2013
DOI: 10.1007/s11910-013-0409-5
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Depression and Parkinson’s Disease: Current Knowledge

Abstract: Depressive disturbances are common in patients with Parkinson’s disease (PD) and influence many other clinical aspects of the disease. In addition to causing inherent emotional distress, depressive disorders negatively impact quality of life, motor and cognitive deficits, functional disability, and other psychiatric comorbidities in patients with PD. Knowledge of the pathophysiology of PD depression remains limited. However, clinical studies demonstrate the efficacy of medications and psychotherapies for PD de… Show more

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Cited by 296 publications
(287 citation statements)
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References 99 publications
(109 reference statements)
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“…36 Patients with neurodegenerative disease that affects the OFC (such as behavioral variant frontotemporal dementia) usually demonstrate a syndrome of poor decision making and impulsivity similar to the externalizing factor detected in the current study, in addition to emotional blunting. 37 In contrast, patients with subcortical neurodegeneration that initially spares the OFC (such as Huntington's and Parkinson's diseases) will usually manifest internalizing symptoms of depression, irritability, and anxiety, 38,39 suggesting that a functioning OFC is necessary both for the normal experience of emotion and the pathological experience of excessive emotion including depression and anxiety. Factor scores best predicted left amygdala and bilateral hippocampal involvement, whereas DSM diagnoses were associated with bilateral basal ganglia and left OFC involvement.…”
Section: Discussionmentioning
confidence: 99%
“…36 Patients with neurodegenerative disease that affects the OFC (such as behavioral variant frontotemporal dementia) usually demonstrate a syndrome of poor decision making and impulsivity similar to the externalizing factor detected in the current study, in addition to emotional blunting. 37 In contrast, patients with subcortical neurodegeneration that initially spares the OFC (such as Huntington's and Parkinson's diseases) will usually manifest internalizing symptoms of depression, irritability, and anxiety, 38,39 suggesting that a functioning OFC is necessary both for the normal experience of emotion and the pathological experience of excessive emotion including depression and anxiety. Factor scores best predicted left amygdala and bilateral hippocampal involvement, whereas DSM diagnoses were associated with bilateral basal ganglia and left OFC involvement.…”
Section: Discussionmentioning
confidence: 99%
“…However, the reductionism of Combe's distinction clearly emerges from the clinical observation given that a wide range of nervous system's illnesses with different etiology shows both neurological and psychiatric symptoms. Emotional and behavioral disturbances with a polymorphic symptomatology are often connected to neurological disorders such as Multiple Sclerosis (MS) [1][2][3] , Parkinson' s Disease (PD) [4] , stroke [5] , dementia [6] , traumatic brain injury [7] , epilepsy [8,9] , Amyotrophic Lateral Sclerosis (ALS) and others Motor Neuron Diseases (MND) [10,11] , pain syndromes (like headaches) and can be observed even with or without "organic" neurological diseases, thus miming in some cases an idiopathic psychiatric disorder.…”
Section: Neurology and Psychiatrymentioning
confidence: 99%
“…Improved mood, better relaxation, increased motor activity in music listening group (P < 0.0001) Kim et al [76] CCT (0) [78] CCT (0) Reduction of depression (P = 0.002) and fatigue (P = 0.02) and improvement in the synchronization tapping (P < 0.05) 1 Subjects expressing a clear preference for treatment (25% of total) were allocated to music therapy while all others were randomly assigned to either treatment or control group; 2 The goal of random assignment was not fully achieved because of the need to have 2-3 subject available at the same time to held group session in the treatment condition; 3 Subjects heard 1 min of music or noise and after were given all assessments while they were continuously exposed to the sound up to the end of the evaluation; 4 Patients were quasi-randomly assigned to groups making sure that the two groups were as close as possible in terms of numerosity and clinical characteristics of participants. …”
Section: Analysis Of Patient's Interviewsmentioning
confidence: 99%
“…Depression is common in neurodegenerative diseases, affecting 30 to 50% of patients in Parkinson's disease [1,2], up to 50% in Alzheimer's disease [3], and 25 to 50% in multiple sclerosis [2,4]. …”
Section: Introductionmentioning
confidence: 99%