Patients with acromegaly might not be at higher risk for dopamine agonist-induced impulse control disorders than those with prolactinomas

To evaluate the prevalence of impulse control disorders (ICD) and psychiatric symptoms in patients with acromegaly receiving dopamine agonists (DA) in comparison with those with prolactinoma, nonfunctioning pituitary adenomas (NFA), and healthy controls (HC). Forty patients with acromegaly, 40 with...

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Veröffentlicht in:Growth hormone & IGF research 2020-12, Vol.55, p.101356-101356, Article 101356
Hauptverfasser: Ozkaya, Hande Mefkure, Sahin, Serdar, Korkmaz, Ozge Polat, Durcan, Emre, Sahin, Humeyra Rekali, Celik, Emir, Poyraz, Burc Cagri, Kadioglu, Pinar
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container_title Growth hormone & IGF research
container_volume 55
creator Ozkaya, Hande Mefkure
Sahin, Serdar
Korkmaz, Ozge Polat
Durcan, Emre
Sahin, Humeyra Rekali
Celik, Emir
Poyraz, Burc Cagri
Kadioglu, Pinar
description To evaluate the prevalence of impulse control disorders (ICD) and psychiatric symptoms in patients with acromegaly receiving dopamine agonists (DA) in comparison with those with prolactinoma, nonfunctioning pituitary adenomas (NFA), and healthy controls (HC). Forty patients with acromegaly, 40 with prolactinoma, 38 with NFA, and 32 HCs were included. All patients and controls were evaluated using the revised version of the Minnesota Impulsive Disorders Interview (MIDI-R), Symptom Check List (SCL-90-R) questionnaire, Barratt Impulsiveness Scale (BIS-11), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). We detected ICD associated with DAs in two patients with acromegaly (5%) and three patients (7.5%) with prolactinoma. All patients' symptoms resolved after discontinuation of the drug. While the mean DA dose was higher in patients with acromegaly than prolactinomas (p  0.05). SCL-90 depression and interpersonal sensitivity subscale positivity was higher in patients with NFA than HCs. Patients with prolactinoma had higher obsession and interpersonal sensitivity positivity and those with NFA had higher somatization, interpersonal sensitivity, and depression positivity as compared to patients with acromegaly (p 
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Forty patients with acromegaly, 40 with prolactinoma, 38 with NFA, and 32 HCs were included. All patients and controls were evaluated using the revised version of the Minnesota Impulsive Disorders Interview (MIDI-R), Symptom Check List (SCL-90-R) questionnaire, Barratt Impulsiveness Scale (BIS-11), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). We detected ICD associated with DAs in two patients with acromegaly (5%) and three patients (7.5%) with prolactinoma. All patients' symptoms resolved after discontinuation of the drug. While the mean DA dose was higher in patients with acromegaly than prolactinomas (p &lt; 0.05), no difference was detected in terms of ICD prevalence between two groups (p &gt; 0.05). SCL-90 depression and interpersonal sensitivity subscale positivity was higher in patients with NFA than HCs. Patients with prolactinoma had higher obsession and interpersonal sensitivity positivity and those with NFA had higher somatization, interpersonal sensitivity, and depression positivity as compared to patients with acromegaly (p &lt; 0.05 for all). Although DA dose was significantly higher in patients with acromegaly, there was no significant difference in the prevalence of DA-related ICD. The higher prevalence of positive screening in SCL-90 in patients with NFA in comparison to HCs supports the hypothesis that the presence of a pituitary adenoma per se might cause significant psychiatric symptoms. •Although cabergoline is cheaper than first generation SSA, pasireotide, pegvisomant, it can cause psychiatric disorders•Endocrinologists should screen in terms of ICD during cabergoline treatment•High dose cabergoline don’t add an additional risk of ICD in patients with acromegaly as compared to prolactinomas</description><identifier>ISSN: 1096-6374</identifier><identifier>EISSN: 1532-2238</identifier><identifier>DOI: 10.1016/j.ghir.2020.101356</identifier><identifier>PMID: 33010581</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Acromegaly ; Dopamine agonist ; Impulse control disorder ; Prevalence</subject><ispartof>Growth hormone &amp; IGF research, 2020-12, Vol.55, p.101356-101356, Article 101356</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. 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Forty patients with acromegaly, 40 with prolactinoma, 38 with NFA, and 32 HCs were included. All patients and controls were evaluated using the revised version of the Minnesota Impulsive Disorders Interview (MIDI-R), Symptom Check List (SCL-90-R) questionnaire, Barratt Impulsiveness Scale (BIS-11), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). We detected ICD associated with DAs in two patients with acromegaly (5%) and three patients (7.5%) with prolactinoma. All patients' symptoms resolved after discontinuation of the drug. While the mean DA dose was higher in patients with acromegaly than prolactinomas (p &lt; 0.05), no difference was detected in terms of ICD prevalence between two groups (p &gt; 0.05). SCL-90 depression and interpersonal sensitivity subscale positivity was higher in patients with NFA than HCs. Patients with prolactinoma had higher obsession and interpersonal sensitivity