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Impulse control disorders and punding in Parkinson's disease: the need for a structured interview
1Unidad de Neurología, Hospital General de l'Hospitalet, Consorci Sanitari Integral, L'Hospitalet de Llobregat, Barcelona, Spain. asuncion.avila@sanitatintegral.org
Neurologia (Barcelona, Spain)
|December 18, 2010
Summary
Impulse control disorders and punding are common in Parkinson's disease (PD) but often go unrecognized. A screening questionnaire is crucial for detecting these underreported symptoms in PD patients.
Area of Science:
- Neurology
- Psychiatry
Background:
- Impulse control disorders (ICD) and punding are frequently observed in Parkinson's disease (PD) patients.
- These behaviors, including hypersexuality and compulsive gambling, are often underreported by patients and thus under-recognized in clinical practice.
Purpose of the Study:
- To assess the prevalence of ICD and punding in Parkinson's disease patients.
- To highlight the under-recognition of these conditions in routine clinical settings.
Main Methods:
- Prospective screening of 216 idiopathic PD patients using a questionnaire on ICD and punding symptoms.
- Retrospective analysis of 216 age- and sex-matched idiopathic PD patients who spontaneously reported symptoms.
Main Results:
- Only 9.26% of prospective PD patients reported ICD or punding, with specific conditions like hypersexuality (3.24%) and punding (3.70%) noted.
- In the retrospective group, only 2.31% spontaneously reported symptoms, indicating significant underreporting.
Conclusions:
- Parkinson's disease patients frequently do not spontaneously disclose ICD or punding symptoms.
- A dedicated screening questionnaire is essential for the accurate detection and management of these under-recognized behaviors in PD.
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