A STUDY OF THE IMPULSE CONTROL BEHAVIOURS IN PERSONS WITH PARKINSON'S DISEASE
Keywords:
Parkinson’s disease, Impulse control behaviours, Dopamine Agonists, Frontal Lobe Functions.Abstract
Impulse control disorders and related behaviours (ICD-RBs) are found in patients with Parkinson’s disease. Dopamine replacement therapy, disruption in frontal lobe functions, and other idiosyncratic factors are implicated in the formation of impulse control behaviours. As the prevalence of Parkinson’s disease in India is lower compared to other countries and data regarding impulse control disorders/ behaviours in the Indian setting is limited, the present study was planned for the same.Aim: The present study aimed to explore the presence, patterns and severity of Impulse Control Behaviours (ICBs) in the sample of patients diagnosed with Parkinson’s disease undergoing treatment and its relationship with frontal lobe functions, drugs used for treatment and disease correlates. Method:A sample of 33 consenting patients with Idiopathic Parkinson’s disorder (IPD) was chosen purposively based on the inclusion and exclusion criteria from the Movement disorders clinic at IHBAS. The QUIP-RS was used to assess Impulse-control behaviours. FAB was used to assess frontal lobe functions and the disease stage was rated on the modified Hoen and Yahr scale. Other disease-related factors such as age at onset and medication details were obtained at the time of assessment. Data were analysed with the help of Descriptive statistics and Correlation analysis. Results indicate that there was the presence of significant subclinical levels of impulse-control behaviours in the sample. Hyper-sexuality and compulsive eating were the most frequently reported behaviours, whereas punding and excessive use of PD medication, were the least reported. Most of the impulsive-compulsive behaviours reported were associated with the use of dopamine agonists. No significant correlation was seen between impulse-control behaviours and frontal lobe functions as assessed on the Frontal Assessment Battery (FAB).
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