Subjectively perceived personality and mood changes associated with subthalamic stimulation in patients with Parkinson's disease.
Identifieur interne : 000618 ( PubMed/Corpus ); précédent : 000617; suivant : 000619Subjectively perceived personality and mood changes associated with subthalamic stimulation in patients with Parkinson's disease.
Auteurs : C J Lewis ; F. Maier ; N. Horstkötter ; A. Zywczok ; K. Witt ; C. Eggers ; T D Meyer ; T A Dembek ; M. Maarouf ; E. Moro ; M. Zurowski ; C. Woopen ; J. Kuhn ; L. TimmermannSource :
- Psychological medicine [ 1469-8978 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Aged, Analysis of Variance, Caregivers, Deep Brain Stimulation (adverse effects), Female, Germany (epidemiology), Humans, Interviews as Topic, Male, Middle Aged, Mood Disorders (epidemiology), Mood Disorders (etiology), Parkinson Disease (surgery), Personality Disorders (epidemiology), Personality Disorders (etiology), Prospective Studies, Psychiatric Status Rating Scales, Quality of Life, Subthalamus.
- MESH :
- geographic , epidemiology : Germany.
- adverse effects : Deep Brain Stimulation.
- epidemiology : Mood Disorders, Personality Disorders.
- etiology : Mood Disorders, Personality Disorders.
- surgery : Parkinson Disease.
- Adult, Aged, Analysis of Variance, Caregivers, Female, Humans, Interviews as Topic, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Quality of Life, Subthalamus.
Abstract
Clinical and ethical implications of personality and mood changes in Parkinson's disease (PD) patients treated with subthalamic deep brain stimulation (STN-DBS) are under debate. Although subjectively perceived personality changes are often mentioned by patients and caregivers, few empirical studies concerning these changes exist. Therefore, we analysed subjectively perceived personality and mood changes in STN-DBS PD patients.
DOI: 10.1017/S0033291714001081
PubMed: 25066623
Links to Exploration step
pubmed:25066623Le document en format XML
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Horstkötter</name><affiliation><nlm:affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Zywczok, A" sort="Zywczok, A" uniqKey="Zywczok A" first="A" last="Zywczok">A. Zywczok</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Witt, K" sort="Witt, K" uniqKey="Witt K" first="K" last="Witt">K. Witt</name><affiliation><nlm:affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Eggers, C" sort="Eggers, C" uniqKey="Eggers C" first="C" last="Eggers">C. Eggers</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Meyer, T D" sort="Meyer, T D" uniqKey="Meyer T" first="T D" last="Meyer">T D Meyer</name><affiliation><nlm:affiliation>Institute of Neuroscience,Newcastle University,Newcastle upon Tyne,UK.</nlm:affiliation></affiliation></author><author><name sortKey="Dembek, T A" sort="Dembek, T A" uniqKey="Dembek T" first="T A" last="Dembek">T A Dembek</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Maarouf, M" sort="Maarouf, M" uniqKey="Maarouf M" first="M" last="Maarouf">M. Maarouf</name><affiliation><nlm:affiliation>Department of Stereotaxy and Functional Neurosurgery,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. Moro</name><affiliation><nlm:affiliation>Movement Disorders Unit, Department of Psychiatry and Neurology,University Hospital Center (CHU) of Grenoble,Grenoble,France.</nlm:affiliation></affiliation></author><author><name sortKey="Zurowski, M" sort="Zurowski, M" uniqKey="Zurowski M" first="M" last="Zurowski">M. Zurowski</name><affiliation><nlm:affiliation>Department of Psychiatry,University of Toronto, University Health Network,Toronto,Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Woopen, C" sort="Woopen, C" uniqKey="Woopen C" first="C" last="Woopen">C. Woopen</name><affiliation><nlm:affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Kuhn, J" sort="Kuhn, J" uniqKey="Kuhn J" first="J" last="Kuhn">J. Kuhn</name><affiliation><nlm:affiliation>Department of Psychiatry and Psychotherapy,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Timmermann, L" sort="Timmermann, L" uniqKey="Timmermann L" first="L" last="Timmermann">L. Timmermann</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25066623</idno><idno type="pmid">25066623</idno><idno type="doi">10.1017/S0033291714001081</idno><idno type="wicri:Area/PubMed/Corpus">000618</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000618</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Subjectively perceived personality and mood changes associated with subthalamic stimulation in patients with Parkinson's disease.</title><author><name sortKey="Lewis, C J" sort="Lewis, C J" uniqKey="Lewis C" first="C J" last="Lewis">C J Lewis</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Maier, F" sort="Maier, F" uniqKey="Maier F" first="F" last="Maier">F. Maier</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Horstkotter, N" sort="Horstkotter, N" uniqKey="Horstkotter N" first="N" last="Horstkötter">N. Horstkötter</name><affiliation><nlm:affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Zywczok, A" sort="Zywczok, A" uniqKey="Zywczok A" first="A" last="Zywczok">A. Zywczok</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Witt, K" sort="Witt, K" uniqKey="Witt K" first="K" last="Witt">K. Witt</name><affiliation><nlm:affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Eggers, C" sort="Eggers, C" uniqKey="Eggers C" first="C" last="Eggers">C. Eggers</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Meyer, T D" sort="Meyer, T D" uniqKey="Meyer T" first="T D" last="Meyer">T D Meyer</name><affiliation><nlm:affiliation>Institute of Neuroscience,Newcastle University,Newcastle upon Tyne,UK.</nlm:affiliation></affiliation></author><author><name sortKey="Dembek, T A" sort="Dembek, T A" uniqKey="Dembek T" first="T A" last="Dembek">T A Dembek</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Maarouf, M" sort="Maarouf, M" uniqKey="Maarouf M" first="M" last="Maarouf">M. Maarouf</name><affiliation><nlm:affiliation>Department of Stereotaxy and Functional Neurosurgery,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. Moro</name><affiliation><nlm:affiliation>Movement Disorders Unit, Department of Psychiatry and Neurology,University Hospital Center (CHU) of Grenoble,Grenoble,France.