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Recognition, management, and patient perspectives of impulsive-compulsive disorders in Parkinson's disease

Wolfschlag, Mirjam LU ; Weber, Gustav LU ; Timpka, Jonathan LU ; Weintraub, Daniel ; Odin, Per LU orcid and Håkansson, Anders C LU orcid (2025) In Journal of Parkinson's Disease p.1-10
Abstract
Background
Impulsive-compulsive disorders (ICDs) are commonly acknowledged as side effects of dopaminergic therapy in Parkinson’s disease (PD). While many large-scale studies have focused on prevalences and high-risk treatments, little is known about practical management of ICDs in clinical care and patients’ experiences.
Objective
To investigate how ICDs are recognized in clinical PD care, clinical features of patients with ICDs, and how patients are impacted by their ICD.
Methods
Questionnaires were sent to all patients who reported ICD symptoms in the Swedish quality register for PD in Skåne County (n = 170) and patients’ medical records were screened for mention of ICDs. Core subjects were communication between... (More)
Background
Impulsive-compulsive disorders (ICDs) are commonly acknowledged as side effects of dopaminergic therapy in Parkinson’s disease (PD). While many large-scale studies have focused on prevalences and high-risk treatments, little is known about practical management of ICDs in clinical care and patients’ experiences.
Objective
To investigate how ICDs are recognized in clinical PD care, clinical features of patients with ICDs, and how patients are impacted by their ICD.
Methods
Questionnaires were sent to all patients who reported ICD symptoms in the Swedish quality register for PD in Skåne County (n = 170) and patients’ medical records were screened for mention of ICDs. Core subjects were communication between clinician and patient, course and management of ICDs, and impact on different life domains.
Results
Despite sufficient awareness of the ICD risk during PD treatment, there was limited communication between clinical care staff and patients regarding ICDs. Only 49% of patients had reported their ICD as part of clinical care, and only 14% had been asked about it. Additionally, collaboration with psychiatry was rare (12%). ICD severity increased over time with ongoing PD treatment, and most patients reported a mild to moderate impact of their ICD on close relationships, family, mental and physical health.
Conclusions
This study identified insufficient communication about ICDs as part of clinical care in PD and a very limited involvement of mental health services. Thus, to improve prevention and treatment, ICDs should be recognized, monitored and treated more systematically in routine clinical care, and collaboration with mental health services should be increased. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Journal of Parkinson's Disease
pages
1 - 10
publisher
IOS Press
external identifiers
  • pmid:40091420
ISSN
1877-718X
DOI
10.1177/1877718X251323922
language
English
LU publication?
yes
id
7803e16b-e886-49a3-ae32-9aafff53c680
date added to LUP
2025-03-18 17:12:06
date last changed
2025-04-04 14:48:56
@article{7803e16b-e886-49a3-ae32-9aafff53c680,
  abstract     = {{Background<br/>Impulsive-compulsive disorders (ICDs) are commonly acknowledged as side effects of dopaminergic therapy in Parkinson’s disease (PD). While many large-scale studies have focused on prevalences and high-risk treatments, little is known about practical management of ICDs in clinical care and patients’ experiences.<br/>Objective<br/>To investigate how ICDs are recognized in clinical PD care, clinical features of patients with ICDs, and how patients are impacted by their ICD.<br/>Methods<br/>Questionnaires were sent to all patients who reported ICD symptoms in the Swedish quality register for PD in Skåne County (n = 170) and patients’ medical records were screened for mention of ICDs. Core subjects were communication between clinician and patient, course and management of ICDs, and impact on different life domains.<br/>Results<br/>Despite sufficient awareness of the ICD risk during PD treatment, there was limited communication between clinical care staff and patients regarding ICDs. Only 49% of patients had reported their ICD as part of clinical care, and only 14% had been asked about it. Additionally, collaboration with psychiatry was rare (12%). ICD severity increased over time with ongoing PD treatment, and most patients reported a mild to moderate impact of their ICD on close relationships, family, mental and physical health.<br/>Conclusions<br/>This study identified insufficient communication about ICDs as part of clinical care in PD and a very limited involvement of mental health services. Thus, to improve prevention and treatment, ICDs should be recognized, monitored and treated more systematically in routine clinical care, and collaboration with mental health services should be increased.}},
  author       = {{Wolfschlag, Mirjam and Weber, Gustav and Timpka, Jonathan and Weintraub, Daniel and Odin, Per and Håkansson, Anders C}},
  issn         = {{1877-718X}},
  language     = {{eng}},
  pages        = {{1--10}},
  publisher    = {{IOS Press}},
  series       = {{Journal of Parkinson's Disease}},
  title        = {{Recognition, management, and patient perspectives of impulsive-compulsive disorders in Parkinson's disease}},
  url          = {{http://dx.doi.org/10.1177/1877718X251323922}},
  doi          = {{10.1177/1877718X251323922}},
  year         = {{2025}},
}