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

Nilsson, Maria H; Oswald, Frank; Palmqvist, Sebastian; Slaug, Björn

doi:10.3390/bs10120190

Cited by 5 publications

(3 citation statements)

References 47 publications

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“…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 ].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Objective To develop multidimensional approaches for pain management, this study aimed to understand how PD patients cope with pain. Design Cross-sectional, cohort study. Setting Monocentric, inpatient, university hospital. Participants 52 patients with Parkinson’s disease (without dementia) analysed. Primary and secondary outcome measures Motor function, nonmotor symptoms, health-related quality of life (QoL), and the Coping Strategies Questionnaire were assessed. Elastic net regularization and multivariate analysis of variance (MANOVA) were used to study the association among coping, clinical parameters, and QoL. Results Most patients cope with pain through active cognitive (coping self-statements) and active behavioral strategies (increasing pain behaviors and increasing activity level). Active coping was associated with lower pain rating. Regarding QoL domains, active coping was associated with better physical functioning and better energy, whereas passive coping was associated with poorer emotional well-being. However, as demonstrated by MANOVA, the impact of coping factors (active and passive) on the Short Form 36 domains was negligible after correction for age, motor function, and depression. Conclusion Passive coping strategies are the most likely coping response of those with depressive symptoms, whereas active coping strategies are the most likely coping response to influence physical function. Although coping is associated with pain rating, the extent that pain coping responses can impact on QoL seems to be low.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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“…Our user profiles describe this benefits–burdens balance for several groups of PwPDs but should be regarded as a starting point from which to explore even more personalized monitoring needs and wishes. For example, the profiles could be combined with other known benefits and burdens of monitoring, ( 53 , 54 ) physiotherapy treatment mechanisms ( 4 ), and personality traits such as coping ( 55 , 56 ) and information-seeking styles ( 57 ). Drafting user profiles of physiotherapists could help to create systems that also accommodate their needs and preferences.…”

Section: Discussionmentioning

confidence: 99%

Usability and utility of a remote monitoring system to support physiotherapy for people with Parkinson's disease

van den Bergh,

Evers,

de Vries

et al. 2023

Front. Neurol.

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BackgroundPhysiotherapy for persons with Parkinson's disease (PwPD) could benefit from objective and continuous tracking of physical activity and falls in daily life.ObjectivesWe designed a remote monitoring system for this purpose and describe the experiences of PwPD and physiotherapists who used the system in daily clinical practice.MethodsTwenty-one PwPD (15 men) wore a sensor necklace to passively record physical activity and falls for 6 weeks. They also used a smartphone app to self-report daily activities, (near-)falls and medication intake. They discussed those data with their PD-specialized physiotherapist (n = 9) during three regular treatment sessions. User experiences and aspects to be improved were gathered through interviews with PwPD and physiotherapists, resulting in system updates. The system was evaluated in a second pilot with 25 new PwPD (17 men) and eight physiotherapists.ResultsWe applied thematic analysis to the interview data resulting in two main themes: usability and utility. First, the usability of the system was rated positively, with the necklace being easy to use. However, some PwPD with limited digital literacy or cognitive impairments found the app unclear. Second, the perceived utility of the system varied among PwPD. While many PwPD were motivated to increase their activity level, others were not additionally motivated because they perceived their activity level as high. Physiotherapists appreciated the objective recording of physical activity at home and used the monitoring of falls to enlarge awareness of the importance of falls for PwPD. Based on the interview data of all participants, we drafted three user profiles for PwPD regarding the benefits of remote monitoring for physiotherapy: for profile 1, a monitoring system could act as a flagging dashboard to signal the need for renewed treatment; for profile 2, a monitoring system could be a motivational tool to maintain physical activity; for profile 3, a monitoring system could passively track physical activity and falls at home. Finally, for a subgroup of PwPD the burdens of monitoring will outweigh the benefits.ConclusionsOverall, both PwPD and physiotherapists underline the potential of a remote monitoring system to support physiotherapy by targeting physical activity and (near-)falls. Our findings emphasize the importance of personalization in remote monitoring technology, as illustrated by our user profiles.

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“…When faced with the same kind of stressors, individuals respond differently depending on their personality traits, social environments, individual life experiences, and available resources. In addition, over the course of life, coping styles are likely to remain unchanged even when living with a chronic progressive disease such as PD [ 56 ], whereas coping strategies may evolve [ 57 , 58 ]. Questionnaires to measure existing coping strategies in individuals, such as the COPE Inventory [ 59 ] or the Brief Resilient Coping Scale (BRCS) [ 60 ], are essential tools to assess the individual’s need regarding resources to cope with a given stressor and to identify appropriate strategies for the individual to overcome the stressor.…”

Section: Coping Styles In Pwps: How Do They Influence the Pwps’ Journey?mentioning

confidence: 99%

Coping Styles in Patients with Parkinson’s Disease: Consideration in the Co-Designing of Integrated Care Concepts

Stümpel

Munster²,

Grosjean³

et al. 2022

JPM

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Integrated care models may help in designing care for Parkinson’s disease (PD) that is more efficient and patient-centered. However, in order to implement such models successfully, it is important to design these models around patients’ needs and preferences. Personality traits and coping styles play a well-studied important role in patients’ disease perception and their utilization of medical and social services to cope with their disease. There is evidence that coping styles remain largely unchanged over the course of PD; coping styles are defined in the early stages of life and extend over the entire lifespan of the patient. Therefore, it seems necessary to consider aspects of the personality traits and coping styles of PD patients in the development and implementation of care models. We postulate that by taking patients’ personality traits and coping styles into account, care models for PD can be designed in a more individualized and, thus, more effective way. This paper, structured in three main sections, attempts to structure the uptake of patients’ coping styles in the co-design of integrated care models. However, further studies are needed to better develop tailored care concepts to the needs of people living with PD and their individual coping styles.

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

Cited by 5 publications

References 47 publications

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

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

Usability and utility of a remote monitoring system to support physiotherapy for people with Parkinson's disease

Coping Styles in Patients with Parkinson’s Disease: Consideration in the Co-Designing of Integrated Care Concepts

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