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Sleep in Parkinson's Disease with Impulse Control Disorder
Michela Figorilli1, Patrizia Congiu1, Rosa Lecca1
1Sleep Disorders Center, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Current Neurology and Neuroscience Reports
|August 13, 2018
Summary
Impulse-control disorders (ICDs) and sleep problems are linked in Parkinson's disease (PD). Sleep issues may increase ICD risk, and ICDs can worsen sleep, indicating a complex, bidirectional relationship needing more research.
Area of Science:
- Neurology
- Sleep Medicine
- Psychiatry
Background:
- Impulse-control disorders (ICDs) and sleep disruption are significant non-motor symptoms in Parkinson's disease (PD).
- These symptoms negatively impact patients' quality of life and increase disease burden.
- Previous research on the connection between ICDs and sleep problems in PD has yielded controversial and inconclusive results.
Purpose of the Study:
- To review and explore the scientific literature on the relationship between impulse-control disorders (ICDs) and sleep problems in Parkinson's disease (PD).
Main Methods:
- Literature review of existing scientific publications.
- Analysis of studies investigating non-motor symptoms in Parkinson's disease.
Main Results:
- The relationship between sleep problems and ICDs in PD is complex and appears bidirectional.
- Sleep disturbances, including REM sleep behavior disorder (RBD) and restless legs syndrome (RLS), may increase susceptibility to impulsive behaviors.
- ICDs can also contribute to sleep restriction and fragmentation in PD patients.
Conclusions:
- The intricate association between sleep disturbances and ICDs in Parkinson's disease requires further investigation.
- Understanding the pathophysiology of this bidirectional relationship is crucial for improving patient care.
- Additional research is necessary to confirm the nature of this link and guide therapeutic strategies.
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