Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder

BackgroundRapid eye movement sleep behavior disorder (RBD) and minor hallucinations (MHs) are prevalent nonmotor symptoms in Parkinson’s disease (PD). The purpose of this study was to explore the association of MHs in PD patients with probable RBD (pRBD).MethodsThis cross-sectional study included 29...

Full description

Bibliographic Details
Main Authors: Yinyin Jiang, Jun Zhu, Yang Zhao, Dongfeng Li, Yaning Chen, Yaxi Wang, Xu Jiang, Bo Shen, Yang Pan, Jun Yan, Feng Han, Li Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1205439/full
_version_ 1827865968482713600
author Yinyin Jiang
Jun Zhu
Yang Zhao
Dongfeng Li
Yaning Chen
Yaxi Wang
Xu Jiang
Bo Shen
Yang Pan
Jun Yan
Feng Han
Feng Han
Li Zhang
Li Zhang
author_facet Yinyin Jiang
Jun Zhu
Yang Zhao
Dongfeng Li
Yaning Chen
Yaxi Wang
Xu Jiang
Bo Shen
Yang Pan
Jun Yan
Feng Han
Feng Han
Li Zhang
Li Zhang
author_sort Yinyin Jiang
collection DOAJ
description BackgroundRapid eye movement sleep behavior disorder (RBD) and minor hallucinations (MHs) are prevalent nonmotor symptoms in Parkinson’s disease (PD). The purpose of this study was to explore the association of MHs in PD patients with probable RBD (pRBD).MethodsThis cross-sectional study included 291 patients diagnosed with PD. Patients who scored 6 or higher on the Rapid Eye Movement Behavior Disorder (RBD) Screening Questionnaire were defined as pRBD. A comprehensive evaluation was performed for all patients, including the collection of demographic information, clinical assessment, and MH features.ResultsAmong the 291 PD patients, 69 (23.7%) had pRBD. MHs were observed in 35 (50.7%) patients with pRBD, significantly higher than 29.7% in patients without RBD (p = 0.015). The main type of MHs in pRBD was presence hallucinations with variable content. Patients with pRBD and MHs tended to be older, had a longer disease duration, and were more likely to take levodopa or dopamine-receptor agonists. Besides, the pRBD with MHs group had higher scores on the Nonmotor Symptoms Questionnaire (NMS-Quest) and Hamilton Anxiety Scale (HAMA). Binary logistic regression analysis revealed that longer disease duration and higher NMS-Quest scores were associated with MHs in PD patients with pRBD.ConclusionA high prevalence of MHs was observed in PD patients with pRBD. The main type of MHs in pRBD was presence hallucinations. MHs in PD with RBD are mainly associated with disease duration and severity of nonmotor symptoms. These findings provide new insights into the interaction between MHs and RBD.
first_indexed 2024-03-12T14:56:49Z
format Article
id doaj.art-ba2dd4781af2460d9d7e9cf736fcec8f
institution Directory Open Access Journal
issn 1662-453X
language English
last_indexed 2024-03-12T14:56:49Z
publishDate 2023-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neuroscience
spelling doaj.art-ba2dd4781af2460d9d7e9cf736fcec8f2023-08-14T18:01:14ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-08-011710.3389/fnins.2023.12054391205439Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorderYinyin Jiang0Jun Zhu1Yang Zhao2Dongfeng Li3Yaning Chen4Yaxi Wang5Xu Jiang6Bo Shen7Yang Pan8Jun Yan9Feng Han10Feng Han11Li Zhang12Li Zhang13Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaSchool of Pharmacy, Nanjing Medical University, Nanjing, ChinaInstitute of Brain Science, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaDepartment of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaInstitute of Neuropsychiatric Diseases, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaBackgroundRapid eye movement sleep behavior disorder (RBD) and minor hallucinations (MHs) are prevalent nonmotor symptoms in Parkinson’s disease (PD). The purpose of this study was to explore the association of MHs in PD patients with probable RBD (pRBD).MethodsThis cross-sectional study included 291 patients diagnosed with PD. Patients who scored 6 or higher on the Rapid Eye Movement Behavior Disorder (RBD) Screening Questionnaire were defined as pRBD. A comprehensive evaluation was performed for all patients, including the collection of demographic information, clinical assessment, and MH features.ResultsAmong the 291 PD patients, 69 (23.7%) had pRBD. MHs were observed in 35 (50.7%) patients with pRBD, significantly higher than 29.7% in patients without RBD (p = 0.015). The main type of MHs in pRBD was presence hallucinations with variable content. Patients with pRBD and MHs tended to be older, had a longer disease duration, and were more likely to take levodopa or dopamine-receptor agonists. Besides, the pRBD with MHs group had higher scores on the Nonmotor Symptoms Questionnaire (NMS-Quest) and Hamilton Anxiety Scale (HAMA). Binary logistic regression analysis revealed that longer disease duration and higher NMS-Quest scores were associated with MHs in PD patients with pRBD.ConclusionA high prevalence of MHs was observed in PD patients with pRBD. The main type of MHs in pRBD was presence hallucinations. MHs in PD with RBD are mainly associated with disease duration and severity of nonmotor symptoms. These findings provide new insights into the interaction between MHs and RBD.https://www.frontiersin.org/articles/10.3389/fnins.2023.1205439/fullParkinson’s diseaseREM sleep behavior disorderRBDSQminor hallucinationpresence hallucination
spellingShingle Yinyin Jiang
Jun Zhu
Yang Zhao
Dongfeng Li
Yaning Chen
Yaxi Wang
Xu Jiang
Bo Shen
Yang Pan
Jun Yan
Feng Han
Feng Han
Li Zhang
Li Zhang
Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder
Frontiers in Neuroscience
Parkinson’s disease
REM sleep behavior disorder
RBDSQ
minor hallucination
presence hallucination
title Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder
title_full Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder
title_fullStr Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder
title_full_unstemmed Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder
title_short Minor hallucinations in Parkinson’s disease with probable rapid eye movement sleep behavior disorder
title_sort minor hallucinations in parkinson s disease with probable rapid eye movement sleep behavior disorder
topic Parkinson’s disease
REM sleep behavior disorder
RBDSQ
minor hallucination
presence hallucination
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1205439/full
work_keys_str_mv AT yinyinjiang minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT junzhu minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT yangzhao minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT dongfengli minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT yaningchen minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT yaxiwang minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT xujiang minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT boshen minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT yangpan minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT junyan minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT fenghan minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT fenghan minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT lizhang minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder
AT lizhang minorhallucinationsinparkinsonsdiseasewithprobablerapideyemovementsleepbehaviordisorder