Association between different coping styles and health-related quality of life in people with Parkinson’s disease: a cross-sectional study

Abstract

ObjectiveTo describe overlapping coping strategies in people with Parkinson’s disease.DesignCross-sectional, cohort study.SettingMonocentric, inpatient and outpatient, university hospital.ParticipantsTwo-hundred participants enrolled, 162 patients with Parkinson’s disease (without dementia) analysed.Primary and secondary outcome measuresPrevalence of different coping styles according to the German Essen Coping Questionnaire. Association between coping, sociodemographic and clinical parameters (Movement Disorder Society (MDS)-sponsored revision of the Unified Parkinson’s Disease Rating Scale (UPDRS), non-motor symptoms questionnaire (NMS-Quest), Montreal cognitive assessment (MoCA), Beck depression inventory (BDI) and health-related quality of life (Short Form Health Survey 36 (SF-36))).ResultsIn comparison with patients who employed a passive coping style, patients using an active form of coping were characterised by a shorter disease duration (p=0.017), fewer motor impairments (MDS-UPDRS II p=0.040, MDS-UPDRS III p=0.003), a lower non-motor burden (NMS-Quest p=0.048), better cognitive function (MoCA p=0.036) and fewer depressive symptoms (BDI p<0.001). From the 162 participants, 24% showed an overlap of active and passive coping strategies. The most common combination was acting/problem-oriented coping and distance and self-promotion. In comparison with patients who employed passive coping, the group with an overlapping coping style was characterised by a shorter disease duration (p=0.023) and lower depressive burden (p=0.001). In comparison with patients who employed active coping, the overlap group was characterised by poorer cognitive function (p=0.045). The SF-36 values of the overlap group were between those of the active and passive coping groups.ConclusionKnowledge about overlapping coping strategies is relevant to the implementation of strategies to promote active and healthy coping.

Coping Styles among People with Parkinson’s Disease: A Three-Year Follow-Up Study

“…However, the current results also suggest that there is some mix of them as the content in each of the patterns is not purely passive or purely active. This is in line with evidence of overlap between passive and active styles found by Liebermann and colleagues [ 26 ] in a recent study. These two coping patterns also resemble findings of an early study by Dakof and Mendelsohn [ 40 ] where two of four clusters emerging from analysis of interview data with PD patients were identified as “Passive and resigned” and “Sanguine and engaged”, respectively.…”

“…Longitudinal studies on stability and change in coping in later life in general have revealed the need to consider not only functional strategies but also coherent coping styles [ 19 , 25 ]. Research findings from both cross-sectional and longitudinal studies on coping with PD have also provided evidence on the need to address patterns as well as overlapping and mixed styles of coping [ 23 , 26 ].…”

Pain coping strategies and their association with quality of life in people with Parkinson’s disease: A cross-sectional study

“…The following demographical and PD-related data were collected: age, gender, educational level, marital status, living situation, and professional activity. In addition the following parameters were assessed, because they were found to be related to coping in PD in an earlier study [ 1 ]: The Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale III (MDS-UPDRS III) [ 24 ], the revised nonmotor symptoms questionnaire (NMS-Quest) [ 25 ], and Hoehn and Yahr staging were used to evaluate motor and nonmotor symptoms; cognition was assessed using the MoCa and depression was assessed using the Beck Depression Inventory II (BDI-II). The Medical Outcomes Study (MOS) Short Form 36 (SF-36) was used to measure health-related QoL [ 26 , 27 ].…”

“…People with Parkinson’s disease (PPD) have various methods for coping or dealing with disease and symptoms [ 1 , 2 ]. Among others, pain is one of the most bothersome nonmotor problems in PD [ 3 ].…”

Multidisciplinary intensive outpatient rehabilitation program for patients with moderate-to-advanced Parkinson’s disease

“…PWP's who are more knowledgeable about the disease and implement suitable strategies, cope better with the disease (Lorig & Holman, 2003), experience less depression, develop an internal locus of control, and improved QOL. (Liebermann et al, 2020). As one of the patients in the program explained: " I have gained awareness of my limitations alongside the confidence that everything can be done".…”