: 103 consecutive newly diagnosed drug‐naïve PD patients (means: age = 60.5 ± 9.2 years; duration = 15.4 ± 15.3 months) were screened for compulsive sexual behavior, compulsive buying, intermittent explosive disorder (Minnesota Impulsive Disorders Interview, MIDI), and pathological gambling (South Oaks Gambling Screen, SOGS). Barratt Impulsiveness Scale (BIS‐11) and Maudsley Obsessional‐Compulsive Questionnaire (MOCQ/R) assessed impulsivity, obsessive‐compulsive symptoms, respectively. Depression (GDS‐15) and general cognitive status were additionally assessed. We also compared ICDs frequency with our healthy controls. Results:: 17.5% of PD patients screened positive for at least one ICD at MIDI (17/103) and SOGS (1/103), though none had a disorder based on DSM‐IV criteria. These frequencies were similar to healthy controls. There was a trend toward higher scores in BIS‐11 attentive‐impulsivity subscale (15.2 ± 4.8 vs. 18.7 ± 4.9; P = 0.007) and in MOCQ/R‐Doubting subscale (0.67 ± 1.1 vs. 1.5 ± 1.2; P = 0.007) in PD with ICD. We also observed a positive correlation between GDS‐15 and BIS‐11. Conclusions:: Similar to our healthy control population, we found a significant proportion of early PD patients positive for ICDs before starting treatment. We also found a relationship between impulsivity and depression. A detailed behavioral assessment before starting dopaminergic therapy is recommended. © 2011 Movement Disorder Society

