The influence of depression, level of functioning in everyday life, and illness acceptance on quality of life in patients with Parkinson's disease: a preliminary study

Abstract

BackgroundParkinson’s disease (PD) is the second most common neurodegenerative disorder after Alzheimer’s disease, and its incidence will increase as the global population ages. Due to the multitude of symptoms, this disease clearly has a significant impact on decreasing quality of life for those with PD. We aimed to evaluate the effect of selected variables on quality of life in people with idiopathic PD treated pharmacologically.Materials and methodsThis study was conducted among 50 patients with PD aged 47–85 years. The diagnostic survey method was applied to collect data with the use of the authors’ questionnaire and standardized questionnaires, including, Parkinson’s Disease Questionnaire (PDQ), Beck Depression Inventory, Instrumental Activities of Daily Living Scale, and Acceptance of Illness Scale. The results were statistically analyzed.ResultsAnalysis of the study material showed that people who were more self-reliant were characterized by lower intensity of depressive symptoms (ρ=−0.567, P=0), were more likely to accept their illness (ρ=0.611, P=0), and assessed quality of life better in each of the studied domains of the PDQ. Illness acceptance correlated with the occurrence of depressive symptoms (ρ=−0.567, P=0) and significantly affected quality of life.ConclusionFactors such as depression, disease acceptance, and functional capacity have a significant impact on the subjective assessment of quality of life in patients with PD. Evaluation of these factors should be taken into account in the therapeutic process, to minimize their negative impact on quality of life in patients with PD.

The Impact of Ilness Acceptance on Quality of Life of Patients with Multiple Sclerosis — Preliminary Study

“…In Król et al study [31], it appears that acceptance of disease in MS patients has a strong positive relationship with subjective physical efficiency assessment and moderate positive association with subjective mental efficiency assessment, that found confirmation in the results of own study, where the acceptance of the disease positively correlated with the quality of life in the somatic and mental domains. Evaluation of disease acceptance among MS patients should be an integral part of the therapeutic process, because the patient's reconciliation with the disease allows to reduce the negative feelings [17,18] and fear [32], as well as more effective control of the course of the disease [12] and thus improve the quality of life [11,[13][14][15].…”

“…One of the most important factors improving the quality of life is adaptation to life with a disease and different life situation (acceptance) [11][12][13][14][15]. Acceptance of the disease means being reconciled to a changing situation such as a deterioration of efficiency [16] It is also characterized by a lower intensity of negative emotions [16][17][18].…”

Disease Acceptance and Eudemonic Well-Being Among Adults With Physical Disabilities: The Mediator Effect of Meaning in Life

“…In spite of the negative experience, dysfunction, and pathology related to different forms of disabilities (Elliott et al, 2002;Reuman et al, 2013), a number of empirical studies have demonstrated that the chronically ill and persons with disabilities have the potential for psychological growth and well-being (Cordova et al, 2001;Reuman et al, 2013;Kim et al, 2016;Wettstein et al, 2016). For instance, it has been found that emotional competence (Rey et al, 2013), social support (Ryan et al, 2007), task-oriented coping (Jones et al, 2003), goal reengagement (Van Bost et al, 2019), redefined life purpose (Pakenham, 2007), engagement in volunteering (Fekete et al, 2019), and disease acceptance (Ditchman et al, 2017;Rosińczuk and Kołtuniuk, 2017) are essential correlates or predictors of subjective well-being among individuals with a chronic physical or psychological disability.…”

“…Moreover, disability acceptance has been recognized as one of the most frequently mentioned factors that plays a particularly significant role in well-being (Ditchman et al, 2017) and adjustment to a new way of life (Kowalska et al, 2019). In contrast, poorer acceptance of the disease and its shortcomings were associated with the occurrence of acute symptoms of depression and lower assessment of quality of life (Rosińczuk and Kołtuniuk, 2017). Acceptance of the limitations imposed by a long-lasting disease and readjustment of life goals had a constructive influence on well-being in adolescents and young adults (Casier et al, 2011) and lowered negative emotions or reactions related to the disease and its treatment (Cybulski et al, 2017).…”

Validity and Reliability of the Portuguese-Performance Assessment of Self-Care Skills (P-PASS) for Portuguese individuals with disabilities

“…Several authors point to the existence of a signi cant association between the level of disability in activities of daily living (ADL) and the increased probability of having depression, as well as a reduction in the quality of life [4]. In addition, basic (BADL) and instrumental ADL (IADL) enable people to participate in their immediate community.…”