Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia
Neuropsychiatric symptoms commonly complicate Parkinson’s disease (PD), however the presence of such symptoms in mild cognitive impairment (PD-MCI) specifically has not yet been well described. The objective of this study was to examine and compare the prevalence and profile of neuropsychiatric symp...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2012/308097 |
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| author | Iracema Leroi Hiranmayi Pantula Kathryn McDonald Vijay Harbishettar |
| author_facet | Iracema Leroi Hiranmayi Pantula Kathryn McDonald Vijay Harbishettar |
| author_sort | Iracema Leroi |
| collection | DOAJ |
| description | Neuropsychiatric symptoms commonly complicate Parkinson’s disease (PD), however the presence of such symptoms in mild cognitive impairment (PD-MCI) specifically has not yet been well described. The objective of this study was to examine and compare the prevalence and profile of neuropsychiatric symptoms in patients with PD-MCI (n = 48) to those with PD and no cognitive impairment (PD-NC, n = 54) and to those with dementia in PD (PDD, n = 25). PD-MCI and PDD were defined using specific consensus criteria, and neuropsychiatric symptoms were assessed with the 12-item Neuropsychiatric Inventory (NPI). Self-rated apathy, depression, and anxiety rating scales were also administered. Over 79% of all participants reported at least one neuropsychiatric symptom in the past month. The proportion in each group who had total NPI scores of ≥4 (“clinically significant”) was as follows: PD-NC, 64.8%; PD-MCI, 62%; PDD 76%. Apathy was reported in almost 50% of those with PD-MCI and PDD, and it was an important neuropsychiatric symptom differentiating PD-MCI from PD-NC. Psychosis (hallucinations and delusions) increased from 12.9% in PD-NC group; 16.7% in PD-MCI group; and 48% in PDD group. Identifying neuropsychiatric symptoms in PD-MCI may have implications for ascertaining conversion to dementia in PD. |
| format | Article |
| id | doaj-art-b939ac074faf4a0f92ef52c2371c5f02 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-b939ac074faf4a0f92ef52c2371c5f022025-02-03T06:13:07ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/308097308097Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and DementiaIracema Leroi0Hiranmayi Pantula1Kathryn McDonald2Vijay Harbishettar3Institute of Brain, Behavior and Mental Health, School of Community-Based Medicine, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UKLancashire Care NHS Foundation Trust, Lytham Hospital, Warton Street, Lytham FY8 5EE, UKUniversity of Manchester, Oxford Road, Manchester M13 9PL, UKAcademic Clinical Psychiatry, University of Sheffield, Sheffield S5 7JT, UKNeuropsychiatric symptoms commonly complicate Parkinson’s disease (PD), however the presence of such symptoms in mild cognitive impairment (PD-MCI) specifically has not yet been well described. The objective of this study was to examine and compare the prevalence and profile of neuropsychiatric symptoms in patients with PD-MCI (n = 48) to those with PD and no cognitive impairment (PD-NC, n = 54) and to those with dementia in PD (PDD, n = 25). PD-MCI and PDD were defined using specific consensus criteria, and neuropsychiatric symptoms were assessed with the 12-item Neuropsychiatric Inventory (NPI). Self-rated apathy, depression, and anxiety rating scales were also administered. Over 79% of all participants reported at least one neuropsychiatric symptom in the past month. The proportion in each group who had total NPI scores of ≥4 (“clinically significant”) was as follows: PD-NC, 64.8%; PD-MCI, 62%; PDD 76%. Apathy was reported in almost 50% of those with PD-MCI and PDD, and it was an important neuropsychiatric symptom differentiating PD-MCI from PD-NC. Psychosis (hallucinations and delusions) increased from 12.9% in PD-NC group; 16.7% in PD-MCI group; and 48% in PDD group. Identifying neuropsychiatric symptoms in PD-MCI may have implications for ascertaining conversion to dementia in PD.http://dx.doi.org/10.1155/2012/308097 |
| spellingShingle | Iracema Leroi Hiranmayi Pantula Kathryn McDonald Vijay Harbishettar Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia Parkinson's Disease |
| title | Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia |
| title_full | Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia |
| title_fullStr | Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia |
| title_full_unstemmed | Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia |
| title_short | Neuropsychiatric Symptoms in Parkinson's Disease with Mild Cognitive Impairment and Dementia |
| title_sort | neuropsychiatric symptoms in parkinson s disease with mild cognitive impairment and dementia |
| url | http://dx.doi.org/10.1155/2012/308097 |
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