This controlled, open study provides preliminary evidence of efficacy.
With the recent recognition that patients with Parkinson disease (PD) might develop impulse control behaviors (ICB; e.g., gambling, shopping, sexual behavior) as a result of treatment with some dopamine agonists, how do clinicians balance the use of these agents to control both PD and impulsivity? In the current randomized, unblinded study, investigators have examined the efficacy of cognitive-behavioral therapy (CBT) in controlling ICB. Of 56 patients screened, 45 were randomized, of whom 28 received immediate CBT (weekly sessions for 12 weeks, usually conducted in the patients' homes) and 17 were assigned to a waiting list. Some CBT components were directed at communication.
The global level of symptoms improved by 75% in the CBT group ver…
Reviewing Author
DisclosuresRoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions
Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience
Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)
DisclosuresRoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions
Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience
Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)