Serveur d'exploration sur la maladie de Parkinson

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Predictors of punding in Parkinson's disease: Results from a questionnaire survey

Identifieur interne : 000F84 ( Main/Exploration ); précédent : 000F83; suivant : 000F85

Predictors of punding in Parkinson's disease: Results from a questionnaire survey

Auteurs : Andrew J. Lawrence [Royaume-Uni] ; Andrew D. Blackwell [Royaume-Uni] ; Roger A. Barker [Royaume-Uni] ; Francesca Spagnolo [Italie] ; Luke Clark [Royaume-Uni] ; Michael R. F. Aitken [Royaume-Uni] ; Barbara J. Sahakian [Royaume-Uni]

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RBID : ISTEX:F512F630D798CBFDF1E35E72879BD0EC392B2AF8

English descriptors

Abstract

Dopamine replacement therapy (DRT) for Parkinson's disease (PD) has recently been linked to the development of a number of nonmotor behavioral control problems. Punding, one of these nonmotor problems, is a term used to describe complex, purposeless stereotyped behaviors such as the repetitive handling or sorting of objects. A self‐report questionnaire was adapted to assess punding in the context of dysfunctional hobby‐related activities. We report the results of a survey of PD outpatients from a PD research clinic (n = 141) and non‐PD controls (n = 103); conducted to identify clinical and psychological factors predictive of punding behaviors. The PD group reported hobbies and activities, which scored significantly higher on the Punding Scale than controls. Higher impulsivity, poorer disease‐related quality of life, younger age of disease onset, and concomitant daily medication dosage from dopamine receptor agonists were independently predictive of higher Punding Scale scores in the PD group. These findings are similar to those seen in dopamine dysregulation syndrome, and provide further evidence for the role of impulsivity and age at disease onset in DRT‐related nonmotor behavioral problems in PD. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21702


Affiliations:


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<div type="abstract" xml:lang="en">Dopamine replacement therapy (DRT) for Parkinson's disease (PD) has recently been linked to the development of a number of nonmotor behavioral control problems. Punding, one of these nonmotor problems, is a term used to describe complex, purposeless stereotyped behaviors such as the repetitive handling or sorting of objects. A self‐report questionnaire was adapted to assess punding in the context of dysfunctional hobby‐related activities. We report the results of a survey of PD outpatients from a PD research clinic (n = 141) and non‐PD controls (n = 103); conducted to identify clinical and psychological factors predictive of punding behaviors. The PD group reported hobbies and activities, which scored significantly higher on the Punding Scale than controls. Higher impulsivity, poorer disease‐related quality of life, younger age of disease onset, and concomitant daily medication dosage from dopamine receptor agonists were independently predictive of higher Punding Scale scores in the PD group. These findings are similar to those seen in dopamine dysregulation syndrome, and provide further evidence for the role of impulsivity and age at disease onset in DRT‐related nonmotor behavioral problems in PD. © 2007 Movement Disorder Society</div>
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