Objective: To find out the prevalence of different ICDs in patient with PD To find out the relationship between cognitive functioning and disease severity with ICD.

Background: Impulse control disorders (ICDs) are familiar psychiatric circumstances in which pretentious individuals reported significant impairment in social and occupational functioning. There is much evidence of ICDs but they remain poorly understood by general public, clinicians and person himself with disorder. Cognitive impairment, depression, psychosis are common neurobehavioral in PD but ICD also occurs not frequently. It may occur due to dopamine agonist, a personality style characterized by impulsiveness.

Method: We recruit 7 patients of PD according to the UK PD Brain Bank Criteria from department neurology of Sri Aurobindo Seva Kendra Hospital. UPDRS was used to assess the disease severity, cognitive impairment was assessed by ACE III and Questionnaire for Impulsive and Compulsive Disorder in Parkinson’s disease –Rating scale (QUIP-RS) was used to assess the impulse control disorder.

Results: 5 (71.4%) patients have found to have ICD, among them eating, punding and PD medication were found more 5 (71.4%) in patients with PD. Those patients who have cognitive impairment 4 (80%), and severity in disease (H&Y 2.5-4) 3 (60%) are more to have ICDs.

Conclusion: Significant number of PD patients demonstrated on impulsive and compulsive disorders, among all taking PD medications is more frequent ICD. Further multicentre with higher number of sample size needed to confirm our findings.

References: 1. Sharma, A., Goyal, V., Behari, M., Srivastva, A., Shukla, G. and Vibha, D. (2014). Impulse control disorders and related behaviours (ICD-RBs) in Parkinson′s disease patients: Assessment using “Questionnaire for impulsive-compulsive disorders in Parkinson′s disease” (QUIP). Annals of Indian Academy of Neurology, 0(0), p.0.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/impulse-control-disorder-icd-in-the-patient-with-parkinsons-disease-pd/