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Symptomatology and Markers of Anxiety Disorders in Parkinson's Disease: A Cross-Sectional Study

Identifieur interne : 001E14 ( PascalFrancis/Corpus ); précédent : 001E13; suivant : 001E15

Symptomatology and Markers of Anxiety Disorders in Parkinson's Disease: A Cross-Sectional Study

Auteurs : Albert F. G. Leentjens ; Kathy Dujardin ; Laura Marsh ; Pablo Martinez-Martin ; Irene H. Richard ; Sergio E. Starkstein

Source :

RBID : Pascal:11-0211297

Descripteurs français

English descriptors

Abstract

Anxiety is understudied in Parkinson's disease (PD), which is not justified by the prevalence and impact of anxiety disorders on quality of life in PD patients. In this cross-sectional study, 342 patients suffering from idiopathic PD underwent a research-based assessment including DSM IV criteria for anxiety disorders, the Hamilton anxiety rating scale (HARS) and the beck anxiety inventory (BAI). Thirty-four percent (34%) of subjects met the DSM IV criteria for at least one anxiety disorder; 11.8% met criteria for multiple anxiety disorders; and 11.4% had clinically relevant anxiety symptoms without meeting the criteria for any specific anxiety disorder. Score profiles on the HARS and BAI differed significantly between the disorders, but these differences were associated with different scores on a limited number of items, and the respective symptom profiles were not readily interpretable. Female sex, the presence of motor fluctuations, as well as a previous history of an anxiety disorder were markers for anxiety disorders. The use of a mono-amino oxidase (MAO)-B inhibitor was associated with a reduced prevalence of anxiety disorders. Research into anxiety in PD is hampered by the questionable validity of DSM IV defined anxiety disorders in this population. A first focus for research should therefore be the identification of clinically useful anxiety presentations and their validation in PD.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Symptomatology and Markers of Anxiety Disorders in Parkinson's Disease: A Cross-Sectional Study
A11 01  1    @1 LEENTJENS (Albert F. G.)
A11 02  1    @1 DUJARDIN (Kathy)
A11 03  1    @1 MARSH (Laura)
A11 04  1    @1 MARTINEZ-MARTIN (Pablo)
A11 05  1    @1 RICHARD (Irene H.)
A11 06  1    @1 STARKSTEIN (Sergio E.)
A14 01      @1 Department of Psychiatry, Maastricht University Medical Center @2 Maastricht @3 NLD @Z 1 aut.
A14 02      @1 Neurology and Movement Disorders Unit, Lille University Hospital @2 Lille @3 FRA @Z 2 aut.
A14 03      @1 Departments of Psychiatry and Neurology, Johns Hopkins University School of Medicine @2 Baltimore @3 USA @Z 3 aut.
A14 04      @1 Area of Applied Epidemiology and CIBERNED, National Centre for Epidemiology, Carlos III Institute of Health @2 Madrid @3 ESP @Z 4 aut.
A14 05      @1 Departments of Neurology and Psychiatry, University of Rochester School of Medicine and Dentistry @2 Rochester @3 USA @Z 5 aut.
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C01 01    ENG  @0 Anxiety is understudied in Parkinson's disease (PD), which is not justified by the prevalence and impact of anxiety disorders on quality of life in PD patients. In this cross-sectional study, 342 patients suffering from idiopathic PD underwent a research-based assessment including DSM IV criteria for anxiety disorders, the Hamilton anxiety rating scale (HARS) and the beck anxiety inventory (BAI). Thirty-four percent (34%) of subjects met the DSM IV criteria for at least one anxiety disorder; 11.8% met criteria for multiple anxiety disorders; and 11.4% had clinically relevant anxiety symptoms without meeting the criteria for any specific anxiety disorder. Score profiles on the HARS and BAI differed significantly between the disorders, but these differences were associated with different scores on a limited number of items, and the respective symptom profiles were not readily interpretable. Female sex, the presence of motor fluctuations, as well as a previous history of an anxiety disorder were markers for anxiety disorders. The use of a mono-amino oxidase (MAO)-B inhibitor was associated with a reduced prevalence of anxiety disorders. Research into anxiety in PD is hampered by the questionable validity of DSM IV defined anxiety disorders in this population. A first focus for research should therefore be the identification of clinically useful anxiety presentations and their validation in PD.
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Format Inist (serveur)

