Cargando…

Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?

Background and Objectives: Impulse Control Disorders (ICDs) including pathological gambling, hypersexuality, compulsive eating, compulsive buying, and other related behaviors are well-known distinct non-motor symptoms in Parkinson’s Disease (PD). Some large-scale studies present a prevalence of at l...

Descripción completa

Detalles Bibliográficos
Autores principales: Kapsomenakis, Alexandros, Kasselimis, Dimitrios, Vaniotis, Emily, Bougea, Anastasia, Koros, Christos, Simitsi, Athina Maria, Stefanis, Leonidas, Potagas, Constantin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672754/
https://www.ncbi.nlm.nih.gov/pubmed/38003991
http://dx.doi.org/10.3390/medicina59111942
_version_ 1785140465063952384
author Kapsomenakis, Alexandros
Kasselimis, Dimitrios
Vaniotis, Emily
Bougea, Anastasia
Koros, Christos
Simitsi, Athina Maria
Stefanis, Leonidas
Potagas, Constantin
author_facet Kapsomenakis, Alexandros
Kasselimis, Dimitrios
Vaniotis, Emily
Bougea, Anastasia
Koros, Christos
Simitsi, Athina Maria
Stefanis, Leonidas
Potagas, Constantin
author_sort Kapsomenakis, Alexandros
collection PubMed
description Background and Objectives: Impulse Control Disorders (ICDs) including pathological gambling, hypersexuality, compulsive eating, compulsive buying, and other related behaviors are well-known distinct non-motor symptoms in Parkinson’s Disease (PD). Some large-scale studies present a prevalence of at least 10%, however, there are other reports providing much higher rates. The majority of the conducted studies investigating ICDs focus mainly on pharmacological factors, however, from a psychological perspective, there is yet enough room for investigation. In order to address the above issues, we designed a two-part study. Materials and Methods: First, we aimed to identify the incidence of ICD and related behaviors in a cohort of 892 Greek PD patients. Second, we administered a comprehensive battery of psychometric tools to assess psychological factors such as personality dimensions, quality of life, defenses, coherence, and resilience as well as to screen general cognitive capacity in PD patients with ICD manifestations. Results: With regard to the first part, we identified ICD manifestations in 12.4% of the patients. Preliminary findings from the second part indicate elevated activity, rather than impulsivity, as well as interrelations between several variables, including measures of activity, coping mechanisms, and quality of life. Conclusions: We present a working hypothesis for the contribution of high activity channeled to specific behavioral patterns through specific coping mechanisms, concerning the emergence of ICDs and related behaviors in PD, and further stress the importance of compulsivity rather than impulsivity in this process.
format Online
Article
Text
id pubmed-10672754
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-106727542023-11-02 Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It? Kapsomenakis, Alexandros Kasselimis, Dimitrios Vaniotis, Emily Bougea, Anastasia Koros, Christos Simitsi, Athina Maria Stefanis, Leonidas Potagas, Constantin Medicina (Kaunas) Article Background and Objectives: Impulse Control Disorders (ICDs) including pathological gambling, hypersexuality, compulsive eating, compulsive buying, and other related behaviors are well-known distinct non-motor symptoms in Parkinson’s Disease (PD). Some large-scale studies present a prevalence of at least 10%, however, there are other reports providing much higher rates. The majority of the conducted studies investigating ICDs focus mainly on pharmacological factors, however, from a psychological perspective, there is yet enough room for investigation. In order to address the above issues, we designed a two-part study. Materials and Methods: First, we aimed to identify the incidence of ICD and related behaviors in a cohort of 892 Greek PD patients. Second, we administered a comprehensive battery of psychometric tools to assess psychological factors such as personality dimensions, quality of life, defenses, coherence, and resilience as well as to screen general cognitive capacity in PD patients with ICD manifestations. Results: With regard to the first part, we identified ICD manifestations in 12.4% of the patients. Preliminary findings from the second part indicate elevated activity, rather than impulsivity, as well as interrelations between several variables, including measures of activity, coping mechanisms, and quality of life. Conclusions: We present a working hypothesis for the contribution of high activity channeled to specific behavioral patterns through specific coping mechanisms, concerning the emergence of ICDs and related behaviors in PD, and further stress the importance of compulsivity rather than impulsivity in this process. MDPI 2023-11-02 /pmc/articles/PMC10672754/ /pubmed/38003991 http://dx.doi.org/10.3390/medicina59111942 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kapsomenakis, Alexandros
Kasselimis, Dimitrios
Vaniotis, Emily
Bougea, Anastasia
Koros, Christos
Simitsi, Athina Maria
Stefanis, Leonidas
Potagas, Constantin
Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?
title Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?
title_full Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?
title_fullStr Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?
title_full_unstemmed Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?
title_short Frequency of Impulsive-Compulsive Behavior and Associated Psychological Factors in Parkinson’s Disease: Lack of Control or Too Much of It?
title_sort frequency of impulsive-compulsive behavior and associated psychological factors in parkinson’s disease: lack of control or too much of it?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672754/
https://www.ncbi.nlm.nih.gov/pubmed/38003991
http://dx.doi.org/10.3390/medicina59111942
work_keys_str_mv AT kapsomenakisalexandros frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT kasselimisdimitrios frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT vaniotisemily frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT bougeaanastasia frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT koroschristos frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT simitsiathinamaria frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT stefanisleonidas frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit
AT potagasconstantin frequencyofimpulsivecompulsivebehaviorandassociatedpsychologicalfactorsinparkinsonsdiseaselackofcontrolortoomuchofit