Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience

Non-motor symptoms contribute significantly to Parkinson’s disease (PD) related disability. Impulse control disorders (ICDs) have been recently added to the behavioural spectrum of PD-related non-motor symptoms. Such behaviours are characterized by an inappropriate drive to conduct repetitive behavi...

Full description

Saved in:
Bibliographic Details
Main Authors: Paulo Bugalho, Albino J. Oliveira-Maia
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-129019
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555556451123200
author Paulo Bugalho
Albino J. Oliveira-Maia
author_facet Paulo Bugalho
Albino J. Oliveira-Maia
author_sort Paulo Bugalho
collection DOAJ
description Non-motor symptoms contribute significantly to Parkinson’s disease (PD) related disability. Impulse control disorders (ICDs) have been recently added to the behavioural spectrum of PD-related non-motor symptoms. Such behaviours are characterized by an inappropriate drive to conduct repetitive behaviours that are usually socially inadequate or result in harmful consequences. Parkinson disease impulse control disorders (PD-ICDs) have raised significant interest in the scientific and medical community, not only because of their incapacitating nature, but also because they may represent a valid model of ICDs beyond PD and a means to study the physiology of drive, impulse control and compulsive actions in the normal brain. In this review, we discuss some unresolved issues regarding PD-ICDs, including the association with psychiatric co-morbidities such as obsessive-compulsive disorder and with dopamine related side effects, such as hallucinations and dyskinesias; the relationship with executive cognitive dysfunction; and the neural underpinnings of ICDs in PD. We also discuss the contribution of neuroscience studies based on animal-models towards a mechanistic explanation of the development of PD-ICDs, specifically regarding corticostriatal control of goal directed and habitual actions.
format Article
id doaj-art-adc1ad4cb633411588de23b1196f8515
institution Kabale University
issn 0953-4180
1875-8584
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Behavioural Neurology
spelling doaj-art-adc1ad4cb633411588de23b1196f85152025-02-03T05:47:52ZengWileyBehavioural Neurology0953-41801875-85842013-01-0127454755710.3233/BEN-129019Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and NeurosciencePaulo Bugalho0Albino J. Oliveira-Maia1Department of Neurology, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa, PortugalDepartment of Psychiatry and Mental Health, Centro Hospitalar de Lisboa Ocidental, Lisboa, PortugalNon-motor symptoms contribute significantly to Parkinson’s disease (PD) related disability. Impulse control disorders (ICDs) have been recently added to the behavioural spectrum of PD-related non-motor symptoms. Such behaviours are characterized by an inappropriate drive to conduct repetitive behaviours that are usually socially inadequate or result in harmful consequences. Parkinson disease impulse control disorders (PD-ICDs) have raised significant interest in the scientific and medical community, not only because of their incapacitating nature, but also because they may represent a valid model of ICDs beyond PD and a means to study the physiology of drive, impulse control and compulsive actions in the normal brain. In this review, we discuss some unresolved issues regarding PD-ICDs, including the association with psychiatric co-morbidities such as obsessive-compulsive disorder and with dopamine related side effects, such as hallucinations and dyskinesias; the relationship with executive cognitive dysfunction; and the neural underpinnings of ICDs in PD. We also discuss the contribution of neuroscience studies based on animal-models towards a mechanistic explanation of the development of PD-ICDs, specifically regarding corticostriatal control of goal directed and habitual actions.http://dx.doi.org/10.3233/BEN-129019
spellingShingle Paulo Bugalho
Albino J. Oliveira-Maia
Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience
Behavioural Neurology
title Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience
title_full Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience
title_fullStr Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience
title_full_unstemmed Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience
title_short Impulse Control Disorders in Parkinson’s Disease: Crossroads between Neurology, Psychiatry and Neuroscience
title_sort impulse control disorders in parkinson s disease crossroads between neurology psychiatry and neuroscience
url http://dx.doi.org/10.3233/BEN-129019
work_keys_str_mv AT paulobugalho impulsecontroldisordersinparkinsonsdiseasecrossroadsbetweenneurologypsychiatryandneuroscience
AT albinojoliveiramaia impulsecontroldisordersinparkinsonsdiseasecrossroadsbetweenneurologypsychiatryandneuroscience