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- Title
Impulse control behaviours in a Malaysian Parkinson's disease population.
- Authors
Azmin, Shahrul; Eng Liang Tan; Nik Ruzyanei, Nik Jaafar; Hazli, Zakaria; Nawi, Azmawati Mohammed; Zhe Kang Law; Rabani, Remli; Nafisah, Wan Yahya; Sahathevan, Ramesh; Hui Jan Tan; Pakarul Razy, Nur Fadhlina M.; Abdul Murad, Nor Azian; King-Hwa Ling; Norlinah, Mohamed Ibrahim
- Abstract
Background: Impulse control behaviours are repetitive and excessive activities that may be subsyndromal and not fulfil the criteria for impulse control disorder. These activities have potential to negatively impact on the daily lives of sufferers. We conducted a study to investigate the prevalence of impulse control behaviours and its associated features in Parkinson's disease in our population. Methods: We conducted a prospective cross-sectional study on consecutive patients attending neurology clinic. Inclusion criteria include idiopathic Parkinson's disease patients with Hoehn & Yahr stage I-IV. Eighty patients were enrolled and screened for impulse control behaviours using the Questionnaire for Impulsive-Compulsive Disorder for Parkinson's disease (QUIP). Results: Prevalence of impulse control behaviours among our cohort was 11.3%; the features significantly associated with it were higher level of education (p=0.02), advanced stage of disease (p=0.03) and higher levodopa dosage (p= 0.01). The commonest impulse control behaviour in our cohort was compulsive medication use (7.5%), followed by hobbyism (6.3%), hypersexuality (5%), compulsive buying (3.75%), punding (2.5%), walkabout (2.5%), compulsive eating (1.25%) and pathological gambling (1.3%). Conclusions: There is an association between impulse control behaviour and higher levodopa dosage in a study on patients with Parkinson's disease in Malaysia. We also found a low prevalence of pathological gambling as compared to studies performed in the West.
- Subjects
MALAYSIA; IMPULSE control disorders; PARKINSON'S disease patients; DOPA; COMPULSIVE eating; COMPULSIVE shopping; PUBLIC health
- Publication
Neurology Asia, 2016, Vol 21, Issue 2, p137
- ISSN
1823-6138
- Publication type
Article