TY - JOUR

T1 - Impulse control disorders in Parkinson's disease

T2 - a psychosocial perspective

AU - Delaney, Mary

AU - Leroi, Iracema

AU - Simpson, Jane

AU - Overton, Paul G.

PY - 2012/9

Y1 - 2012/9

N2 - Parkinson's disease (PD) is a progressive neurodegenerative disease primarily characterised by motor symptoms. However, another feature of PD which is receiving increasing attention is the phenomenon of impulse control disorders (ICDs), such as pathological gambling. To date, research into ICDs in PD has centred on a biomedical model of cause, related to the effects of dopamine replacement therapy. However, there are several areas of discrepancy in the current biomedical account of ICDs in PD. In addition, we argue that social and psychological factors also need to be considered to achieve a more complete understanding of the phenomenon. We present a novel conceptual model which combines biomedical and psychosocial factors in the genesis of ICDs in PD and use the model to identify a number of potential treatment intervention points and to highlight important outstanding questions concerning the inter-relationship between psychosocial and biomedical factors in the genesis of ICDs in PD.

AB - Parkinson's disease (PD) is a progressive neurodegenerative disease primarily characterised by motor symptoms. However, another feature of PD which is receiving increasing attention is the phenomenon of impulse control disorders (ICDs), such as pathological gambling. To date, research into ICDs in PD has centred on a biomedical model of cause, related to the effects of dopamine replacement therapy. However, there are several areas of discrepancy in the current biomedical account of ICDs in PD. In addition, we argue that social and psychological factors also need to be considered to achieve a more complete understanding of the phenomenon. We present a novel conceptual model which combines biomedical and psychosocial factors in the genesis of ICDs in PD and use the model to identify a number of potential treatment intervention points and to highlight important outstanding questions concerning the inter-relationship between psychosocial and biomedical factors in the genesis of ICDs in PD.

KW - Antiparkinson Agents

KW - Comorbidity

KW - Dopamine Agonists

KW - Female

KW - Humans

KW - Impulse Control Disorders

KW - Male

KW - Models, Psychological

KW - Parkinson Disease

KW - Stress, Psychological

U2 - 10.1007/s10880-012-9302-7

DO - 10.1007/s10880-012-9302-7

M3 - Journal article

C2 - 22581074

VL - 19

SP - 338

EP - 346

JO - Journal of Clinical Psychology in Medical Settings

JF - Journal of Clinical Psychology in Medical Settings

SN - 1573-3572

IS - 3

ER -