Inproceedings: an article in a conference proceedings.
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Treatment-seeking gamblers and Parkinson's disease: case reports
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Pathways to Integrative Care : 16th AEP European Congress of Psychiatry
Nice, France, April 5 - 9, 2008
Pathological gambling (PG) is a rare but well-established behavioural disorders of Parkinson's disease (PD) patients treated with dopamine agonist. We investigate the chronological relationship between PD and diagnosis of PG within treatment-seeking gamblers. Sample and Methods: From 174 consecutively admitted pathological gamblers we identified 4 patients with PD. Standardized medical records include socio-demographic characteristics, past gaming behaviours and gambling-treatment modalities as well as the evolution of PD and the pro-dopaminergic medication history. Results: All four patients developed PG after the onset of PD treatment. Three patients described a period of chronic exposure to gaming facilities years before and after onset of pro-dopaminergic treatment, with occasional or regular gambling, but without a compulsive component. In one patient, PG appeared suddenly without any previous gaming behaviour after the onset of medication. Despite a high treatment motivation, gambling specific cognitive therapy was unsuccessful.(c) Implication for the Field The relationship between PD and PG appears to be complex: Confounders such as psychosocial factors or increase in accessibility of gambling opportunities may account for these findings. This case series confirm that pro-dopaminergic treatment can induce PG behaviour, but may be more likely in "at risk" groups. These patients pose specific treatment challenges.
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