[Disorders affecting the emotional sphere and impulse control in Parkinson's disease].
BACKGROUND
Parkinson's disease (PD) is associated with mood and behavioral symptoms contributing to morbidity and reduced quality of life of the patients. Most characteristic are depression, anxiety and impulse control disorder.


METHODS
Identification and treatment of neuropsychiatric symptoms is necessary for an appropriate management of PD. Affective symptoms may be the initial manifestation of PD, are highly prevalent and pathogenically complex. Impulse control disorders are usually not a spontaneous complaint, so asking about these symptoms may be the only way to detect and treat a serious socio-familial problem. Pharmacological treatment of these manifestations is difficult to balance with an adequate control of motor symptoms. Psychological support from early stages and throughout the evolution of PD is fundamental.


CONCLUSIONS
Neurologist and other healthcare professionals treating PD patients need to be aware of behavioral and emotional manifestations of the disease. This will lead to an appropriate patient management and better adaptation of the familial and social situation.
Fernández-Prieto
M
M
Sección de Neurogenética, Fundación Pública Galega de Medicina Xenómica, España.
Lens
M
M
López-Real
A
A
Puy
A
A
Dias-Silva
J J
JJ
Sobrido
M J
MJ
D000342:Affective Symptoms / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D000978:Antiparkinson Agents / Q000627:therapeutic use; D001007:Anxiety / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D003863:Depression / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology*; D004644:Emotions / Q000502:physiology; D006801:Humans; D019964:Mood Disorders / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology*; D010300:Parkinson Disease / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology*; D011788:Quality of Life
D000978:Antiparkinson Agents