Impulsive and compulsive behaviors in Parkinson's disease: Impact on quality of and satisfaction with life, and caregiver burden

Parkinsonism Relat Disord. 2020 Sep;78:27-30. doi: 10.1016/j.parkreldis.2020.07.007. Epub 2020 Jul 9.


Introduction: To disentangle the association between impulsive and compulsive behaviors (ICBs), health-related quality of life (HRQOL), satisfaction with life (SwL), and caregiver distress in dyads of people with Parkinson's disease (PwP) and caregivers.

Methods: Data used in this study were obtained from the ongoing Norwegian ParkWest study, a population-based longitudinal cohort study of the incidence, neurobiology and prognosis of PD in Western Norway. One hundred and one dyads of PwP free of dementia and their caregivers were included 5 years after PD diagnosis and inclusion in the ParkWest study. Standardized clinical rating scales were used to evaluate ICBs, HRQOL, SwL and caregiver distress.

Results: Of 101 PwP-caregiver dyads, self-reported ICBs were seen in 33% of PwP and only caregiver-reported ICBs in 12% of PwP. PwP-reported ICBs were associated with poorer HRQOL and SwL, whereas ICBs reported by caregivers only were associated with increased caregiver distress, but not poorer HRQOL or SwL in PwP.

Conclusions: ICBs have adverse effects on HRQOL, SwL and caregiver distress. These findings underpin the need for proper identification and management of ICBs in PwP.

Keywords: Caregiver burden; Impulse control disorders; Parkinson's disease; Quality of life; Satisfaction with life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Caregiver Burden*
  • Caregivers / psychology*
  • Disruptive, Impulse Control, and Conduct Disorders / etiology
  • Disruptive, Impulse Control, and Conduct Disorders / physiopathology*
  • Female
  • Humans
  • Impulsive Behavior / physiology*
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Norway
  • Parkinson Disease / complications
  • Parkinson Disease / physiopathology*
  • Parkinson Disease / psychology*
  • Personal Satisfaction*
  • Quality of Life / psychology*