Abstract
Parkinson’s disease (PD) is a progressive neurodegenerative disease primarily characterised by motor symptoms. However, another
feature of PD which is receiving increasing attention is the phenomenon of impulse control disorders (ICDs), such as pathological
gambling. To date, research into ICDs in PD has centred on a biomedical model of cause, related to the effects of dopamine
replacement therapy. However, there are several areas of discrepancy in the current biomedical account of ICDs in PD. In addition,
we argue that social and psychological factors also need to be considered to achieve a more complete understanding of the
phenomenon. We present a novel conceptual model which combines biomedical and psychosocial factors in the genesis of ICDs
in PD and use the model to identify a number of potential treatment intervention points and to highlight important outstanding
questions concerning the inter-relationship between psychosocial and biomedical factors in the genesis of ICDs in PD.
feature of PD which is receiving increasing attention is the phenomenon of impulse control disorders (ICDs), such as pathological
gambling. To date, research into ICDs in PD has centred on a biomedical model of cause, related to the effects of dopamine
replacement therapy. However, there are several areas of discrepancy in the current biomedical account of ICDs in PD. In addition,
we argue that social and psychological factors also need to be considered to achieve a more complete understanding of the
phenomenon. We present a novel conceptual model which combines biomedical and psychosocial factors in the genesis of ICDs
in PD and use the model to identify a number of potential treatment intervention points and to highlight important outstanding
questions concerning the inter-relationship between psychosocial and biomedical factors in the genesis of ICDs in PD.
- Content Type Journal Article
- Pages 1-9
- DOI 10.1007/s10880-012-9302-7
- Authors
- Mary Delaney, Pennine Care NHS Foundation Trust, Oldham Integrated Care Centre, Oldham, UK
- Iracema Leroi, Lancashire Care NHS Foundation Trust, Royal Blackburn Hospital, Blackburn, UK
- Jane Simpson, Pennine Care NHS Foundation Trust, Oldham Integrated Care Centre, Oldham, UK
- Paul Geoffrey Overton, Division of Health Research, Bowland Tower East, Lancaster University, Lancaster, UK
- Journal Journal of Clinical Psychology in Medical Settings
- Online ISSN 1573-3572
- Print ISSN 1068-9583