Dopamine agonist medication is one of the largest risk factors for development of problematic impulse control behaviours (ICBs) in people with Parkinson's disease. The present study investigated the potential of dopamine gene profiling and individual performance on impulse control tasks to explain ICB severity. Clinical, genetic and task performance data were entered into a mixed-effects linear regression model for people with Parkinson's disease taking (n = 50) or not taking (n = 25) dopamine agonist medication. Severity of ICBs was captured via the Questionnaire for Impulsive-compulsive disorders in Parkinson's disease Rating Scale. A cumulative dopamine genetic risk score (DGRS) was calculated for each participant from variance in five dopamine-regulating genes. Objective measures of impulsive action and impulsive choice were measured on the Anticipatory Response Inhibition Task and Balloon Analogue Risk Task, respectively. For participants on dopamine agonist medication, task performance reflecting greater impulsive choice (p = 0.014), and to a trend level greater impulsive action (p = 0.056), as well as a longer history of DA medication (p
Journal article
Exp Brain Res
04/2023
241
1159 - 1172
Anticipatory response inhibition task, Balloon analogue risk task, Dopamine agonists, Dopamine genetic risk score, Impulse control disorders, Parkinson’s disease, Questionnaire for impulsive-compulsive behaviours in Parkinson’s disease, Humans, Parkinson Disease, Dopamine Agonists, Compulsive Behavior, Dopamine, Impulsive Behavior