Impulsive and compulsive behaviors in Parkinson's disease: Impact on quality of and satisfaction with life, and caregiver burden. (September 2020)

• Record Type: Journal Article
• Authors: Erga, Aleksander H.; Alves, Guido; Tysnes, Ole Bjørn; Pedersen, Kenn Freddy
• Is Part Of: Parkinsonism & related disorders. Volume 78(2020)
• Page Start: 27
• Page End: 30
• Publication Date: 2020-09
• Subjects: Parkinson's disease -- Impulse control disorders -- Quality of life -- Satisfaction with life -- Caregiver burden; Parkinson's disease -- Periodicals; Movement disorders -- Periodicals; Movement Disorders -- Periodicals; Nerve Degeneration -- Periodicals; Nervous System Diseases -- Periodicals; Parkinson Disease -- Periodicals; Tremor -- Periodicals; Parkinson, Maladie de -- Périodiques; Parkinson's disease; 616.833
• DOI: 10.1016/j.parkreldis.2020.07.007
• Languages: English
• ISSNs: 1353-8020

Abstract

Abstract: Introduction: To disentangle the association between impulsive and compulsive behaviors (ICBs), health-related quality of life (HRQOL), satisfaction with life (SwL), and caregiver distress in dyads of people with Parkinson's disease (PwP) and caregivers. Methods: Data used in this study were obtained from the ongoing Norwegian ParkWest study, a population-based longitudinal cohort study of the incidence, neurobiology and prognosis of PD in Western Norway. One hundred and one dyads of PwP free of dementia and their caregivers were included 5 years after PD diagnosis and inclusion in the ParkWest study. Standardized clinical rating scales were used to evaluate ICBs, HRQOL, SwL and caregiver distress. Results: Of 101 PwP-caregiver dyads, self-reported ICBs were seen in 33% of PwP and only caregiver-reported ICBs in 12% of PwP. PwP-reported ICBs were associated with poorer HRQOL and SwL, whereas ICBs reported by caregivers only were associated with increased caregiver distress, but not poorer HRQOL or SwL in PwP. Conclusions: ICBs have adverse effects on HRQOL, SwL and caregiver distress. These findings underpin the need for proper identification and management of ICBs in PwP. Highlights: Self-reported impulse control disorders (ICB) worsen quality of life of patients with PD (PwP). Caregiver reported ICBs are associated with increased levels of caregiver distress. These findings underspin the need for proper identification and management of ICBs in PwP.