Neuropsychiatric fluctuations (NF) are among the most disabling non motor fluctuations in Parkinson disease (PD). The investigators developed the NF-scale for acute assessment of non-motor neuropsychiatric fluctuations between the off- and on-medication conditions in PD. The main goal of this project is to validate the NF-scale in french language in a multicenter approach.
Anxiety, sadness, lack of energy and motivation, fatigue and pain are common during the off-medication condition, whereas euphoria, well-being, impulse control disorders, behavioral addictions, mania, and psychosis might occur during the on-medication condition. Early diagnosis of NpsyF is crucial for their holistic management. Unfortunately, NpsyF are often under-recognized by patients or misdiagnosed by physicians due to the lack of specific assessment tools. The NFS is composed of 20 items among which ten measure the "ON neuropsychological state" and ten, the "OFF neuropsychological state". It provides two sub-scores (one ON and one OFF) with a maximal total score of 30.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
130
Patients will be asked to fill in the NF scale questionnaire together with other tests and rating scales, during a routine L-Dopa test, in 2 conditions: OFF-med and ON-med.
CHU Amiens
Amiens, France
CHU de Bordeaux-Hôpital Pellegrin
Bordeaux, France
CHU Clermont-Ferrand
Clermont-Ferrand, France
University hospital grenoble
Grenoble, France
validation of FN scale: realiability
EFN score
Time frame: 2 months
validation of FN scale: internal consistency
EFN score
Time frame: 4 hours
validation of FN scale: measurement error
test-retest
Time frame: 2 months
validation of FN scale: structural validity
EFN score
Time frame: 4 hours
validation of FN scale: responsiveness
Time frame: 4 hours
validation of FN scale: acceptability
EFN score
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics 1
MDS-UPDRS
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics 2
Severity of PD (Clinical Impression of Severity Index for PD - CISI-PD)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics 3
stage of PD (Hoehn \& Yahr stage)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics (4)
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Hospices Civils Lyon (HCL)
Lyon, France
CHRU Strasbourg
Strasbourg, France
cognitif state (Montreal cognitive assessment - MoCA test)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics (5)
Impulsive-Compulsive Disorders (QUIP-RS)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics (6)
Dopamine-dependant behavior (ACDD)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics (7)
Wearing off (QUICK questionnaire)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics (8)
Depression (Beck depression inventory BDI-II)
Time frame: 4 hours
correlation of EFN scores with socio-clinical characteristics (9)
Evalulation of impulsive behavior (UPSS)
Time frame: 4 hours