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Exploring Nonmotor Neuropsychiatric Manifestations of Parkinson Disease in a Comprehensive Care Setting
Journal of Geriatric Psychiatry and Neurology ( IF 2.9 ) Pub Date : 2020-04-03 , DOI: 10.1177/0891988720915525
Amitha Dhingra 1 , A Umair Janjua 1 , Laura Hack 1 , Gabriella Waserstein 1 , Justin Palanci 1 , Adriana P Hermida 1
Affiliation  

Parkinson disease (PD) is a debilitating neurological condition that includes both motor symptoms and nonmotor symptoms (NMS). Psychiatric complaints comprise NMS and are collectively referred to as neuropsychiatric manifestations. Common findings include atypical depressive symptoms, anxiety, psychosis, impulse control disorder, deterioration of cognition, and sleep disturbances. Quality of life (QoL) of patients suffering from NMS is greatly impacted and many times can be more debilitating than motor symptoms of PD. We expand on knowledge gained from treatment models within a comprehensive care model that incorporates multidisciplinary specialists working alongside psychiatrists to treat PD. Insight into background, clinical presentations, and treatment options for patients suffering from neuropsychiatric manifestations of PD are discussed. Identifying symptoms early can help improve QoL, provide early symptom relief, and can assist tailoring treatment plans that limit neuropsychiatric manifestations.



中文翻译:

在综合护理环境中探索帕金森病的非运动神经精神表现

帕金森病 (PD) 是一种使人衰弱的神经系统疾病,包括运动症状和非运动症状 (NMS)。精神病主诉包括 NMS,统称为神经精神病学表现。常见的发现包括非典型的抑郁症状、焦虑、精神病、冲动控制障碍、认知能力下降和睡眠障碍。患有 NMS 的患者的生活质量 (QoL) 受到很大影响,并且很多时候可能比 PD 的运动症状更虚弱。我们在综合护理模式中扩展了从治疗模式中获得的知识,该模式包括多学科专家与精神科医生一起治疗 PD。讨论了对患有 PD 神经精神表现的患者的背景、临床表现和治疗方案的深入了解。

更新日期:2020-04-21
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