Close relationships in Parkinson´s disease patients with device‐aided therapy

Scharfenort, Monica; Timpka, Jonathan; Sahlström, Thomas; Henriksen, Tove; Nyholm, Dag; Odin, Per

doi:10.1002/brb3.2102

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…In a longitudinal study of PD patients undergoing device-aided therapies (DAT), higher avoidant attachment styles were found in the caregivers, while the care recipients showed higher anxious attachment styles (Scharfenort et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Caregivers’ Burden in Parkinson’s Disease: A Study on Related Features and Attachment Styles

et al. 2023

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Parkinson’s disease (PD) is a chronic progressive neurological disease clinically characterized by motor and non-motor symptoms, with an increasing impact on the quality of life not only for the patient but also for the caregivers. Twenty-six primary caregivers (female = 19; mean age = 57.04, SD = 10.64) of PD patients were consecutively recruited. Several psychological aspects were verified through clinical screening tests: EQ-5D and PQoL CARER for quality of life, Hospital Anxiety and Depression Scale (HADS), Caregiver Burden Inventory (CBI), Family Strain Questionnaire (FSQ), and Adult Attachment Questionnaire. We found that the burden was generally higher in cohabiting female caregivers of patients with dementia as compared with not cohabiting caregivers. Severe burden emerged in 7.7% of the participants according to the PQoL. The mean score of this scale was higher in cohabiting caregivers. Finally, according to the CBI, 19.2% of the participants suffered from severe burden, with mean scores of the CIB-S and CIB-E subscales higher in cohabitants. Our study highlights the need to investigate more thoroughly the burden of caregivers of PD patients and its associated factors, and to pay more attention to the physical and psychological health of caregivers to improve their quality of life.

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Section: Discussionmentioning

confidence: 99%

Caregivers’ Burden in Parkinson’s Disease: A Study on Related Features and Attachment Styles

et al. 2023

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“…Following STN-DBS, social maladjustment as a result of a dramatic improvement in clinical status and identity challenges can occur as part of the “burden of normality” syndrome [ 35 ]. Interestingly, partners of patients with device-aided therapies report more often changes in relationship satisfaction than patients and show more attachment-related avoidance [ 51 ]. Surprisingly, 65% of PD patients experience a conjugal crisis within 2 years of undergoing DBS [ 26 ].…”

Section: Postoperative Aspects Of Caregiver Burdenmentioning

confidence: 99%

Caregiver Burden in Partners of Parkinsonian Patients with Deep Brain Stimulation

Gülke

2022

Brain Sciences

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In Parkinson’s disease (PD) patients, the progressive nature of the disease and the variability of disabling motor and nonmotor symptoms contribute to the growing caregiver burden of PD partners and conflicts in their relationships. Deep brain stimulation (DBS) improves PD symptoms and patients’ quality of life but necessitates an intensified therapy optimization after DBS surgery. This review illuminates caregiver burden in the context of deep brain stimulation, framing both pre- and postoperative aspects. We aim to provide an overview of perioperative factors influencing caregiver burden and wish to stimulate further recognition of caregiver burden of PD patients with DBS.

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“…IPT’s focus on interpersonal stressors makes it a suitable intervention for depression comorbid with medical conditions. 16 Individuals living with PD experience interpersonal stressors that contribute to increased depressive risk, including relationship discord, 4 attachment insecurity, 17 and loss of valued activities, social roles, and social connectedness brought about by the illness. 18,19 Social isolation and loss of network supports and attachments due to death, relocation, or other circumstances may also contribute to depressive risk, 20 especially among older PD patients.…”

Section: Introductionmentioning

confidence: 99%

Interpersonal Psychotherapy for Depression in Parkinson’s Disease: A Feasibility Study

Koszycki

Taljaard

Kogan

et al. 2022

J Geriatr Psychiatry Neurol

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Individuals living with Parkinson’s disease (PD) experience interpersonal stressors that contribute to depressive risk. Interpersonal psychotherapy (IPT) emphasizes the bidirectional relationship between interpersonal stressors and mood may therefore be a suitable treatment for PD-depression. The primary aim of this study was to evaluate the feasibility of delivering 12 sessions of IPT to depressed PD patients and explore the need for modifications. A secondary aim was to obtain descriptive information about efficacy outcomes. The study used a pre-post design without a comparison group. Participants were 12 PD patients with a major depressive disorder. IPT was well accepted and tolerated by patients and required minimal modifications. Compliance with session attendance and completion of study questionnaires were excellent and treatment satisfaction was high. Depression scores declined from baseline to endpoint, with 7 patients meeting criteria for remission at endpoint. Findings are encouraging and a larger randomized controlled trial is currently underway to ascertain if IPT is an efficacious treatment for PD-depression.

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Close relationships in Parkinson´s disease patients with device‐aided therapy

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 4 publications

References 45 publications

Caregivers’ Burden in Parkinson’s Disease: A Study on Related Features and Attachment Styles

Caregivers’ Burden in Parkinson’s Disease: A Study on Related Features and Attachment Styles

Caregiver Burden in Partners of Parkinsonian Patients with Deep Brain Stimulation

Interpersonal Psychotherapy for Depression in Parkinson’s Disease: A Feasibility Study

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