[Diagnosis and assessment of psychopathological symptoms in Parkinson's disease]
J S A M Reijnders1, A F G Leentjens
1Maastricht Universitair Medisch Centrum, Maastricht.
Background:
Parkinson's disease(PD) is a multidimensional disorder characterized primarily by motor symptoms, but often accompanied by non-motor symptoms, including psychopathological and autonomic symptoms.
Aim:
To provide an overview of current knowledge concerning the diagnosis, assessment and epidemiology of a number of psychopathological syndromes in PD.
Methods:
Relevant literature is discussed.
Results:
Depressive disorders, apathy, anxiety, cognitive impairment and hallucinations are all common in PD . For most of these syndromes, there is consensus regarding diagnostic criteria, and reliable rating scales are available. In general, an inclusive approach is recommended, which means that without interpretation or attribution, all symptoms present contribute to a psychopathological diagnosis. All psychopathological syndromes are more common in the hypokinetic rigid subtype of the disease.
Conclusion:
The recognition and treatment of psychopathological symptoms in PD require specific expertise. In the treatment of pd patients, therefore, it is essential that there should be multidisciplinary collaboration between the neurologist, the neuropsychologist and the psychiatrist.
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