Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study

Background. Impulsive-compulsive behaviours (ICB) are a potentially harmful group of behavioural symptoms among the nonmotor aspects of Parkinson’s disease (PD). Objective. To develop and perform partial validation of a Belgian-Flemish version of the Questionnaire for Impulsive-Compulsive Disorders...

Full description

Saved in:
Bibliographic Details
Main Authors: Emke Maréchal, Benjamin Denoiseux, Ellen Thys, Patrick Cras, David Crosiers
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2019/7832487
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554248358854656
author Emke Maréchal
Benjamin Denoiseux
Ellen Thys
Patrick Cras
David Crosiers
author_facet Emke Maréchal
Benjamin Denoiseux
Ellen Thys
Patrick Cras
David Crosiers
author_sort Emke Maréchal
collection DOAJ
description Background. Impulsive-compulsive behaviours (ICB) are a potentially harmful group of behavioural symptoms among the nonmotor aspects of Parkinson’s disease (PD). Objective. To develop and perform partial validation of a Belgian-Flemish version of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP) as a screening instrument for ICB in PD patients. Methods. Using a translation-backtranslation method, we developed a Belgian-Flemish version of the QUIP, which was subsequently completed by 88 PD patients. QUIP-positive patients were invited for a semistructured diagnostic interview. Results. A positive QUIP score for one or more ICB was observed in 37 patients (41%). In 15 patients (17%), a positive QUIP score for one or more impulse control disorders (ICD) was noted: pathological gambling in 1, hypersexuality in 8, compulsive shopping in 5, and compulsive eating in 8 patients. A positive QUIP score for punding, hobbyism, and/or walkabout was observed in 30 patients. The semistructured diagnostic interview was performed in 22 QUIP-positive patients. The diagnosis of ICB was confirmed in 6 patients, suggesting a positive predictive value of 27% for the Belgian-Flemish version of the QUIP. Conclusions. We have developed a Belgian-Flemish version of the QUIP, which can be used as a screening questionnaire for ICB in PD patients. Our data suggest that sensitivity is high, specificity is low, and validity of the questionnaire is similar to the original version. We confirm the necessity of additional clinical assessment of QUIP-positive patients to ascertain a diagnosis of ICB.
format Article
id doaj-art-c82b4a4e402a481d9c2a0d6b49390bdb
institution Kabale University
issn 2090-8083
2042-0080
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Parkinson's Disease
spelling doaj-art-c82b4a4e402a481d9c2a0d6b49390bdb2025-02-03T05:52:08ZengWileyParkinson's Disease2090-80832042-00802019-01-01201910.1155/2019/78324877832487Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based StudyEmke Maréchal0Benjamin Denoiseux1Ellen Thys2Patrick Cras3David Crosiers4Department of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, BelgiumDepartment of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, BelgiumDepartment of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, BelgiumDepartment of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, BelgiumDepartment of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, BelgiumBackground. Impulsive-compulsive behaviours (ICB) are a potentially harmful group of behavioural symptoms among the nonmotor aspects of Parkinson’s disease (PD). Objective. To develop and perform partial validation of a Belgian-Flemish version of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson’s Disease (QUIP) as a screening instrument for ICB in PD patients. Methods. Using a translation-backtranslation method, we developed a Belgian-Flemish version of the QUIP, which was subsequently completed by 88 PD patients. QUIP-positive patients were invited for a semistructured diagnostic interview. Results. A positive QUIP score for one or more ICB was observed in 37 patients (41%). In 15 patients (17%), a positive QUIP score for one or more impulse control disorders (ICD) was noted: pathological gambling in 1, hypersexuality in 8, compulsive shopping in 5, and compulsive eating in 8 patients. A positive QUIP score for punding, hobbyism, and/or walkabout was observed in 30 patients. The semistructured diagnostic interview was performed in 22 QUIP-positive patients. The diagnosis of ICB was confirmed in 6 patients, suggesting a positive predictive value of 27% for the Belgian-Flemish version of the QUIP. Conclusions. We have developed a Belgian-Flemish version of the QUIP, which can be used as a screening questionnaire for ICB in PD patients. Our data suggest that sensitivity is high, specificity is low, and validity of the questionnaire is similar to the original version. We confirm the necessity of additional clinical assessment of QUIP-positive patients to ascertain a diagnosis of ICB.http://dx.doi.org/10.1155/2019/7832487
spellingShingle Emke Maréchal
Benjamin Denoiseux
Ellen Thys
Patrick Cras
David Crosiers
Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study
Parkinson's Disease
title Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study
title_full Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study
title_fullStr Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study
title_full_unstemmed Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study
title_short Impulsive-Compulsive Behaviours in Belgian-Flemish Parkinson’s Disease Patients: A Questionnaire-Based Study
title_sort impulsive compulsive behaviours in belgian flemish parkinson s disease patients a questionnaire based study
url http://dx.doi.org/10.1155/2019/7832487
work_keys_str_mv AT emkemarechal impulsivecompulsivebehavioursinbelgianflemishparkinsonsdiseasepatientsaquestionnairebasedstudy
AT benjamindenoiseux impulsivecompulsivebehavioursinbelgianflemishparkinsonsdiseasepatientsaquestionnairebasedstudy
AT ellenthys impulsivecompulsivebehavioursinbelgianflemishparkinsonsdiseasepatientsaquestionnairebasedstudy
AT patrickcras impulsivecompulsivebehavioursinbelgianflemishparkinsonsdiseasepatientsaquestionnairebasedstudy
AT davidcrosiers impulsivecompulsivebehavioursinbelgianflemishparkinsonsdiseasepatientsaquestionnairebasedstudy