Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression

Heightened trait impulsivity in both subclinical and pathological senses is becoming increasingly recognised in Parkinson’s disease (PD). Impulsive behaviours and impulse control disorders (ICDs) are a consequence of perturbation to the rewards pathway leading individuals to conduct activities in a...

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Main Authors: Holly Spencer, Ryan S. Anderton
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2024/8770997
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author Holly Spencer
Ryan S. Anderton
author_facet Holly Spencer
Ryan S. Anderton
author_sort Holly Spencer
collection DOAJ
description Heightened trait impulsivity in both subclinical and pathological senses is becoming increasingly recognised in Parkinson’s disease (PD). Impulsive behaviours and impulse control disorders (ICDs) are a consequence of perturbation to the rewards pathway leading individuals to conduct activities in a repetitive, excessive, and maladaptive fashion. Commonly linked to PD, heightened trait impulsivity has been found to primarily manifest in the forms of hypersexuality, pathological gambling, compulsive shopping, and binge eating, all of which may significantly impact social and financial standing. Subsequent burden to quality of life for both individuals with PD and caregivers are common. Although risk factors and indicators for ICDs in PD are currently lacking, it is recognised that the condition is often precipitated by dopamine replacement therapies, primarily dopamine agonist administration. While this nonmotor symptom is being increasingly diagnosed in PD populations, it remains relatively elusive in comparison to its motor counterparts. Through discussion of impulsivity characteristics, neuroanatomy, and neurochemistry, in addition to reviewing existing research on the potential contributing factors to impulsivity in PD, this review highlights impulsivity as a significant and detrimental PD symptom. Thus, emphasising the imperative need to establish efficacious diagnostic tools and treatments.
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spelling doaj-art-4b6ce3d7ffb7439f9c53930e4e7510272025-08-20T02:38:35ZengWileyParkinson's Disease2042-00802024-01-01202410.1155/2024/8770997Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and ProgressionHolly Spencer0Ryan S. Anderton1School of Health SciencesSchool of Health SciencesHeightened trait impulsivity in both subclinical and pathological senses is becoming increasingly recognised in Parkinson’s disease (PD). Impulsive behaviours and impulse control disorders (ICDs) are a consequence of perturbation to the rewards pathway leading individuals to conduct activities in a repetitive, excessive, and maladaptive fashion. Commonly linked to PD, heightened trait impulsivity has been found to primarily manifest in the forms of hypersexuality, pathological gambling, compulsive shopping, and binge eating, all of which may significantly impact social and financial standing. Subsequent burden to quality of life for both individuals with PD and caregivers are common. Although risk factors and indicators for ICDs in PD are currently lacking, it is recognised that the condition is often precipitated by dopamine replacement therapies, primarily dopamine agonist administration. While this nonmotor symptom is being increasingly diagnosed in PD populations, it remains relatively elusive in comparison to its motor counterparts. Through discussion of impulsivity characteristics, neuroanatomy, and neurochemistry, in addition to reviewing existing research on the potential contributing factors to impulsivity in PD, this review highlights impulsivity as a significant and detrimental PD symptom. Thus, emphasising the imperative need to establish efficacious diagnostic tools and treatments.http://dx.doi.org/10.1155/2024/8770997
spellingShingle Holly Spencer
Ryan S. Anderton
Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression
Parkinson's Disease
title Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression
title_full Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression
title_fullStr Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression
title_full_unstemmed Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression
title_short Trait Impulsivity as a Feature of Parkinson’s Disease Treatment and Progression
title_sort trait impulsivity as a feature of parkinson s disease treatment and progression
url http://dx.doi.org/10.1155/2024/8770997
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AT ryansanderton traitimpulsivityasafeatureofparkinsonsdiseasetreatmentandprogression