Diagnostics and treatment of impulse control disorders, psychosis and delirium: systemic review-based recommendations - guideline “Parkinson’s disease” of the German Society of Neurology

  1. Witt, Karsten ORCID logo
  2. Levin, Johannes
  3. van Eimeren, Thilo
  4. Hasan, Alkomiet
  5. Ebersbach, Georg
  6. for the German Parkinson’s Guideline Group
  7. Bähr, Mathias
  8. Becktepe, Jos
  9. Berg, Daniela
  10. Brockmann, Kathrin
  11. Buhmann, Carsten
  12. Ceballos-Baumann, Andrés
  13. Claßen, Joseph
  14. Deuschl, Cornelius
  15. Deuschl, Günther
  16. Dodel, Richard
  17. Ebersbach, Georg
  18. Eggers, Carsten
  19. van Eimeren, Thilo
  20. Fanciulli, Alessandra
  21. Fimm, Bruno
  22. Folkerts, Ann-Kristin
  23. Gausepohl, Madeleine
  24. Hasan, Alkomiet
  25. Hermann, Wiebke
  26. Hilker-Roggendorf, Rüdiger
  27. Höglinger, Günter
  28. Höllerhage, Matthias
  29. Hopfner, Franziska
  30. Jost, Wolfgang
  31. Kalbe, Elke
  32. Kassubek, Jan
  33. Klebe, Stephan
  34. Klein, Christine
  35. Klietz, Martin
  36. Köglsperger, Thomas
  37. Kühn, Andrea
  38. Krack, Paul
  39. Krismer, Florian
  40. Kuhlenbäumer, Gregor
  41. Levin, Johannes
  42. Liepelt-Scarfone, Inga
  43. Lingor, Paul
  44. Loewenbrück, Kai
  45. Löhle, Matthias
  46. Lorenzl, Stefan
  47. Maaß, Sylvia
  48. Maetzler, Walter
  49. Menzel, Regina
  50. Meyer, Philipp T.
  51. Mollenhauer, Brit
  52. Neumann, Manuela
  53. Odin, Per
  54. Outeiro, Tiago
  55. Pötter-Nerger, Monika
  56. Reese, René
  57. Reetz, Kathrin
  58. Rieß, Olaf
  59. Ruf, Viktoria
  60. Schneider, Anja
  61. Schrader, Christoph
  62. Schnitzler, Alfons
  63. Seppi, Klaus
  64. Sixel-Döring, Friederike
  65. Storch, Alexander
  66. Tönges, Lars
  67. Trenkwalder, Claudia
  68. van Eimeren, Thilo
  69. Walter, Uwe
  70. Wächter, Tobias
  71. Warnecke, Tobias
  72. Wegner, Florian
  73. Winkler, Christian
  74. Witt, Karsten
  75. Woitalla, Dirk
  76. Zeuner, Kirsten
  77. Bantel, Martina
  78. Witt, Jonas L.

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1000 Titel
  • Diagnostics and treatment of impulse control disorders, psychosis and delirium: systemic review-based recommendations - guideline “Parkinson’s disease” of the German Society of Neurology
1000 Autor/in
  1. Witt, Karsten |
  2. Levin, Johannes |
  3. van Eimeren, Thilo |
  4. Hasan, Alkomiet |
  5. Ebersbach, Georg |
  6. for the German Parkinson’s Guideline Group |
  7. Bähr, Mathias |
  8. Becktepe, Jos |
  9. Berg, Daniela |
  10. Brockmann, Kathrin |
  11. Buhmann, Carsten |
  12. Ceballos-Baumann, Andrés |
  13. Claßen, Joseph |
  14. Deuschl, Cornelius |
  15. Deuschl, Günther |
  16. Dodel, Richard |
  17. Ebersbach, Georg |
  18. Eggers, Carsten |
  19. van Eimeren, Thilo |
  20. Fanciulli, Alessandra |
  21. Fimm, Bruno |
  22. Folkerts, Ann-Kristin |
  23. Gausepohl, Madeleine |
  24. Hasan, Alkomiet |
  25. Hermann, Wiebke |
  26. Hilker-Roggendorf, Rüdiger |
  27. Höglinger, Günter |
  28. Höllerhage, Matthias |
  29. Hopfner, Franziska |
  30. Jost, Wolfgang |
  31. Kalbe, Elke |
  32. Kassubek, Jan |
  33. Klebe, Stephan |
  34. Klein, Christine |
  35. Klietz, Martin |
  36. Köglsperger, Thomas |
  37. Kühn, Andrea |
  38. Krack, Paul |
  39. Krismer, Florian |
  40. Kuhlenbäumer, Gregor |
  41. Levin, Johannes |
  42. Liepelt-Scarfone, Inga |
  43. Lingor, Paul |
  44. Loewenbrück, Kai |
  45. Löhle, Matthias |
  46. Lorenzl, Stefan |
  47. Maaß, Sylvia |
  48. Maetzler, Walter |
  49. Menzel, Regina |
  50. Meyer, Philipp T. |
  51. Mollenhauer, Brit |
  52. Neumann, Manuela |
  53. Odin, Per |
  54. Outeiro, Tiago |
  55. Pötter-Nerger, Monika |
  56. Reese, René |
  57. Reetz, Kathrin |
  58. Rieß, Olaf |
  59. Ruf, Viktoria |
  60. Schneider, Anja |
  61. Schrader, Christoph |
  62. Schnitzler, Alfons |
  63. Seppi, Klaus |
