Sleep in Parkinson's Disease with Impulse Control Disorder

被引:8
|
作者
Figorilli, Michela [1 ]
Congiu, Patrizia [1 ]
Lecca, Rosa [1 ]
Gioi, Gioia [1 ]
Frau, Roberto [2 ]
Puligheddu, Monica [1 ,3 ]
机构
[1] Univ Cagliari, Dept Med Sci & Publ Hlth, Sleep Disorders Ctr, Cagliari, Italy
[2] Univ Cagliari, Div Neurosci & Clin Pharmacol, Dept Biomed Sci, Cagliari, Italy
[3] Univ Cagliari, Sleep Disorder Ctr, Dept Publ Hlth & Clin & Mol Med, Ss 554 Bivio Sestu, I-09042 Cagliari, Italy
关键词
Sleep; Parkinson's disease; Impulse control disorder; Rem behavior disorder; RESTLESS LEGS SYNDROME; STRIATAL DOPAMINE RELEASE; QUALITY-OF-LIFE; REM-SLEEP; BEHAVIOR DISORDER; COMPULSIVE DISORDERS; REPETITIVE BEHAVIORS; PREPULSE INHIBITION; CIRCADIAN GENES; INCREASED RISK;
D O I
10.1007/s11910-018-0875-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This paper aims to explore the relationship between impulse-control disorders (ICDs) and sleep problems in patients with Parkinson's disease (PD) among scientific literature. Previously published results are controversial and sometimes inconclusive. ICDs and sleep disruption represent important non-motor features of Parkinson's disease, responsible for reducing quality of life and increasing burden of disease. The relationship between sleep problems and ICDs is complex and bidirectional. Indeed, sleep disturbances and fragmentation may play a crucial role in increasing susceptibility to impulsive behavior and may represent a risk factor for developing ICDs in PD patients. Moreover, REM sleep behavior disorder (RBD) and restless legs syndrome (RLS) have been indicated as independent risk factors for ICDs in PD patients. On the other hand, also ICDs may lead to sleep restriction and fragmentation, suggesting a bidirectional relationship. The association between sleep problems and ICDs in PD is far from being completely understood. Further studies are needed to confirm the nature of this relationship and its pathophysiology.
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页数:11
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