Impulsive and compulsive behaviors in Parkinson's disease: a one-year follow-up study.

Asunción Ávila, Xavier Cardona, Montse Martín-Baranera, Juan Bello, Francesc Sastre

Department of Neurology, Hospital General de l'Hospitalet, Consorci Sanitari Integral, Hospitalet de Llobregat (Barcelona), Spain. asuncion.avila@sanitatintegral.org

Journal of the neurological sciences 2011 Nov 15

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Impulsive and compulsive behaviors (ICBs) have been reported to occur frequently in Parkinson's disease (PD) and include impulse control disorders (ICDs), punding and dopamine dysregulation syndrome (SSD). We report on the outcomes of 25 PD patients who developed ICBs. Information was collected on changes in parkinsonian and psychiatric medication follow-up (median=12.1 months). At time 1, only 18 patients (72%) were taking dopamine agonists (DA). At time 2, fifteen patients (83.33%) either discontinued or decreased their DA treatment. Of these patients, thirteen (86.67%) reported experiencing full or partial remission of their ICBs symptoms. When analyzing separately the 11 patients with punding, these symptoms remained unchanged in 9 patients (81.82%) independently of changes in dopaminergic drugs. In conclusion, the current study suggests that there are clear similarities, but also important differences, between punding and ICDs over time. Pathological gambling, binge or compulsive eating, pathological hypersexuality and compulsive shopping in PD were robustly associated with the use of DA but the relationship between dopaminergic medications and punding is less clear. It is important to determine if other treatment strategies may be effective for punding in PD. Copyright © 2011 Elsevier B.V. All rights reserved.

Citation

Asunción Ávila, Xavier Cardona, Montse Martín-Baranera, Juan Bello, Francesc Sastre. Impulsive and compulsive behaviors in Parkinson's disease: a one-year follow-up study. Journal of the neurological sciences. 2011 Nov 15;310(1-2):197-201