positivity and those with NFA had higher somatization, interpersonal sensitivity, and depression positivity as compared to patients with acromegaly (p &lt; 0.05 for all). Although DA dose was significantly higher in patients with acromegaly, there was no significant difference in the prevalence of DA-related ICD. The higher prevalence of positive screening in SCL-90 in patients with NFA in comparison to HCs supports the hypothesis that the presence of a pituitary adenoma per se might cause significant psychiatric symptoms. •Although cabergoline is cheaper than first generation SSA, pasireotide, pegvisomant, it can cause psychiatric disorders•Endocrinologists should screen in terms of ICD during cabergoline treatment•High dose cabergoline don’t add an additional risk of ICD in patients with acromegaly as compared to prolactinomas</description><subject>Acromegaly</subject><subject>Dopamine agonist</subject><subject>Impulse control disorder</subject><subject>Prevalence</subject><issn>1096-6374</issn><issn>1532-2238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9UctuFDEQtBCIhMAPcIh85DKbtj1PiQuKQoIUCQ5wtjx2e8ebGXuxPaD9BP4abzbkyMV2u6uq1VWEvGewYcDaq91mO7m44cAfP0TTviDnrBG84lz0L8sbhrZqRVefkTcp7QBgEH39mpwJAQyanp2TP99Uduhzor9dnqjSMSy4VfOBLm47ZepDpiNSlelUaow0uvRAbYjUhL1anC-9bfAu5cp5s2o01C37dU5IdfA5hpkal0I0GBPNk_LlCKX5OG1f2kpn58Oi0lvyyqrCe_d0X5Afn2--X99V919vv1x_uq90WTBXnQU94siwHoS1HfaW8bq2XCN0TWNY17MGQHWDAdOI0Y6G1xY52FGI1g5GXJAPJ90y_eeKKcvFJY3zrDyGNcmi1tfQQ88LlJ-gxZWUIlq5j25R8SAZyGMEciePEchjBPIUQSFdPumv44LmmfLP8wL4eAJg2fKXwyiTLhEU61xEnaUJ7n_6fwEqWZsQ</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Ozkaya, Hande Mefkure</creator><creator>Sahin, Serdar</creator><creator>Korkmaz, Ozge Polat</creator><creator>Durcan, Emre</creator><creator>Sahin, Humeyra Rekali</creator><creator>Celik, Emir</creator><creator>Poyraz, Burc Cagri</creator><creator>Kadioglu, Pinar</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202012</creationdate><title>Patients with acromegaly might not be at higher risk for dopamine agonist-induced impulse control disorders than those with prolactinomas</title><author>Ozkaya, Hande Mefkure ; Sahin, Serdar ; Korkmaz, Ozge Polat ; Durcan, Emre ; Sahin, Humeyra Rekali ; Celik, Emir ; Poyraz, Burc Cagri ; Kadioglu, Pinar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-7f0cbeb1e493ff7e8f1244f2ce0755d1781500a79d0d53bfbd24fe20fb336f9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acromegaly</topic><topic>Dopamine agonist</topic><topic>Impulse control disorder</topic><topic>Prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozkaya, Hande Mefkure</creatorcontrib><creatorcontrib>Sahin, Serdar</creatorcontrib><creatorcontrib>Korkmaz, Ozge Polat</creatorcontrib><creatorcontrib>Durcan, Emre</creatorcontrib><creatorcontrib>Sahin, Humeyra Rekali</creatorcontrib><creatorcontrib>Celik, Emir</creatorcontrib><creatorcontrib>Poyraz, Burc Cagri</creatorcontrib><creatorcontrib>Kadioglu, Pinar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Growth hormone &amp; IGF research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozkaya, Hande Mefkure</au><au>Sahin, Serdar</au><au>Korkmaz, Ozge Polat</au><au>Durcan, Emre</au><au>Sahin, Humeyra Rekali</au><au>Celik, Emir</au><au>Poyraz, Burc Cagri</au><au>Kadioglu, Pinar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients with acromegaly might not be at higher risk for dopamine agonist-induced impulse control disorders than those with prolactinomas</atitle><jtitle>Growth hormone &amp; IGF research</jtitle><addtitle>Growth Horm IGF Res</addtitle><date>2020-12</date><risdate>2020</risdate><volume>55</volume><spage>101356</spage><epage>101356</epage><pages>101356-101356</pages><artnum>101356</artnum><issn>1096-6374</issn><eissn>1532-2238</eissn><abstract>To evaluate the prevalence of impulse control disorders (ICD) and psychiatric symptoms in patients with acromegaly receiving dopamine agonists (DA) in comparison with those with prolactinoma, nonfunctioning pituitary adenomas (NFA), and healthy controls (HC). 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Patients with prolactinoma had higher obsession and interpersonal sensitivity positivity and those with NFA had higher somatization, interpersonal sensitivity, and depression positivity as compared to patients with acromegaly (p &lt; 0.05 for all). Although DA dose was significantly higher in patients with acromegaly, there was no significant difference in the prevalence of DA-related ICD. The higher prevalence of positive screening in SCL-90 in patients with NFA in comparison to HCs supports the hypothesis that the presence of a pituitary adenoma per se might cause significant psychiatric symptoms. •Although cabergoline is cheaper than first generation SSA, pasireotide, pegvisomant, it can cause psychiatric disorders•Endocrinologists should screen in terms of ICD during cabergoline treatment•High dose cabergoline don’t add an additional risk of ICD in patients with acromegaly as compared to prolactinomas</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>33010581</pmid><doi>10.1016/j.ghir.2020.101356</doi><tpages>1</tpages></addata></record>
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subjects Acromegaly
Dopamine agonist
Impulse control disorder
Prevalence
title Patients with acromegaly might not be at higher risk for dopamine agonist-induced impulse control disorders than those with prolactinomas
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