Clinical spectrum of impulse control disorders in Parkinson’s disease
Abstract
Impulse control disorders (ICDs), including compulsive gambling, buying, sexual behavior, and eating, are a serious and increasingly recognized psychiatric complication in Parkinson's disease (PD). Other impulsive-compulsive behaviors (ICBs) have been described in PD, including punding (stereotyped, repetitive, purposeless behaviors) and dopamine dysregulation syndrome (DDS; compulsive PD medication overuse). ICDs have been most closely related to the use of dopamine agonists (DAs), perhaps more so at higher doses; in contrast, DDS is primarily associated with shorter-acting, higher-potency dopaminergic medications, such as apomorphine and levodopa. Possible risk factors for ICDs include male sex, younger age and younger age at PD onset, a pre-PD history of ICDs, and a personal or family history of substance abuse, bipolar disorder, or gambling problems. Given the paucity of treatment options and potentially serious consequences, it is critical for PD patients to be monitored closely for development of ICDs as part of routine clinical care.
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“Hyperprolactinemia inhibits the pulsatile release of gonadotropin-releasing hormone (GnRH), which in turn inhibits the release of both luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary (5-10).”
From Kisspeptin Overcomes GnRH Neuronal Suppression Secondary to Hyperprolactinemia in Humans (2022) · cites this paper as [5]
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- Authors
- Weintraub, D., David, A. S., Evans, A. H., Grant, J. E., & Stacy, M.
- Affiliations
- Philadelphia VA Medical Center (US)
- King's College London (GB)
- The Royal Melbourne Hospital (AU)
- University of Chicago (US)
- Duke University (US)
- Corresponding author
- Weintraub, Daniel
- Venue
- Movement Disorders
- Publisher
- Wiley
- Published
- 2014-11-05
- Volume
- 30
- Issue
- 2
- Pages
- 121-127
- ISSN
- 0885-3185 (ISSN-L)
- 1531-8257
- OpenAlex
- W1584228404
- Cited by
- 311
- References
- 78
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 19 · 2023: 19 · 2022: 21 · 2021: 18 · 2020: 30 · 2019: 28 · 2018: 44 · 2017: 47 · 2016: 41 · 2015: 15 · 2014: 1 · 2013: 1
- FWCI
- 4.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Movement Disorders (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Parkinson's UK (J‐0705)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- impulse control disorders, Parkinson's disease, dopamine agonists, dopamine dysregulation syndrome, punding, gambling addiction, compulsive buying, compulsive sexual behavior, compulsive eating, impulsive-compulsive behaviors, psychiatric complications, risk factors, levodopa, apomorphine
- MeSH terms
- Animals, Brain, Compulsive Behavior, Dopamine, Humans, Disruptive, Impulse Control, and Conduct Disorders, Parkinson Disease, Dopamine Agonists
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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