Preliminary evaluation of the DDS-PC inventory: a new tool to assess impulsive-compulsive behaviours associated to dopamine replacement therapy in Parkinson's disease

Neurol Sci. 2009 Aug;30(4):307-13. doi: 10.1007/s10072-009-0101-3. Epub 2009 Jun 10.

Abstract

Dopaminergic medications could increase the occurrence of a set of dysregulated behaviours in Parkinson's disease (PD), including reward-seeking behaviours (pathological gambling, hypersexuality, compulsive shopping, binge eating, reckless driving), punding and compulsive medication use. We report a preliminary evaluation of a questionnaire to assess the presence of these impulsive-compulsive behaviours associated to dopamine replacement therapy in PD. We screened 38 patients and their caregivers, comparing dopamine dysregulation syndrome (DDS) patients and non-DDS patients. The questionnaire was well accepted and demonstrated a preliminary good discriminant validity (p = 0.000). In addition, clinically relevant dysregulated condition is associated with a younger age (p = 0.006), younger age at disease onset (p = 0.001), levodopa-equivalent daily dose (p = 0.029), UPDRS III (p = 0.021), increased global psychopathology (interpersonal sensitivity and psychoticism), and differences in our inventory (p = 0.000). These preliminary results suggest that the DDS-PC inventory could help to identify patients experiencing impulsive-compulsive behaviours associated to DDS.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Antiparkinson Agents / adverse effects*
  • Antiparkinson Agents / therapeutic use
  • Caregivers
  • Compulsive Personality Disorder / chemically induced
  • Compulsive Personality Disorder / psychology
  • Disruptive, Impulse Control, and Conduct Disorders / chemically induced*
  • Disruptive, Impulse Control, and Conduct Disorders / diagnosis
  • Disruptive, Impulse Control, and Conduct Disorders / psychology*
  • Dopamine / physiology*
  • Dopamine Agents / adverse effects*
  • Dopamine Agents / therapeutic use
  • Female
  • Gambling / etiology
  • Gambling / psychology
  • Humans
  • Levodopa / adverse effects
  • Levodopa / therapeutic use
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Parkinson Disease / complications*
  • Parkinson Disease / drug therapy
  • Personality Tests
  • Psychometrics
  • ROC Curve
  • Reward
  • Surveys and Questionnaires

Substances

  • Antiparkinson Agents
  • Dopamine Agents
  • Levodopa
  • Dopamine