</nlm:affiliation></affiliation></author><author><name sortKey="Zurowski, M" sort="Zurowski, M" uniqKey="Zurowski M" first="M" last="Zurowski">M. Zurowski</name><affiliation><nlm:affiliation>Department of Psychiatry,University of Toronto, University Health Network,Toronto,Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Woopen, C" sort="Woopen, C" uniqKey="Woopen C" first="C" last="Woopen">C. Woopen</name><affiliation><nlm:affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Kuhn, J" sort="Kuhn, J" uniqKey="Kuhn J" first="J" last="Kuhn">J. Kuhn</name><affiliation><nlm:affiliation>Department of Psychiatry and Psychotherapy,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Timmermann, L" sort="Timmermann, L" uniqKey="Timmermann L" first="L" last="Timmermann">L. Timmermann</name><affiliation><nlm:affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Psychological medicine</title><idno type="eISSN">1469-8978</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Caregivers</term><term>Deep Brain Stimulation (adverse effects)</term><term>Female</term><term>Germany (epidemiology)</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Mood Disorders (epidemiology)</term><term>Mood Disorders (etiology)</term><term>Parkinson Disease (surgery)</term><term>Personality Disorders (epidemiology)</term><term>Personality Disorders (etiology)</term><term>Prospective Studies</term><term>Psychiatric Status Rating Scales</term><term>Quality of Life</term><term>Subthalamus</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mood Disorders</term><term>Personality Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Mood Disorders</term><term>Personality Disorders</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Caregivers</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Psychiatric Status Rating Scales</term><term>Quality of Life</term><term>Subthalamus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Clinical and ethical implications of personality and mood changes in Parkinson's disease (PD) patients treated with subthalamic deep brain stimulation (STN-DBS) are under debate. Although subjectively perceived personality changes are often mentioned by patients and caregivers, few empirical studies concerning these changes exist. Therefore, we analysed subjectively perceived personality and mood changes in STN-DBS PD patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25066623</PMID><DateCreated><Year>2014</Year><Month>12</Month><Day>04</Day></DateCreated><DateCompleted><Year>2015</Year><Month>08</Month><Day>03</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1469-8978</ISSN><JournalIssue CitedMedium="Internet"><Volume>45</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Psychological medicine</Title><ISOAbbreviation>Psychol Med</ISOAbbreviation></Journal><ArticleTitle>Subjectively perceived personality and mood changes associated with subthalamic stimulation in patients with Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>73-85</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/S0033291714001081</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Clinical and ethical implications of personality and mood changes in Parkinson's disease (PD) patients treated with subthalamic deep brain stimulation (STN-DBS) are under debate. Although subjectively perceived personality changes are often mentioned by patients and caregivers, few empirical studies concerning these changes exist. Therefore, we analysed subjectively perceived personality and mood changes in STN-DBS PD patients.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">In this prospective study of the ELSA-DBS group, 27 PD patients were assessed preoperatively and 1 year after STN-DBS surgery. Two categories, personality and mood changes, were analysed with semi-structured interviews. Patients were grouped into personality change yes/no, as well as positive/negative mood change groups. Caregivers were additionally interviewed about patients' personality changes. Characteristics of each group were assessed with standard neurological and psychiatric measurements. Predictors for changes were analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Personality changes were perceived by six of 27 (22%) patients and by 10 of 23 caregivers (44%). The preoperative hypomania trait was a significant predictor for personality change perceived by patients. Of 21 patients, 12 (57%) perceived mood as positively changed. Higher apathy and anxiety ratings were found in the negative change group.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our results show that a high proportion of PD patients and caregivers perceived personality changes under STN-DBS, emphasizing the relevance of this topic. Mood changed in positive and negative directions. Standard measurement scales failed to adequately reflect personality or mood changes subjectively perceived by patients. A more individualized preoperative screening and preparation for patients and caregivers, as well as postoperative support, could therefore be useful.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lewis</LastName><ForeName>C J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maier</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Horstkötter</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zywczok</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Witt</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eggers</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meyer</LastName><ForeName>T D</ForeName><Initials>TD</Initials><AffiliationInfo><Affiliation>Institute of Neuroscience,Newcastle University,Newcastle upon Tyne,UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dembek</LastName><ForeName>T A</ForeName><Initials>TA</Initials><AffiliationInfo><Affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maarouf</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Stereotaxy and Functional Neurosurgery,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moro</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Movement Disorders Unit, Department of Psychiatry and Neurology,University Hospital Center (CHU) of Grenoble,Grenoble,France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zurowski</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Psychiatry,University of Toronto, University Health Network,Toronto,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Woopen</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Research Unit Ethics, Institute for the History of Medicine and Medical Ethics,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuhn</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Psychotherapy,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Timmermann</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Neurology,University of Cologne,Cologne,Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>05</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Psychol Med</MedlineTA><NlmUniqueID>1254142</NlmUniqueID><ISSNLinking>0033-2917</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="N">Caregivers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D046690" MajorTopicYN="N">Deep Brain Stimulation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019964" MajorTopicYN="N">Mood Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010554" MajorTopicYN="N">Personality Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020530" MajorTopicYN="N">Subthalamus</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate 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