Psychosocial difficulties in patients with Parkinson’s disease

Schiavolin, Silvia; Raggi, Alberto; Quintas, Rui; Černiauskaitė, Milda; Giovannetti, Ambra Mara; Covelli, Venusia; Romito, Luigi; Elia, Antonio E.; Carella, F.; Soliveri, Paola; Leonardi, Matilde

doi:10.1097/mrr.0000000000000216

Cited by 16 publications

(10 citation statements)

References 47 publications

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“…Antidepressants improve anxiety and depression at some point in 40–50% of patients with PD. Depression (associated or not with anxiety) is a neuropsychiatric disorder that has shown the greatest effect on worse HRQoL in these patients [ 9 , 12 ]. These results are directly associated with HRQoL, independently of the severity of MS. Prognostic variables include depressive symptoms, insomnia, and a low degree of independence in relation to the severity of the disease.…”

Section: Introductionmentioning

confidence: 99%

Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study

Candel-Parra

Córcoles-Jiménez

Delicado-Useros

et al. 2021

JCM

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Parkinson’s disease (PD) is a chronic neurodegenerative disorder that results in important functional symptoms, altered mood, and deterioration in quality of life (QoL). This study aimed to determine the evolution of the QoL in persons with PD in the Albacete health district over a two-year period and identify associated sociodemographic, clinical, and socio-health characteristics. A cohort study was conducted of patients at different stages of PD in the Albacete health district. Calculated sample size: 155 patients. Instruments: A purpose-designed questionnaire for data collection and the “Parkinson Disease Questionnaire” (PDQ-39), which measures 8 dimensions and a global index where a higher score indicates worse quality of life. Three measurements were made: baseline, one year, two years. A descriptive and bivariate analysis was conducted. Ethical aspects: informed consent, anonymized data. Results: Mean age 69.51 (standard deviation, SD 8.73) years, 60% male, 75.5% married, and 85.5% lived with family. The most frequent motor symptoms were slow movement (86.23%), postural instability (55.5%), tremor (45.5%), and dyskinesia (24.6%). Among the non-motor symptoms were fatigue (66.2%), pain, daytime somnolence, constipation, and apathy, with approximately 50% each. The mean QoL score at baseline was 27.47 (SD 16.14); 95% CI (confidence interval) 24.91–30.03. At two years, global QoL had slightly worsened (28.3; SD 17.26; 95% CI 25.41–31.18), with a statistically significant worsening in mobility, activities of daily living, and communication, whereas social support improved.

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Section: Introductionmentioning

confidence: 99%

Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study

Candel-Parra

Córcoles-Jiménez

Delicado-Useros

et al. 2021

JCM

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“…Especially, in chronic neurological diseases the psychosocial aspects are an important component of the perceived disability [ 12 ], but no data are available on the perceived well-being and psychosocial acceptance of the RAGT training.…”

Section: Introductionmentioning

confidence: 99%

Motor and psychosocial impact of robot-assisted gait training in a real-world rehabilitation setting: A pilot study

et al. 2018

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In the last decade robotic devices have been applied in rehabilitation to overcome walking disability in neurologic diseases with promising results. Robot assisted gait training (RAGT) using the Lokomat seems not only to improve gait parameters but also the perception of well-being. Data on the psychosocial patient-robot impact are limited, in particular in the real-world of RAGT, in the rehabilitation setting. During rehabilitation training, the Lokomat can be considered an “assistive device for movement”. This allowed the use of the Psychosocial Impact of Assistive Device Scale- PIADS to describe patient interaction with the Lokomat. The primary aim of this pilot study was to evaluate the psychosocial impact of the Lokomat in an in-patient rehabilitation setting using the PIADS; secondary aims were to assess whether the psychosocial impact of RAGT is different between pathological sub-groups and if the Lokomat influenced functional variables (Functional Independence Measure scale–FIM and parameters provided by the Lokomat itself). Thirty-nine consecutive patients (69% males, 54.0±18.0 years) eligible for Lokomat training, with etiologically heterogeneous walking disabilities (Parkinson’s Disease, n = 10; Spinal Cord Injury, n = 21; Ictus Event, n = 8) were enrolled. Patients were assessed with the FIM before and after rehabilitation with Lokomat, and the PIADS was administered after the rehabilitative period with Lokomat. Overall the PIADS score was positive (35.8±21.6), as well as the three sub-scales, pertaining to “ability”, “adaptability” and “self-esteem” (17.2±10.4, 8.9±5.5 and 10.1±6.6 respectively) with no between-group differences. All patients significantly improved in gait measure and motor FIM scale (difference after—before treatment values: 11.7±9.8 and 11.2±10.3 respectively), increased treadmill speed (0.4 ± 0.2m/s), reduced body weight support (-14.0±9.5%) and guidance force (-13.1 ± 10.7%). This pilot study indicates that Lokomat, in a real-world in-patient setting, may have a generalised approval, independent of disease, underlining the importance of the psycho-social framework for patients training with assistive robotic-devices.

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“…A little less than half of the participants also reported that PD affected their relationships. These results reveal the devastating effects this disease can have on the psychosocial factors of well-being (Kwok, Auyeung, & Chan, 2020;Schiavolin et al, 2017). Indeed, previous studies have also shown that social cognition impairments in PD can lead to less efficient conversation exchanges with an increased frequency of conversation breakdowns and failed repair sequences (Rinne, 2019), which can further impact the quality of life in people with PD (Miller, 2017).…”

Section: Discussionmentioning

confidence: 83%

The Impact of Parkinson’s Disease on Social Communication: An Exploratory Questionnaire Study

Sharma¹,

Fleck²,

Winslow³

et al. 2021

Preprint

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Individuals with Parkinson’s Disease (PD) often show breakdown in the interpretation of pragmatic language meaning. However, there is no current standard of care for evaluating social communication dysfunction in PD which affects the persons with PD and their caregivers. Thus, we developed a questionnaire for individuals with PD to evaluate social communication difficulties. Objective: The aim of this study was to develop a questionnaire to demonstrate a need for comprehensive management guidelines for individuals with PD regarding social communication skills. This questionnaire will highlight the areas of deficit for the individuals with PD. Methods: Fifty-one people with self-reported Parkinson’s Disease answered 28 survey questions. These questions pertained to emotional expression and perception, social communication, sarcasm/humor, and pragmatic skills. Exploratory factor analysis and reliability analysis were performed to identify which items loaded onto the desired factor and to check the internal consistency of the items. Results: Persons with PD reported changes in emotional expression and perception, social communication, sarcasm and humor, and pragmatic skills domains post PD diagnosis. No correlations were found between age/time since diagnosis and emotional expression, social communication, sarcasm, and humor.Conclusion: The current study provides evidence that persons with PD experience social communication challenges. Therefore, it is crucial to increase awareness of these deficits in PD to recognize the impact of the disease on social communication.

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Psychosocial difficulties in patients with Parkinson’s disease

Cited by 16 publications

References 47 publications

Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study

Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study

Motor and psychosocial impact of robot-assisted gait training in a real-world rehabilitation setting: A pilot study

The Impact of Parkinson’s Disease on Social Communication: An Exploratory Questionnaire Study

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