  64. Sixel-Döring, Friederike |
  65. Storch, Alexander |
  66. Tönges, Lars |
  67. Trenkwalder, Claudia |
  68. van Eimeren, Thilo |
  69. Walter, Uwe |
  70. Wächter, Tobias |
  71. Warnecke, Tobias |
  72. Wegner, Florian |
  73. Winkler, Christian |
  74. Witt, Karsten |
  75. Woitalla, Dirk |
  76. Zeuner, Kirsten |
  77. Bantel, Martina |
  78. Witt, Jonas L. |
1000 Verlag Springer Berlin Heidelberg
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-07-24
1000 Erschienen in
1000 Quellenangabe
  • 271(12):7402-7421
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00415-024-12576-x |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588934/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background and objective</jats:title> <jats:p>Impulse control disorders (ICD), psychosis and delirium are part of the spectrum of behavioural changes associated with Parkinson’s disease (PD). The diagnostic and therapeutic management of these rather complex neuropsychiatric conditions has been updated in the clinical guideline by the German Society of Neurology (DGN).</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Recommendations are based on a systematic literature reviews, other relevant guidelines and expert opinion.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Patients receiving dopamine agonists (DA) therapy should be informed about the symptoms and risks of an ICD and should be routinely screened for ICD symptoms. In the presence of an ICD, DA should be reduced or discontinued and psychotherapeutic treatment may be considered. Non-oral therapies (levodopa/carbidopa intestinal gel infusion or deep brain stimulation) may also be an option for appropriate candidates. Psychosis in PD often has a gradual onset. Cognitive and affective disorders, psychiatric and medical comorbidities as well as polypharmacy are risk factors for a psychosis. Non-pharmacological treatments should be implemented as soon as possible and anti-parkinsonian medications should be adjusted/reduced if feasible. For psychosis associated with PD, quetiapine or clozapine should be used on an as-needed basis and for as short a time as is necessary, with safety monitoring. Delirium in PD may be underdiagnosed due to an overlap with chronic neuropsychiatric features of PD. Although transient by definition, delirium in PD can lead to permanent cognitive decline, motor impairment and increased mortality. Management of delirium includes pharmacological and non-pharmacological interventions.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>The updated guideline encompasses the evidence-based diagnostic, non-pharmacological and pharmacological management of ICD, psychosis and delirium in PD.</jats:p> </jats:sec>
1000 Sacherschließung
lokal Delirium/diagnosis [MeSH]
lokal Parkinson Disease/complications [MeSH]
lokal Psychotic Disorders/etiology [MeSH]
lokal Antiparkinson Agents/administration
lokal Practice Guidelines as Topic/standards [MeSH]
lokal Psychotic Disorders/drug therapy [MeSH]
lokal Psychotic Disorders/therapy [MeSH]
lokal Neurology/standards [MeSH]
lokal Disruptive, Impulse Control, and Conduct Disorders/etiology [MeSH]
lokal Parkinson’s disease
lokal Antiparkinson Agents/therapeutic use [MeSH]
lokal Guideline
lokal Humans [MeSH]
lokal Disruptive, Impulse Control, and Conduct Disorders/diagnosis [MeSH]
lokal Parkinson Disease/therapy [MeSH]
lokal Disruptive, Impulse Control, and Conduct Disorders/therapy [MeSH]
lokal Psychosis
lokal Parkinson Disease/diagnosis [MeSH]
lokal Impulse control disorder
lokal Delirium
lokal Societies, Medical/standards [MeSH]
lokal Psychotic Disorders/diagnosis [MeSH]
lokal Germany [MeSH]
lokal Delirium/therapy [MeSH]
lokal Review
lokal Delirium/etiology [MeSH]
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
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