Journal article
Medication-related impulse control and repetitive behaviors in Parkinson's disease
Current opinion in neurology, Vol.20(4), pp.484-492
08/2007
DOI: 10.1097/WCO.0b013e32826fbc8f
PMID: 17620886
Abstract
A range of impulse control and repetitive behaviors presumed to be related to dopaminergic medications has been recognized in Parkinson's disease. These behaviors are linked by their incentive or reward-based and repetitive natures and overlap with addictions. The behaviors include pathological gambling, hypersexuality, compulsive shopping, and compulsive eating and are related to punding and compulsive medication use. In patients on dopamine agonists, these behaviors as a group are relatively common, can have potentially devastating psychosocial consequences and are commonly hidden.
Recent studies have investigated prevalence rates and associated factors. The literature on these behaviors in Parkinson's disease, including definitions, epidemiology, pathophysiology and management, is reviewed. The relationship to medications, Parkinson's disease and individual susceptibility is examined.
These behaviors can affect up to 14% of Parkinson's disease patients on dopamine agonists. Clinicians should warn patients prior to initiating dopamine agonists and enquire about these behaviors during follow up.
Details
- Title: Subtitle
- Medication-related impulse control and repetitive behaviors in Parkinson's disease
- Creators
- Valerie Voon - Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institute of Health, Bethesda, Maryland 20892-1428, USA. voonv@ninds.nih.govMarc N PotenzaTeri Thomsen
- Resource Type
- Journal article
- Publication Details
- Current opinion in neurology, Vol.20(4), pp.484-492
- Publisher
- England
- DOI
- 10.1097/WCO.0b013e32826fbc8f
- PMID
- 17620886
- ISSN
- 1350-7540
- eISSN
- 1473-6551
- Language
- English
- Date published
- 08/2007
- Academic Unit
- Neurology
- Record Identifier
- 9984020737602771
Metrics
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