An interesting piece of evidence around the role of the reward system in these disorders comes out of the Parkinson's field, where treatment with dopamine agonists leads to increased vulnerability to impulse control disorders
such as pathological gambling, hypersexuality, compulsive shopping and compulsive eating (Vilas, Pont-Sunyer & Tolosa 2012).
Impulse control disorders
in adult psychiatric inpatients.
Variables proposed to be risk factors for the development of impulse control disorders
in PD were also included in the GLMs, despite not displaying statistical significance in the univariate models.
The development and resolution of impulse control disorders
in patients with Parkinson's disease appears to be largely reliant on gender, daily dose of dopamine agonists, and the presence of depressive symptoms, according to the findings of a prospective investigation.
For any psychologist who wants to better understand this impulse control disorder
, "Pathological Gambling" is a fine pick for psychological reference collections.
Emotional neuropsychiatric symptoms represent a spectrum of various phenomena including apathy, fatigue, and depression on the one hand and impulse control disorder
and mania on the other hand [1, 3].
Some of these disorders include defiant disorder, impulse control disorder
Dopamine agonist (DA)-treated patients had two- to threefold elevated odds of having a current impulse control disorder
(ICD), compared with non-DA-treated patients (17% vs.
For someone with an impulse control disorder
, "just say no" isn't useful advice.
"Dopamine agonist treatment in Parkinson's disease is associated with 2- to 3.5-fold increased odds of having an impulse control disorder
. This association represents a drug class relationship across impulse control disorders
Among 165 patients with idiopathic Parkinson's followed in community-based neurology practices, 23 (14%) were diagnosed with a current or past impulse control disorder
Before prescribing dopamine receptor agonists, physicians should warn patients and their families or caregivers of these drugs' potential to trigger uncontrollable gambling, sexual interests, spending, or other behavioral addictions, and should regularly query patients taking the drugs about conduct that could indicate development of an impulse control disorder