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Impulse control behaviours in a Malaysian Parkinson’s disease population


Md. Rani, Shahrul Azmin and Tan, Eng Liang and Nik Jaafar, Nik Ruzyanei and Zakaria, Hazli and Mohammed Nawi, Azmawati and Law, Zhe Kang and Remli, Rabani and Wan Yahya, Nafisah and Ramesh, Sahathevan and Tan, Hui Jan and Mohamad Pakarul Razy, Nur Fadhlina and Abdul Murad, Nor Azian and Ling, King Hwa and Mohamed Ibrahim, Norlinah (2016) Impulse control behaviours in a Malaysian Parkinson’s disease population. Neurology Asia, 21 (2). pp. 137-143. ISSN 1823-6138


Background: Impulse control behaviours are repetitive and excessive activities that may be sub-syndromal and not fulfill 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 behaviors 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 behaviors using the Questionnaire for Impulsive-Compulsive Disorder for Parkinson’s disease (QUIP). Results: Prevalence of impulse control behaviors 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 behavior 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 behavior 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.

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Additional Metadata

Item Type: Article
Subject: Impulse control behaviours; Malaysian Parkinson disease; Parkinson disease; Malaysia
Divisions: Faculty of Medicine and Health Science
Publisher: ASEAN Neurological Association
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 27 Mar 2018 02:47
Last Modified: 27 Mar 2018 02:47
URI: http://psasir.upm.edu.my/id/eprint/54527
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