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The rise and fall of impulse control behavior disorders
Giovanni Cossu1, Roberta Rinaldi2, Carlo Colosimo2
1Department of Neurology, Brotzu General Hospital, Cagliari, Italy.
Parkinsonism & Related Disorders
|August 19, 2017
Summary
Impulse control disorders (ICDs) are common in Parkinson's disease (PD), with hypersexuality being the most frequent. Risk factors include male gender, younger age at PD onset, and a family history of addiction.
Area of Science:
- Neurology
- Psychiatry
Background:
- Impulse control disorders (ICDs) involve an inability to resist impulses or temptations, leading to harmful actions.
- ICDs manifest as pathological gambling, hypersexuality, compulsive eating, and shopping.
Purpose of the Study:
- To review the epidemiology, clinical features, and therapeutic options for ICDs associated with Parkinson's disease (PD).
Main Methods:
- Literature search updated to May 2017.
- Focus on prevalence, clinical presentation, risk factors, and treatment of PD-related ICDs.
Main Results:
- ICDs are prevalent in PD, affecting up to 40% in some centers.
- Hypersexuality is reported as the most common ICD in PD patients.
- Key risk factors include male gender, younger age at PD onset, and a family history of addiction.
Conclusions:
- Further research is needed on functional neuroanatomy, dopamine-serotonin interactions, and cognitive profiles in PD-related ICDs.
- Evidence for managing PD-related ICDs is limited, highlighting a need for more research.
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