Impulse control disorders in Parkinson disease: a multicenter case--control study
- PMID:21416496
- DOI: 10.1002/ana.22356
Impulse control disorders in Parkinson disease: a multicenter case--control study
Abstract
Objective: To assess factors associated with impulse control disorders (ICDs) in Parkinson disease (PD) using a multicenter case--control design.
Methods: Patients enrolled in the DOMINION study, a multicenter study assessing the cross-sectional frequency of ICDs in PD, were eligible to participate in the case--control study. PD patients with and without an ICD (n = 282 each) (compulsive gambling, buying, sexual behavior, and eating) were matched individually on age, gender, and dopamine agonist treatment. Subjects were assessed with a comprehensive neurological, psychiatric, and cognitive assessment battery.
Results: ICD patients reported more functional impairment (p < 0.001); greater depressive (p < 0.0001), state (p < 0.0001), and trait (p < 0.0001) anxiety; greater obsessive-compulsive symptoms (p < 0.0001); higher novelty-seeking (p < 0.001) and impulsivity (p < 0.001); and differences in reward preference reflecting greater choice impulsivity (p < 0.05). Patients with multiple ICDs had greater dyskinesia scores compared to those with single ICDs.
Interpretation: ICDs in PD are associated with multiple psychiatric and cognitive impairments, including affective and anxiety symptoms, as well as elevated obsessionality, novelty seeking, and impulsivity. These results highlight the importance of assessing multiple mental health domains in individuals with PD and ICDs, and suggest possible pathophysiological mechanisms and risk indicators for these disorders.
Copyright © 2011 American Neurological Association.
Similar articles
- Impulse control disorder and piribedil: report of 5 cases.Tschopp L, Salazar Z, Gomez Botello MT, Roca CU, Micheli F.Tschopp L, et al.Clin Neuropharmacol. 2010 Jan-Feb;33(1):11-3. doi: 10.1097/WNF.0b013e3181c4ae2e.Clin Neuropharmacol. 2010.PMID:19959959
- [Impulse control disorders in Parkinson's disease: A cohort of 35 patients].Carrière N, Kreisler A, Dujardin K, Destée A, Defebvre L.Carrière N, et al.Rev Neurol (Paris). 2012 Feb;168(2):143-51. doi: 10.1016/j.neurol.2011.07.010. Epub 2011 Nov 29.Rev Neurol (Paris). 2012.PMID:22129474French.
- [Current treatment strategies for Parkinson's disease].Südmeyer M, Wojtecki L, Schnitzler A.Südmeyer M, et al.Fortschr Neurol Psychiatr. 2011 Dec;79(12):733-43. doi: 10.1055/s-0031-1281820. Epub 2011 Dec 9.Fortschr Neurol Psychiatr. 2011.PMID:22161168Review.German.No abstract available.
- Impulse control disorders in Parkinson disease: a cross-sectional study of 3090 patients.Weintraub D, Koester J, Potenza MN, Siderowf AD, Stacy M, Voon V, Whetteckey J, Wunderlich GR, Lang AE.Weintraub D, et al.Arch Neurol. 2010 May;67(5):589-95. doi: 10.1001/archneurol.2010.65.Arch Neurol. 2010.PMID:20457959
- Treatment of early Parkinson's disease. Part 2.Simuni T, Lyons KE, Pahwa R, Hauser RA, Comella C, Elmer L, Weintraub D.Simuni T, et al.Eur Neurol. 2009;61(4):206-15. doi: 10.1159/000197104. Epub 2009 Jan 29.Eur Neurol. 2009.PMID:19176961Review.
Cited by
- Trial of CBT for impulse control behaviors affecting Parkinson patients and their caregivers.Okai D, Askey-Jones S, Samuel M, O'Sullivan SS, Chaudhuri KR, Martin A, Mack J, Brown RG, David AS.Okai D, et al.Neurology. 2013 Feb 26;80(9):792-9. doi: 10.1212/WNL.0b013e3182840678. Epub 2013 Jan 16.Neurology. 2013.PMID:23325911Free PMC article.Clinical Trial.
- Valproate as a treatment for dopamine dysregulation syndrome (DDS) in Parkinson's disease.Sriram A, Ward HE, Hassan A, Iyer S, Foote KD, Rodriguez RL, McFarland NR, Okun MS.Sriram A, et al.J Neurol. 2013 Feb;260(2):521-7. doi: 10.1007/s00415-012-6669-1. Epub 2012 Sep 25.J Neurol. 2013.PMID:23007193
- Dopaminergic and clinical correlates of pathological gambling in Parkinson's disease: a case report.Callesen MB, Hansen KV, Gjedde A, Linnet J, Møller A.Callesen MB, et al.Front Behav Neurosci. 2013 Jul 29;7:95. doi: 10.3389/fnbeh.2013.00095. eCollection 2013.Front Behav Neurosci. 2013.PMID:23908610Free PMC article.
- An exploration of apathy and impulsivity in Parkinson disease.Ahearn DJ, McDonald K, Barraclough M, Leroi I.Ahearn DJ, et al.Curr Gerontol Geriatr Res. 2012;2012:390701. doi: 10.1155/2012/390701. Epub 2012 Jul 9.Curr Gerontol Geriatr Res. 2012.PMID:22829814Free PMC article.
- Psychiatric Manifestation in Patients with Parkinson's Disease.Han JW, Ahn YD, Kim WS, Shin CM, Jeong SJ, Song YS, Bae YJ, Kim JM.Han JW, et al.J Korean Med Sci. 2018 Nov 1;33(47):e300. doi: 10.3346/jkms.2018.33.e300. eCollection 2018 Nov 19.J Korean Med Sci. 2018.PMID:30450025Free PMC article.Review.
Publication types
MeSH terms
Substances
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical