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Neuropsychiatric symptoms in Parkinson's disease

Identifieur interne : 000B28 ( Main/Corpus ); précédent : 000B27; suivant : 000B29

Neuropsychiatric symptoms in Parkinson's disease

Auteurs : Dag Aarsland ; Laura Marsh ; Anette Schrag

Source :

RBID : ISTEX:7966B1530FB6DBDEFD2F68F25FEBE5281C20D8FA

English descriptors

Abstract

Neuropsychiatric symptoms are common in Parkinson's disease, even at the earliest stages, and have important consequences for quality of life and daily functioning, are associated with increased carer burden and increased risk for nursing home admission. In addition to cognitive impairment, a wide range of neuropsychiatric symptoms have been reported. In this article, the epidemiology, clinical course, diagnosis, and management of some of the most common neuropsychiatric symptoms in PD are discussed: depression, anxiety, apathy, fatigue, and psychotic symptoms. Although much is known regarding the prevalence and course of these symptoms, the empirical evidence for how to manage these symptoms is limited at best. There is thus an urgent need for systematic studies for the pharmacological and non‐pharmacological management of these symptoms. © 2009 Movement Disorder Society

Url:
DOI: 10.1002/mds.22589

Links to Exploration step

ISTEX:7966B1530FB6DBDEFD2F68F25FEBE5281C20D8FA

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<p>Neuropsychiatric symptoms are common in Parkinson's disease, even at the earliest stages, and have important consequences for quality of life and daily functioning, are associated with increased carer burden and increased risk for nursing home admission. In addition to cognitive impairment, a wide range of neuropsychiatric symptoms have been reported. In this article, the epidemiology, clinical course, diagnosis, and management of some of the most common neuropsychiatric symptoms in PD are discussed: depression, anxiety, apathy, fatigue, and psychotic symptoms. Although much is known regarding the prevalence and course of these symptoms, the empirical evidence for how to manage these symptoms is limited at best. There is thus an urgent need for systematic studies for the pharmacological and non‐pharmacological management of these symptoms. © 2009 Movement Disorder Society</p>
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<p>This article is part of the journal's online CME program. The CME activity including form, can be found online at
<url href="http://www.movementdisorders.org/education/journalcme/">http://www.movementdisorders.org/education/journalcme/</url>
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<title>Neuropsychiatric symptoms in Parkinson's disease</title>
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<name type="personal">
<namePart type="given">Dag</namePart>
<namePart type="family">Aarsland</namePart>
<namePart type="termsOfAddress">MD, PhD,</namePart>
<affiliation>The Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger, Norway</affiliation>
<affiliation>Department of Clinical Medicine, University of Bergen, Bergen, Norway</affiliation>
<affiliation>Institute of Psychiatry, King's College London, London, England</affiliation>
<description>Correspondence: The Norwegian Centre for Movement Disorders, Stavanger University Hospital, PO Box 8100, N‐4068 Stavanger, Norway</description>
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<name type="personal">
<namePart type="given">Laura</namePart>
<namePart type="family">Marsh</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
<affiliation>Department of Neurology and Neurological Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
<affiliation>Morris K. Udall Parkinson's Disease Research Center of Excellence at Johns Hopkins, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
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<name type="personal">
<namePart type="given">Anette</namePart>
<namePart type="family">Schrag</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Clinical Neurosciences, University College, London, England</affiliation>
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<abstract lang="en">Neuropsychiatric symptoms are common in Parkinson's disease, even at the earliest stages, and have important consequences for quality of life and daily functioning, are associated with increased carer burden and increased risk for nursing home admission. In addition to cognitive impairment, a wide range of neuropsychiatric symptoms have been reported. In this article, the epidemiology, clinical course, diagnosis, and management of some of the most common neuropsychiatric symptoms in PD are discussed: depression, anxiety, apathy, fatigue, and psychotic symptoms. Although much is known regarding the prevalence and course of these symptoms, the empirical evidence for how to manage these symptoms is limited at best. There is thus an urgent need for systematic studies for the pharmacological and non‐pharmacological management of these symptoms. © 2009 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: No conflicts of interest to report.</note>
<note type="content">*This article is part of the journal's online CME program. The CME activity including form, can be found online at http://www.movementdisorders.org/education/journalcme/</note>
<note type="funding">NIH - No. RO1‐MH069666; </note>
<note type="funding">Udall Parkinson's Disease Research Center of Excellence at Johns Hopkins - No. NIH‐P50‐NS‐58377; </note>
<subject lang="en">
<genre>Keywords</genre>
<topic>apathy</topic>
<topic>hallucinations</topic>
<topic>depression</topic>
<topic>anxiety</topic>
<topic>Parkinson's disease</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
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<part>
<date>2009</date>
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<number>24</number>
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