Validation of the questionnaire for impulsive‐compulsive disorders in Parkinson's disease
Open accessAbstract
As no comprehensive assessment instrument for impulse control disorders (ICDs) in Parkinson's disease (PD) exists, the aim of this study was to design and assess the psychometric properties of a self‐administered screening questionnaire for ICDs and other compulsive behaviors in PD. The Questionnaire for Impulsive‐Compulsive Disorders in Parkinson's Disease (QUIP) has 3 sections: Section 1 assesses four ICDs (involving gambling, sexual, buying, and eating behaviors), Section 2 other compulsive behaviors (punding, hobbyism, and walkabout), and Section 3 compulsive medication use. For validation, a convenience sample of 157 PD patients at 4 movement disorders centers first completed the QUIP, and then was administered a diagnostic interview by a trained rater blinded to the QUIP results. A shortened instrument (QUIP‐S) was then explored. The discriminant validity of the QUIP was high for each disorder or behavior (receiver operating characteristic area under the curve [ROC AUC]: gambling = 0.95, sexual behavior = 0.97, buying = 0.87, eating = 0.88, punding = 0.78, hobbyism = 0.93, walkabout = 0.79). On post hoc analysis, the QUIP‐S ICD section had similar properties (ROC AUC: gambling = 0.95, sexual behavior = 0.96, buying = 0.87, eating = 0.88). When disorders/behaviors were combined, the sensitivity of the QUIP and QUIP‐S to detect an individual with any disorder was 96 and 94%, respectively. Scores on the QUIP appear to be valid as a self‐assessment screening instrument for a range of ICDs and other compulsive behaviors that occur in PD, and a shortened version may perform as well as the full version. A positive screen should be followed by a comprehensive, clinical interview to determine the range and severity of symptoms, as well as need for clinical management. © 2009 Movement Disorder Society
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'Hypersexuality' had been used to describe a symptom associated with various other disorders, for example dementia or Parkinson's disease.
“'Sexual impulsivity' was described as a symptom of borderline personality disorder 237 , and 'hypersexuality' had been used to describe a symptom associated with various other disorders, for example dementia 238 or Parkinson's disease 239 .”
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- Authors
- Weintraub, D., Hoops, S., Shea, J. A., Lyons, K. E., Pahwa, R., Driver‐Dunckley, E. D., Adler, C. H., Potenza, M. N., Miyasaki, J., Siderowf, A. D., Duda, J. E., Hurtig, H. I., Colcher, A., Horn, S. S., Stern, M. B., & Voon, V.
- Affiliations
- Mental Illness Research, Education and Clinical Centers (US)
- University of Pennsylvania (US)
- Philadelphia VA Medical Center (US)
- University of Kansas Medical Center (US)
- Mayo Clinic (US)
- Yale University (US)
- University of Toronto (CA)
- National Institute of Neurological Disorders and Stroke (US)
- Corresponding author
- Weintraub, Daniel
- ORCID
- Venue
- Movement Disorders
- Publisher
- Wiley
- Published
- 2009-05-18
- Volume
- 24
- Issue
- 10
- Pages
- 1461-1467
- ISSN
- 0885-3185 (ISSN-L)
- 1531-8257
- PMC
- PMC2848971
- OpenAlex
- W1973092961
- Cited by
- 528
- References
- 30
- Citations by year
- 2026: 29 · 2025: 36 · 2024: 42 · 2023: 26 · 2022: 29 · 2021: 39 · 2020: 41 · 2019: 36 · 2018: 38 · 2017: 33 · 2016: 37 · 2015: 25 · 2014: 28 · 2013: 28 · 2012: 22
- FWCI
- 12.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Movement Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH067894)
- National Institute on Drug Abuse (R01DA019039)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- Parkinson's disease, impulse control disorders, compulsive behavior, screening tool validation, psychometric properties, gambling behavior, sexual behavior, compulsive buying, compulsive eating, punding, Walkabout, short-form questionnaire
- MeSH terms
- Aged, Female, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Middle Aged, Parkinson Disease, Predictive Value of Tests, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, ROC Curve, Severity of Illness Index, Reproducibility of Results, Area Under Curve
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