Impulse Control Disorders in Parkinson’s Disease: A Psychosocial Perspective
Abstract
Parkinson's disease (PD) is a progressive neurodegenerative disease primarily characterised by motor symptoms. However, another feature of PD which is receiving increasing attention is the phenomenon of impulse control disorders (ICDs), such as pathological gambling. To date, research into ICDs in PD has centred on a biomedical model of cause, related to the effects of dopamine replacement therapy. However, there are several areas of discrepancy in the current biomedical account of ICDs in PD. In addition, we argue that social and psychological factors also need to be considered to achieve a more complete understanding of the phenomenon. We present a novel conceptual model which combines biomedical and psychosocial factors in the genesis of ICDs in PD and use the model to identify a number of potential treatment intervention points and to highlight important outstanding questions concerning the inter-relationship between psychosocial and biomedical factors in the genesis of ICDs in PD.
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The development of ICDs has a clear psychological component.
“although the development of ICDs has a clear psychological component (Delaney, Leroi, Simpson, & Overton, 2012; Delaney, Simpson, & Leroi, 2012)”
From Psychological interventions for people with Parkinson's disease in the early 2020s: Where do we stand? (2021) · cites this paper as Delaney, Simpson, & Leroi, 2012
The development of ICDs has a clear psychological component.
“although the development of ICDs has a clear psychological component (Delaney, Leroi, Simpson, & Overton, 2012; Delaney, Simpson, & Leroi, 2012)”
From Psychological interventions for people with Parkinson's disease in the early 2020s: Where do we stand? (2021) · cites this paper as Delaney, Leroi, Simpson, & Overton, 2012
Cites
What is the role of dopamine in reward: hedonic impact, reward learning, or incentive salience?
Berridge, K. C., & Robinson, T. E. (1998) · Brain Research Reviews · doi:10.1016/s0165-0173(98)00019-8 · Cited by 4,127 · see citing works
Emotional distress regulation takes precedence over impulse control: If you feel bad, do it!
Tice, D. M., Bratslavsky, E., & Baumeister, R. F. (2001) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.80.1.53 · Cited by 1,361 · cited 2× · see citing works
“In a discussion of impulse control in the general population, Tice et al. (2001) postulated that resisting short term pleasurable impulses relies on a focus on long term goals.”
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Trial of CBT for impulse control behaviors affecting Parkinson patients and their caregivers
Okai, D., Askey-Jones, S., Samuel, M., O’Sullivan, S. S., Chaudhuri, K. R., Martin, A., Mack, J., Brown, R. G., & David, A. S. (2013) · Neurology · doi:10.1212/wnl.0b013e3182840678 · Cited by 202 · see citing works
A systematic review of impulse control disorders in Parkinson’s disease.
Callesen, M. B., Scheel-Krüger, J., Kringelbach, M. L., & Møller, A. (2013) · Journal of Parkinson s Disease · doi:10.3233/jpd-120165 · Cited by 130 · see citing works
Zarotti, N., Eccles, F. J. R., Foley, J. A., Paget, A., Gunn, S., Leroi, I., & Simpson, J. (2021) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12321 · Cited by 73 · see citing works
Self-citation
- Authors
- Delaney, M., Leroi, I., Simpson, J., & Overton, P. G.
- Affiliations
- Pennine Care NHS Foundation Trust (GB)
- Lancashire Care NHS Foundation Trust (GB)
- Lancaster University (GB)
- Corresponding author
- Overton, Paul Geoffrey
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2012-05-12
- Volume
- 19
- Issue
- 3
- Pages
- 338-346
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W2149734456
- Cited by
- 26
- References
- 2
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2017: 1 · 2016: 5 · 2015: 1 · 2014: 4 · 2013: 5
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- Parkinson's UK (F-0606)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- Parkinson's disease, impulse control disorders, gambling addiction, dopamine replacement therapy, psychosocial factors, biomedical model, conceptual model, therapeutic interventions, neurodegenerative diseases
- MeSH terms
- Antiparkinson Agents, Female, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Models, Psychological, Parkinson Disease, Stress, Psychological, Comorbidity, Dopamine Agonists
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