Predicting treatment-seeking for visual hallucinations among Parkinson's disease patients
Identifieur interne : 000060 ( PascalFrancis/Checkpoint ); précédent : 000059; suivant : 000061Predicting treatment-seeking for visual hallucinations among Parkinson's disease patients
Auteurs : Abdul Qayyum Rana [Canada] ; Ishraq Siddiqui [Canada] ; Masood Zangeneh [Canada] ; Abdul Fattah [Canada] ; Naeem Awan [Canada] ; Muhammad Saad Yousuf [Canada]Source :
- Psychiatry and clinical neurosciences : (Carlton. Print) [ 1323-1316 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Aim: While much research has been conducted towards understanding the basis of visual hallucinations in Parkinson's disease, little has focused on characterizing the content and patients' emotional experience. These factors are likely very influential on a patient's decision to seek treatment, a critical aspect of any symptom from the clinical perspective. Methods: A retrospective chart analysis was performed on Parkinson's disease patients seen in a community-based Parkinson's Disease and Movement Disorder Clinic between 2005 and 2010. Results: The study consisted of 334 patients with Parkinson's disease, among whom 10.5% had visual hallucinations. Hoehn and Yahr disease stage (P = 0.001), concurrent presence of dementia (P = 0.001), and sex (P = 0.031) were significant onset predictors. The most significant determinant of treatment-seeking was emotional reaction, namely whether hallucinations were bothersome (P = 0.008). However, the specific type of content during hallucinations was sometimes more influential and contradicted emotional response. Conclusion: Although treatment-seeking can be predicted by how individuals feel about hallucinations, a patient's decision may not be logically consistent. We suggest that clinicians offer treatment based on patients' recollections and opinions.
Affiliations:
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aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Toronto Scarborough</wicri:noRegion></affiliation></author><author><name sortKey="Zangeneh, Masood" sort="Zangeneh, Masood" uniqKey="Zangeneh M" first="Masood" last="Zangeneh">Masood Zangeneh</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Factor-Inwentash Faculty of Social Work, University of Toronto</s1><s2>Toronto</s2><s3>CAN</s3><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Fattah, Abdul" sort="Fattah, Abdul" uniqKey="Fattah A" first="Abdul" last="Fattah">Abdul Fattah</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Parkinson's Clinic of Eastern Toronto and Movement Disorders Centre</s1><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Parkinson's Clinic of Eastern Toronto and Movement Disorders Centre</wicri:noRegion></affiliation></author><author><name sortKey="Awan, Naeem" sort="Awan, Naeem" uniqKey="Awan N" first="Naeem" last="Awan">Naeem Awan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Parkinson's Clinic of Eastern Toronto and Movement Disorders Centre</s1><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Parkinson's Clinic of Eastern Toronto and Movement Disorders Centre</wicri:noRegion></affiliation></author><author><name sortKey="Saad Yousuf, Muhammad" sort="Saad Yousuf, Muhammad" uniqKey="Saad Yousuf M" first="Muhammad" last="Saad Yousuf">Muhammad Saad Yousuf</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Parkinson's Clinic of Eastern Toronto and Movement Disorders Centre</s1><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Parkinson's Clinic of Eastern Toronto and Movement Disorders Centre</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Toronto Scarborough</s1><s3>CAN</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Toronto Scarborough</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Psychiatry and clinical neurosciences : (Carlton. Print)</title><title level="j" type="abbreviated">Psychiatry clin. neurosci. : (Carlton. Print)</title><idno type="ISSN">1323-1316</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Psychiatry and clinical neurosciences : (Carlton. Print)</title><title level="j" type="abbreviated">Psychiatry clin. neurosci. : (Carlton. Print)</title><idno type="ISSN">1323-1316</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Help seeking</term><term>Human</term><term>Parkinson disease</term><term>Psychosis</term><term>Treatment</term><term>Visual hallucination</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Recherche aide</term><term>Traitement</term><term>Hallucination visuelle</term><term>Maladie de Parkinson</term><term>Psychose</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim: While much research has been conducted towards understanding the basis of visual hallucinations in Parkinson's disease, little has focused on characterizing the content and patients' emotional experience. These factors are likely very influential on a patient's decision to seek treatment, a critical aspect of any symptom from the clinical perspective. Methods: A retrospective chart analysis was performed on Parkinson's disease patients seen in a community-based Parkinson's Disease and Movement Disorder Clinic between 2005 and 2010. Results: The study consisted of 334 patients with Parkinson's disease, among whom 10.5% had visual hallucinations. Hoehn and Yahr disease stage (P = 0.001), concurrent presence of dementia (P = 0.001), and sex (P = 0.031) were significant onset predictors. The most significant determinant of treatment-seeking was emotional reaction, namely whether hallucinations were bothersome (P = 0.008). However, the specific type of content during hallucinations was sometimes more influential and contradicted emotional response. Conclusion: Although treatment-seeking can be predicted by how individuals feel about hallucinations, a patient's decision may not be logically consistent. We suggest that clinicians offer treatment based on patients' recollections and opinions.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>1323-1316</s0></fA01><fA03 i2="1"><s0>Psychiatry clin. neurosci. : (Carlton. 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Hoehn and Yahr disease stage (P = 0.001), concurrent presence of dementia (P = 0.001), and sex (P = 0.031) were significant onset predictors. The most significant determinant of treatment-seeking was emotional reaction, namely whether hallucinations were bothersome (P = 0.008). However, the specific type of content during hallucinations was sometimes more influential and contradicted emotional response. Conclusion: Although treatment-seeking can be predicted by how individuals feel about hallucinations, a patient's decision may not be logically consistent. 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