{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T14:02:11Z","timestamp":1781532131556,"version":"3.54.5"},"reference-count":50,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,16]],"date-time":"2025-03-16T00:00:00Z","timestamp":1742083200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,16]],"date-time":"2025-03-16T00:00:00Z","timestamp":1742083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Svenska Spel\u2019s Research Council","award":["FO2022-0008"],"award-info":[{"award-number":["FO2022-0008"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Parkinson\u2019s Disease"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Impulsive-compulsive disorders (ICDs) are commonly acknowledged as side effects of dopaminergic therapy in Parkinson\u2019s disease (PD). While many large-scale studies have focused on prevalences and high-risk treatments, little is known about practical management of ICDs in clinical care and patients\u2019 experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate how ICDs are recognized in clinical PD care, clinical features of patients with ICDs, and how patients are impacted by their ICD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Questionnaires were sent to all patients who reported ICD symptoms in the Swedish quality register for PD in Sk\u00e5ne County (n\u2009=\u2009170) and patients\u2019 medical records were screened for mention of ICDs. Core subjects were communication between clinician and patient, course and management of ICDs, and impact on different life domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Despite sufficient awareness of the ICD risk during PD treatment, there was limited communication between clinical care staff and patients regarding ICDs. Only 49% of patients had reported their ICD as part of clinical care, and only 14% had been asked about it. Additionally, collaboration with psychiatry was rare (12%). ICD severity increased over time with ongoing PD treatment, and most patients reported a mild to moderate impact of their ICD on close relationships, family, mental and physical health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identified insufficient communication about ICDs as part of clinical care in PD and a very limited involvement of mental health services. Thus, to improve prevention and treatment, ICDs should be recognized, monitored and treated more systematically in routine clinical care, and collaboration with mental health services should be increased.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1877718x251323922","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T02:48:07Z","timestamp":1742179687000},"page":"585-594","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Recognition, management, and patient perspectives of impulsive-compulsive disorders in Parkinson\u2019s disease"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5215-0276","authenticated-orcid":false,"given":"Mirjam","family":"Wolfschlag","sequence":"first","affiliation":[{"name":"Clinical Addiction Research Unit, Department of Clinical Sciences Lund, Psychiatry, Lund University, Faculty of Medicine, Lund, Sweden"},{"name":"Malm\u00f6 Addiction Center, Department of Psychiatry Malm\u00f6-Trelleborg, Region Sk\u00e5ne, Kristianstad, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4933-9286","authenticated-orcid":false,"given":"Gustav","family":"Cedergren Weber","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden"},{"name":"Department of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2577-8607","authenticated-orcid":false,"given":"Jonathan","family":"Timpka","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden"},{"name":"Department of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0633-7168","authenticated-orcid":false,"given":"Daniel","family":"Weintraub","sequence":"additional","affiliation":[{"name":"Departments of Psychiatry and Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0756-7478","authenticated-orcid":false,"given":"Per","family":"Odin","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden"},{"name":"Department of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5800-8975","authenticated-orcid":false,"given":"Anders","family":"H\u00e5kansson","sequence":"additional","affiliation":[{"name":"Clinical Addiction Research Unit, Department of Clinical Sciences Lund, Psychiatry, Lund University, Faculty of Medicine, Lund, Sweden"},{"name":"Malm\u00f6 Addiction Center, Department of Psychiatry Malm\u00f6-Trelleborg, Region Sk\u00e5ne, Kristianstad, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/538S1a"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2019.03.001"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61393-3"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fncir.2013.00152"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.5262"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2013-306787"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13034"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.27668"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneurol.2010.65"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0252516"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2020.07.007"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.29700"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26099"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40263-024-01087-y"},{"key":"e_1_3_4_16_2","unstructured":"Svenska neuroregister. 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