Url:
DOI: 10.1002/mds.23501

Links to Exploration step

ISTEX:FEBA60850AD60B8B66A4B497347A767D211171EF

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<div type="abstract" xml:lang="en">Background:: Abnormal repetitive behaviors have been reported in Parkinson's disease (PD) during dopamine replacement therapy (DRT) and associated with individual predisposing features, including impulsivity. However, impulsivity and compulsive symptoms have never been explored in PD patients before initiation of DRT. We previously reported a 20% of impulse control disorders (ICD) in an Italian cohort. Methods:: 103 consecutive newly diagnosed drug‐naïve PD patients (means: age = 60.5 ± 9.2 years; duration = 15.4 ± 15.3 months) were screened for compulsive sexual behavior, compulsive buying, intermittent explosive disorder (Minnesota Impulsive Disorders Interview, MIDI), and pathological gambling (South Oaks Gambling Screen, SOGS). Barratt Impulsiveness Scale (BIS‐11) and Maudsley Obsessional‐Compulsive Questionnaire (MOCQ/R) assessed impulsivity, obsessive‐compulsive symptoms, respectively. Depression (GDS‐15) and general cognitive status were additionally assessed. We also compared ICDs frequency with our healthy controls. Results:: 17.5% of PD patients screened positive for at least one ICD at MIDI (17/103) and SOGS (1/103), though none had a disorder based on DSM‐IV criteria. These frequencies were similar to healthy controls. There was a trend toward higher scores in BIS‐11 attentive‐impulsivity subscale (15.2 ± 4.8 vs. 18.7 ± 4.9; P = 0.007) and in MOCQ/R‐Doubting subscale (0.67 ± 1.1 vs. 1.5 ± 1.2; P = 0.007) in PD with ICD. We also observed a positive correlation between GDS‐15 and BIS‐11. Conclusions:: Similar to our healthy control population, we found a significant proportion of early PD patients positive for ICDs before starting treatment. We also found a relationship between impulsivity and depression. A detailed behavioral assessment before starting dopaminergic therapy is recommended. © 2011 Movement Disorder Society</div>
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<abstract>Background:: Abnormal repetitive behaviors have been reported in Parkinson's disease (PD) during dopamine replacement therapy (DRT) and associated with individual predisposing features, including impulsivity. However, impulsivity and compulsive symptoms have never been explored in PD patients before initiation of DRT. We previously reported a 20% of impulse control disorders (ICD) in an Italian cohort. Methods:: 103 consecutive newly diagnosed drug‐naïve PD patients (means: age = 60.5 ± 9.2 years; duration = 15.4 ± 15.3 months) were screened for compulsive sexual behavior, compulsive buying, intermittent explosive disorder (Minnesota Impulsive Disorders Interview, MIDI), and pathological gambling (South Oaks Gambling Screen, SOGS). Barratt Impulsiveness Scale (BIS‐11) and Maudsley Obsessional‐Compulsive Questionnaire (MOCQ/R) assessed impulsivity, obsessive‐compulsive symptoms, respectively. Depression (GDS‐15) and general cognitive status were additionally assessed. We also compared ICDs frequency with our healthy controls. Results:: 17.5% of PD patients screened positive for at least one ICD at MIDI (17/103) and SOGS (1/103), though none had a disorder based on DSM‐IV criteria. These frequencies were similar to healthy controls. There was a trend toward higher scores in BIS‐11 attentive‐impulsivity subscale (15.2 ± 4.8 vs. 18.7 ± 4.9; P = 0.007) and in MOCQ/R‐Doubting subscale (0.67 ± 1.1 vs. 1.5 ± 1.2; P = 0.007) in PD with ICD. We also observed a positive correlation between GDS‐15 and BIS‐11. Conclusions:: Similar to our healthy control population, we found a significant proportion of early PD patients positive for ICDs before starting treatment. We also found a relationship between impulsivity and depression. A detailed behavioral assessment before starting dopaminergic therapy is recommended. © 2011 Movement Disorder Society</abstract>
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<forename type="first">Roberto</forename>
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<p>Background:: Abnormal repetitive behaviors have been reported in Parkinson's disease (PD) during dopamine replacement therapy (DRT) and associated with individual predisposing features, including impulsivity. However, impulsivity and compulsive symptoms have never been explored in PD patients before initiation of DRT. We previously reported a 20% of impulse control disorders (ICD) in an Italian cohort. Methods:: 103 consecutive newly diagnosed drug‐naïve PD patients (means: age = 60.5 ± 9.2 years; duration = 15.4 ± 15.3 months) were screened for compulsive sexual behavior, compulsive buying, intermittent explosive disorder (Minnesota Impulsive Disorders Interview, MIDI), and pathological gambling (South Oaks Gambling Screen, SOGS). Barratt Impulsiveness Scale (BIS‐11) and Maudsley Obsessional‐Compulsive Questionnaire (MOCQ/R) assessed impulsivity, obsessive‐compulsive symptoms, respectively. Depression (GDS‐15) and general cognitive status were additionally assessed. We also compared ICDs frequency with our healthy controls. Results:: 17.5% of PD patients screened positive for at least one ICD at MIDI (17/103) and SOGS (1/103), though none had a disorder based on DSM‐IV criteria. These frequencies were similar to healthy controls. There was a trend toward higher scores in BIS‐11 attentive‐impulsivity subscale (15.2 ± 4.8 vs. 18.7 ± 4.9; P = 0.007) and in MOCQ/R‐Doubting subscale (0.67 ± 1.1 vs. 1.5 ± 1.2; P = 0.007) in PD with ICD. We also observed a positive correlation between GDS‐15 and BIS‐11. Conclusions:: Similar to our healthy control population, we found a significant proportion of early PD patients positive for ICDs before starting treatment. We also found a relationship between impulsivity and depression. A detailed behavioral assessment before starting dopaminergic therapy is recommended. © 2011 Movement Disorder Society</p>
