Fernández-Prieto M, Lens M, López-Real A, Puy A, Dias-Silva J J, Sobrido M J
Sección de Neurogenética, Fundación Pública Galega de Medicina Xenómica, España.
Rev Neurol. 2010 Feb 8;50 Suppl 2:S41-9.
Parkinson's disease (PD) is associated with mood and behavioral symptoms contributing to morbidity and reduced quality of life of the patients. Most characteristic are depression, anxiety and impulse control disorder.
Identification and treatment of neuropsychiatric symptoms is necessary for an appropriate management of PD. Affective symptoms may be the initial manifestation of PD, are highly prevalent and pathogenically complex. Impulse control disorders are usually not a spontaneous complaint, so asking about these symptoms may be the only way to detect and treat a serious socio-familial problem. Pharmacological treatment of these manifestations is difficult to balance with an adequate control of motor symptoms. Psychological support from early stages and throughout the evolution of PD is fundamental.
Neurologist and other healthcare professionals treating PD patients need to be aware of behavioral and emotional manifestations of the disease. This will lead to an appropriate patient management and better adaptation of the familial and social situation.
帕金森病（PD）与情绪和行为症状相关，这些症状会导致患者发病并降低生活质量。最典型的是抑郁、焦虑和冲动控制障碍。
识别和治疗神经精神症状对于帕金森病的适当管理至关重要。情感症状可能是帕金森病的初始表现，非常普遍且病因复杂。冲动控制障碍通常不是自发出现的症状，因此询问这些症状可能是发现和治疗严重社会家庭问题的唯一途径。对这些症状进行药物治疗很难在充分控制运动症状的同时保持平衡。从帕金森病早期到整个病程中给予心理支持至关重要。
治疗帕金森病患者的神经科医生和其他医护人员需要了解该疾病的行为和情绪表现。这将有助于对患者进行适当管理，并更好地适应家庭和社会状况。
