King's College London

Research portal

Predictors of response to a cognitive behavioral intervention for impulse control behaviors in Parkinson's disease

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)736-739
Number of pages4
JournalMovement disorders : official journal of the Movement Disorder Society
Volume30
Issue number5
DOIs
Published15 Apr 2015

King's Authors

Abstract

BACKGROUND: Limited trial evidence suggests that cognitive-behavioral therapy (CBT) may be effective in managing impulse control behavior (ICBs) in Parkinson's disease.

AIMS: To examine predictors of outcome in trial, participants (N = 42) receiving treatment immediately or after a waiting time.

METHODS: Dependent variables were Clinical Global Impression of Change (CGI-C) and the Neuropsychiatric Inventory (NPI). Baseline demographic and clinical variables were independent variables.

RESULTS: Better CGI-C was predicted by fewer ICBs, taking a dopamine agonist, lower levodopa (l-dopa) equivalent dose (LEDD), higher social functioning, and lower NPI severity before treatment. Improvement on the NPI was predicted by lower LEDD, lower anxiety, lower baseline global clinical severity, and higher social functioning.

CONCLUSIONS: Patients with lower burden of ICBs and other psychiatric symptomatology, better social functioning, and lower dose of antiparkinsonian medication may benefit more from CBT. However, we cannot yet identify individual patients with sufficient confidence at this stage to target treatment.

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454