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<p>Abnormal repetitive behaviors have been reported in Parkinson's disease (PD) during dopamine replacement therapy (DRT) and associated with individual predisposing features, including impulsivity. However, impulsivity and compulsive symptoms have never been explored in PD patients before initiation of DRT. We previously reported a 20% of impulse control disorders (ICD) in an Italian cohort.</p>
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<p>103 consecutive newly diagnosed drug‐naïve PD patients (means: age = 60.5 ± 9.2 years; duration = 15.4 ± 15.3 months) were screened for compulsive sexual behavior, compulsive buying, intermittent explosive disorder (Minnesota Impulsive Disorders Interview, MIDI), and pathological gambling (South Oaks Gambling Screen, SOGS). Barratt Impulsiveness Scale (BIS‐11) and Maudsley Obsessional‐Compulsive Questionnaire (MOCQ/R) assessed impulsivity, obsessive‐compulsive symptoms, respectively. Depression (GDS‐15) and general cognitive status were additionally assessed. We also compared ICDs frequency with our healthy controls.</p>
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<title type="main">Results:</title>
<p>17.5% of PD patients screened positive for at least one ICD at MIDI (17/103) and SOGS (1/103), though none had a disorder based on DSM‐IV criteria. These frequencies were similar to healthy controls. There was a trend toward higher scores in BIS‐11 attentive‐impulsivity subscale (15.2 ± 4.8 vs. 18.7 ± 4.9;
<i>P</i>
= 0.007) and in MOCQ/R‐Doubting subscale (0.67 ± 1.1 vs. 1.5 ± 1.2;
<i>P</i>
= 0.007) in PD with ICD. We also observed a positive correlation between GDS‐15 and BIS‐11.</p>
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<title type="main">Conclusions:</title>
<p>Similar to our healthy control population, we found a significant proportion of early PD patients positive for ICDs before starting treatment. We also found a relationship between impulsivity and depression. A detailed behavioral assessment before starting dopaminergic therapy is recommended. © 2011 Movement Disorder Society</p>
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<abstract lang="en">Background:: Abnormal repetitive behaviors have been reported in Parkinson's disease (PD) during dopamine replacement therapy (DRT) and associated with individual predisposing features, including impulsivity. However, impulsivity and compulsive symptoms have never been explored in PD patients before initiation of DRT. We previously reported a 20% of impulse control disorders (ICD) in an Italian cohort. Methods:: 103 consecutive newly diagnosed drug‐naïve PD patients (means: age = 60.5 ± 9.2 years; duration = 15.4 ± 15.3 months) were screened for compulsive sexual behavior, compulsive buying, intermittent explosive disorder (Minnesota Impulsive Disorders Interview, MIDI), and pathological gambling (South Oaks Gambling Screen, SOGS). Barratt Impulsiveness Scale (BIS‐11) and Maudsley Obsessional‐Compulsive Questionnaire (MOCQ/R) assessed impulsivity, obsessive‐compulsive symptoms, respectively. Depression (GDS‐15) and general cognitive status were additionally assessed. We also compared ICDs frequency with our healthy controls. Results:: 17.5% of PD patients screened positive for at least one ICD at MIDI (17/103) and SOGS (1/103), though none had a disorder based on DSM‐IV criteria. These frequencies were similar to healthy controls. There was a trend toward higher scores in BIS‐11 attentive‐impulsivity subscale (15.2 ± 4.8 vs. 18.7 ± 4.9; P = 0.007) and in MOCQ/R‐Doubting subscale (0.67 ± 1.1 vs. 1.5 ± 1.2; P = 0.007) in PD with ICD. We also observed a positive correlation between GDS‐15 and BIS‐11. Conclusions:: Similar to our healthy control population, we found a significant proportion of early PD patients positive for ICDs before starting treatment. We also found a relationship between impulsivity and depression. A detailed behavioral assessment before starting dopaminergic therapy is recommended. © 2011 Movement Disorder Society</abstract>
<note type="content">*Relevant conflicts of interest/financial disclosures: Nothing to report. Full financial disclosures and author roles may be found in the online version of this article.</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>drug naïve</topic>
<topic>impulse control disorders</topic>
<topic>impulsivity</topic>
<topic>compulsivity</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Movement Disorders</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<genre type="Journal">journal</genre>
<subject>
<genre>article category</genre>
<topic>Research Article</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2011</date>
<detail type="volume">
<caption>vol.</caption>
<number>26</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>3</number>
</detail>
<extent unit="pages">
<start>464</start>
<end>468</end>
<total>5</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">FEBA60850AD60B8B66A4B497347A767D211171EF</identifier>
<identifier type="DOI">10.1002/mds.23501</identifier>
<identifier type="ArticleID">MDS23501</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 Movement Disorder Society</accessCondition>
<recordInfo>
<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
</record>

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