Emotionalism in Parkinson's disease

Madeley, P; Biggins, C A; Boyd, J; Mindham, Richard; Spokes, E.G.

doi:10.1017/s0790966700013860

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Proposed DSM research criteria for minor depression are in the DSM‐IV appendix and require presence of only two of nine symptoms. Apathy, anxiety, and pathological tearfulness (also called emotionalism) can be features of a depressive disturbance, a comorbid syndrome, or an independent diagnosis 31–33. Nonaffective conditions in the differential diagnosis of dPD include delirium, dementia, psychosis, and other medical conditions, including PD itself, thyroid disease, or testosterone deficiency 34…”

Section: Discussion and Work Group Recommendationsmentioning

confidence: 99%

“…Apathy, anxiety, and pathological tearfulness (also called emotionalism) can be features of a depressive disturbance, a comorbid syndrome, or an independent diagnosis. [31][32][33] Nonaffective conditions in the differential diagnosis of dPD include delirium, dementia, psychosis, and other medical conditions, including PD itself, thyroid disease, or testosterone deficiency. 34 Both major and non-major depressive disturbances are important clinical entities in dPD.…”

Section: Subtypes Of Dpdmentioning

confidence: 99%

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Provisional diagnostic criteria for depression in Parkinson's disease: Report of an NINDS/NIMH Work Group

et al. 2006

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Mood disorders are the most common psychiatric problem associated with Parkinson's disease (PD), and have a negative impact on disability and quality of life. Accurate diagnosis of depressive disturbances in PD is critical and will facilitate the testing and use of new interventions; however, there are no clear diagnostic criteria for depressive disorders in PD. In their current form, strict Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria are difficult to use in PD and require attribution of specific symptoms to PD itself or the depressive syndrome. Additionally, DSM criteria for major depression and dysthymia exclude perhaps half of PD patients with comorbid clinically significant depression. This review summarizes an NIH-sponsored workshop and describes recommended changes to DSM diagnostic criteria for depression for use in PD. Participants also recommended: (1) an inclusive approach to symptom assessment to enhance reliability of ratings in PD and avoid the need to attribute symptoms to a particular cause; (2) the inclusion of subsyndromal depression in clinical research studies of depression of PD; (3) the specification of timing of assessments for PD patients with motor fluctuations; and (4) the use of informants for cognitively impaired patients. The proposed diagnostic criteria are provisional and intended to be defined further and validated but provide a common starting point for clinical research in PD-associated depression.

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Section: Discussion and Work Group Recommendationsmentioning

confidence: 99%

Section: Subtypes Of Dpdmentioning

confidence: 99%

Provisional diagnostic criteria for depression in Parkinson's disease: Report of an NINDS/NIMH Work Group

et al. 2006

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“…1 Pathological laughing and crying has frequently been reported in multiple systemic atrophy. Up to 40% of patients reported increased tearfulness since the onset of Parkinson's disease, and 11% had more pervasive emotionalism.…”

Section: Discussionmentioning

confidence: 99%