Sleep disturbance in Parkinson disease

Roychowdhury, S.; Forsyth, Duncan R.

doi:10.1016/j.jcgg.2012.04.002

Cited by 10 publications

(5 citation statements)

References 107 publications

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“…As previously noted, evidence-based sleep interventions are currently lacking for PD (Trotti and Bliwise, 2014), including for regional areas. In line with the literature, we found that the medication was the most commonly utilized sleep intervention reported (Roychowdhury and Forsyth, 2012). The likely reason for this is that sleep problems were primarily reported to medical practitioners who used sleep medication as a primary intervention (i.e.…”

Section: Discussionsupporting

confidence: 74%

Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

Wade

Pachana

Mellick³

et al. 2019

Int. Psychogeriatr.

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Objectives:Sleep disturbances negatively impact the quality of life of patients with Parkinson’s disease (PD). While persons living in regional areas are at higher risk of PD, PD is poorly managed in regional communities. This study examined factors associated with sleep problems in PD in a regional context.Design:A mixed-methods cross-sectional design was used.Participants:Patients with PD were recruited from the Queensland Parkinson’s Project database.Measurements:Those who agreed to participate were sent a questionnaire assessing aspects of sleep, depression, anxiety, quality of life, and PD severity. Qualitative information was also gathered. Correlations between variables were examined; thematic analyses were performed for qualitative data.Results:All participants (n = 49) reported sleep disturbances, with 73% (n = 36) reporting sleep disturbance to be problematic. Global sleep dysfunction positively correlated with daytime napping (r = .34, p = .01), watching the clock when unable to sleep (r = .38, p = <.01), staying in bed when unable to sleep (r = .43, p = <.01), and going to bed hungry (r = .31, p = .03) and negatively correlated with daytime exercise (r = -.32, p = .02). Positive correlations were observed between global sleep dysfunction and depression (r = .55, p = <.01), anxiety (r = .31, p = .04), and dysfunctional sleep beliefs (r = .39, p = <.01).Conclusion:There is a clear need for identifying factors related to sleep disturbances in PD for effective management.

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Section: Discussionsupporting

confidence: 74%

Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

Wade

Pachana

Mellick³

et al. 2019

Int. Psychogeriatr.

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“…Ambulatory HC clients with parkinsonism had a unique profile of risk factors compared to the other two groups in that relatively few risk factors were associated with falls. Moreover, wandering – a behaviour likely associated with co-morbid cognitive impairment, or behavioural sleep disorders common among people with PD (Roychowdhury & Forsyth, 2012; Thorpy, 2004) – was a predictor of falls only in those with parkinsonism. Interestingly, mild cognitive impairment but not co-morbid dementia diagnosis was associated with increased odds of falling in those with parkinsonism.…”

Section: Discussionmentioning

confidence: 99%

Identifying Fallers among Home Care Clients with Dementia and Parkinson’s Disease

Bansal¹,

Hirdes

Maxwell

et al. 2016

Can. J. Aging

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Few studies have focused on falls among home care (HC) clients with neurological conditions. This study identified factors that increase risk of falling among HC clients with no recent history of falls, and explored whether risk profiles varied among those with dementia or parkinsonism compared to those without selected neurological conditions. A retrospective cohort design was used and analysis of data from community-based HC clients across Ontario was conducted on a sample of ambulatory clients with dementia, parkinsonism, or none of the selected neurological conditions. Data were obtained from the Resident Assessment Instrument for HC (RAI-HC) assessment. The outcome used in multivariable analyses was whether clients fell during follow-up. Unsteady gait was a strong predictor of falls across all three groups. Co-morbid parkinsonism most strongly predicted falls in the dementia group. Clients with borderline intact to mild cognitive impairment had higher odds of falling within the parkinsonism and comparison groups.

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“…The aetiology of sleeping disturbances and problems in Parkinson's disease is not yet well understood. Some researchers think that sleep disturbances are caused by difficulty with turning around (akinesia), difficulty with breathing and swallowing when sleeping, periodic limb movements or restless leg dyskinesia, muscle cramps, depression, anxiety, hallucinations, and pain (Roychowdhury & Forsyth, 2012).…”

Section: Cbt For Sleeping Disturbancesmentioning

confidence: 99%

Clinical practice guidelines based on evidence for cognitive‐behavioural therapy in Parkinson's disease comorbidities: A literature review

Zečević

2020

Clin Psychology and Psychoth

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The purpose of this review is to provide psychologists and other health care professional enough knowledge about available cognitive‐behavioural interventions for comorbidities in Parkinson's disease that include depression, anxiety, impulsive disorder, pain, and sleep disturbances. This review has clear clinical practical suggestions how to adapt psychological interventions and techniques to the motor and/or cognitive impairments of patients with Parkinson's disease, based on earlier available research results. Every available research that could be found with the help of search engines from Medline, Springer, PsychINFO, and Google Scholar, which used cognitive‐behavioural therapy to treat Parkinson's comorbidities, was cited and explained. Cognitive‐behavioural interventions and techniques are presented based on available research results for Parkinson's comorbidities. It is recommended to use treatment plans and interventions that are earlier suggested as efficient in patients with Parkinson's disease. Strongest available research based recommendations are available for depression and anxiety. There are only few available research studies that used cognitive and/or behavioural interventions for pain, impulsive disorder, or sleeping disturbances, except insomnia in Parkinson's disease. Cognitive‐behavioural therapy is safe to use and should be adapted to the specific needs of patients and with the scientific approved treatment interventions and techniques. Psychologists should be careful on how they adapt their treatment plan for patients.

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Sleep disturbance in Parkinson disease

Cited by 10 publications

References 107 publications

Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

Identifying Fallers among Home Care Clients with Dementia and Parkinson’s Disease

Clinical practice guidelines based on evidence for cognitive‐behavioural therapy in Parkinson's disease comorbidities: A literature review

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