Impulse Control Disorders in patients with Parkinson’s Disease

J 2011

Impulse Control Disorders in patients with Parkinson’s Disease

GESCHEIDT, Tomáš and Martin BAREŠ

Basic information

Original name

Impulse Control Disorders in patients with Parkinson’s Disease

Authors

GESCHEIDT, Tomáš (203 Czech Republic, belonging to the institution) and Martin BAREŠ (203 Czech Republic, guarantor, belonging to the institution)

Edition

Acta Neurologica Belgica, 2011, 0300-9009

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Belgium

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.535

RIV identification code

RIV/00216224:14110/11:00052316

Organization unit

Faculty of Medicine

UT WoS

000289009500002

Keywords in English

Parkinson’s disease; impulse control disorders; pathological gambling; hypersexuality; punding; dopamine dysregulation syndrome; dopaminergic agonists

Abstract

V originále

In patients with Parkinson’s disease with higher prevalence than in current population there appear pathological behaviours characterized by compulsion, repetitiveness and impulsivity, which are connected with material profit or pleasurable experience. They are, in particular, pathological gambling, hypersexuality, compulsive shopping and compulsive eating (in the literature they are collectively referred to as impulse control disorders). Pathological preoccupation with repeated mechanical activities (so-called punding) and excessive compulsive intake of dopaminergic medication (so-called dopamine dysregulation syndrome or also syndrome of hedonistic homeostatic dysregulation) are of similar nature. The paper treats briefly the risk factors and prevalence of these pathological behaviours. In current clinical practice, these psychiatric complications frequently escape doctors’ attention, they are underdiagnosed. Although no generally valid recommendations for their therapy are currently available, they can be influenced medically. Of advantage can be modified dopaminergic medication (usually dose reduction of dopaminergic agonists); multidisciplinary approach to the problem is appropriate. The pathological behaviours given above can frequently lead to considerable material losses and markedly aggravate patients’ handicap in the social sphere; it can be expected that in the future they can become a problem also from the ethical and legal points of view.

Links

MSM0021622404, plan (intention)

Name: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Investor: Ministry of Education, Youth and Sports of the CR, The internal organisation and neurobiological mechanisms of functional CNS systems under normal and pathological conditions.

Citovat

GESCHEIDT, Tomáš and Martin BAREŠ. Impulse Control Disorders in patients with Parkinson’s Disease. Acta Neurologica Belgica. 2011, vol. 111, No 1, p. 3-9. ISSN 0300-9009.

@article{938396,
   author = {Gescheidt, Tomáš and Bareš, Martin},
   article_number = {1},
   keywords = {Parkinson’s disease; impulse control disorders; pathological gambling; hypersexuality; punding; dopamine dysregulation syndrome; dopaminergic agonists},
   language = {eng},
   issn = {0300-9009},
   journal = {Acta Neurologica Belgica},
   title = {Impulse Control Disorders in patients with Parkinson’s Disease},
   volume = {111},
   year = {2011}
}

TY  - JOUR
ID  - 938396
AU  - Gescheidt, Tomáš - Bareš, Martin
PY  - 2011
TI  - Impulse Control Disorders in patients with Parkinson’s Disease
JF  - Acta Neurologica Belgica
VL  - 111
IS  - 1
SP  - 3-9
EP  - 3-9
SN  - 03009009
KW  - Parkinson’s disease
KW  - impulse control disorders
KW  - pathological gambling
KW  - hypersexuality
KW  - punding
KW  - dopamine dysregulation syndrome
KW  - dopaminergic agonists
N2  - In patients with Parkinson’s disease with higher prevalence than in current population there appear pathological behaviours characterized by compulsion, repetitiveness and impulsivity, which are connected with material profit or pleasurable experience. They are, in particular, pathological gambling, hypersexuality, compulsive shopping and compulsive eating (in the literature they are collectively referred to as impulse control disorders). Pathological preoccupation with repeated mechanical activities (so-called punding) and excessive compulsive intake of dopaminergic medication (so-called dopamine dysregulation syndrome or also syndrome of hedonistic homeostatic dysregulation) are of similar nature. The paper treats briefly the risk factors and prevalence of these pathological behaviours. In current clinical practice, these psychiatric complications frequently escape doctors’ attention, they are underdiagnosed. Although no generally valid recommendations for their therapy are currently available, they can be influenced medically. Of advantage can be modified dopaminergic medication (usually dose reduction of dopaminergic agonists); multidisciplinary approach to the problem is appropriate. The pathological behaviours given above can frequently lead to considerable material losses and markedly aggravate patients’ handicap in the social sphere; it can be expected that in the future they can become a problem also from the ethical and legal points of view.
ER  -

GESCHEIDT, Tomáš and Martin BAREŠ. Impulse Control Disorders in patients with Parkinson’s Disease. \textit{Acta Neurologica Belgica}. 2011, vol.~111, No~1, p.~3-9. ISSN~0300-9009.

Detailed Information on Publication Record