“…Poor general social functioning was associated with facial masking, communication problems, and cognitive impairment. 20,21,30,35,[74][75][76][77][78] Impaired couple relationships were related to facial masking, higher Hoehn and Yahr stage, lack of coping responses (ie, spouse "benefit finding"), and sexual dysfunction. 20,40,79 Earlier departure from the workforce was associated with female sex, older age, longer disease duration, anxiety, ADL performance, depression, and cognitive impairment.…”