NO : PASCAL 11-0211297 INIST
ET : Symptomatology and Markers of Anxiety Disorders in Parkinson's Disease: A Cross-Sectional Study
AU : LEENTJENS (Albert F. G.); DUJARDIN (Kathy); MARSH (Laura); MARTINEZ-MARTIN (Pablo); RICHARD (Irene H.); STARKSTEIN (Sergio E.)
AF : Department of Psychiatry, Maastricht University Medical Center/Maastricht/Pays-Bas (1 aut.); Neurology and Movement Disorders Unit, Lille University Hospital/Lille/France (2 aut.); Departments of Psychiatry and Neurology, Johns Hopkins University School of Medicine/Baltimore/Etats-Unis (3 aut.); Area of Applied Epidemiology and CIBERNED, National Centre for Epidemiology, Carlos III Institute of Health/Madrid/Espagne (4 aut.); Departments of Neurology and Psychiatry, University of Rochester School of Medicine and Dentistry/Rochester/Etats-Unis (5 aut.); School of Psychiatry, University of Western Australia and Fremantle Hospital/Fremantle/Australie (6 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 3; Pp. 484-492; Bibl. 29 ref.
LA : Anglais
EA : Anxiety is understudied in Parkinson's disease (PD), which is not justified by the prevalence and impact of anxiety disorders on quality of life in PD patients. In this cross-sectional study, 342 patients suffering from idiopathic PD underwent a research-based assessment including DSM IV criteria for anxiety disorders, the Hamilton anxiety rating scale (HARS) and the beck anxiety inventory (BAI). Thirty-four percent (34%) of subjects met the DSM IV criteria for at least one anxiety disorder; 11.8% met criteria for multiple anxiety disorders; and 11.4% had clinically relevant anxiety symptoms without meeting the criteria for any specific anxiety disorder. Score profiles on the HARS and BAI differed significantly between the disorders, but these differences were associated with different scores on a limited number of items, and the respective symptom profiles were not readily interpretable. Female sex, the presence of motor fluctuations, as well as a previous history of an anxiety disorder were markers for anxiety disorders. The use of a mono-amino oxidase (MAO)-B inhibitor was associated with a reduced prevalence of anxiety disorders. Research into anxiety in PD is hampered by the questionable validity of DSM IV defined anxiety disorders in this population. A first focus for research should therefore be the identification of clinically useful anxiety presentations and their validation in PD.
CC : 002B17; 002B17G
FD : Trouble anxieux; Maladie de Parkinson; Angoisse anxiété; Etat dépressif; Pathologie du système nerveux; Symptomatologie; Etude transversale; Echelle d'évaluation; Inventaire
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Affect affectivité; Trouble de l'humeur
ED : Anxiety disorder; Parkinson disease; Anxiety; Depression; Nervous system diseases; Symptomatology; Cross sectional study; Evaluation scale; Inventory
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Affect affectivity; Mood disorder
SD : Trastorno ansiedad; Parkinson enfermedad; Angustia ansiedad; Estado depresivo; Sistema nervioso patología; Sintomatología; Estudio transversal; Escala evaluación; Inventario
LO : INIST-20953.354000190875360170
ID : 11-0211297

Links to Exploration step

Pascal:11-0211297

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<fC03 i1="01" i2="X" l="ENG">
<s0>Anxiety disorder</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Trastorno ansiedad</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Maladie de Parkinson</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Parkinson enfermedad</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Angoisse anxiété</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Anxiety</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Angustia ansiedad</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Etat dépressif</s0>
<s5>04</s5>
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<fC03 i1="04" i2="X" l="ENG">
<s0>Depression</s0>
<s5>04</s5>
</fC03>
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<s0>Estado depresivo</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>05</s5>
</fC03>
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<s0>Nervous system diseases</s0>
<s5>05</s5>
</fC03>
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<s0>Sistema nervioso patología</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Symptomatologie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Symptomatology</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Sintomatología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Etude transversale</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Cross sectional study</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Estudio transversal</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Echelle d'évaluation</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Evaluation scale</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Escala evaluación</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Inventaire</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Inventory</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Inventario</s0>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Affect affectivité</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Affect affectivity</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Afecto afectividad</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Trouble de l'humeur</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Mood disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Trastorno humor</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>143</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
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<server>
<NO>PASCAL 11-0211297 INIST</NO>
<ET>Symptomatology and Markers of Anxiety Disorders in Parkinson's Disease: A Cross-Sectional Study</ET>
<AU>LEENTJENS (Albert F. G.); DUJARDIN (Kathy); MARSH (Laura); MARTINEZ-MARTIN (Pablo); RICHARD (Irene H.); STARKSTEIN (Sergio E.)</AU>
<AF>Department of Psychiatry, Maastricht University Medical Center/Maastricht/Pays-Bas (1 aut.); Neurology and Movement Disorders Unit, Lille University Hospital/Lille/France (2 aut.); Departments of Psychiatry and Neurology, Johns Hopkins University School of Medicine/Baltimore/Etats-Unis (3 aut.); Area of Applied Epidemiology and CIBERNED, National Centre for Epidemiology, Carlos III Institute of Health/Madrid/Espagne (4 aut.); Departments of Neurology and Psychiatry, University of Rochester School of Medicine and Dentistry/Rochester/Etats-Unis (5 aut.); School of Psychiatry, University of Western Australia and Fremantle Hospital/Fremantle/Australie (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 3; Pp. 484-492; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<EA>Anxiety is understudied in Parkinson's disease (PD), which is not justified by the prevalence and impact of anxiety disorders on quality of life in PD patients. In this cross-sectional study, 342 patients suffering from idiopathic PD underwent a research-based assessment including DSM IV criteria for anxiety disorders, the Hamilton anxiety rating scale (HARS) and the beck anxiety inventory (BAI). Thirty-four percent (34%) of subjects met the DSM IV criteria for at least one anxiety disorder; 11.8% met criteria for multiple anxiety disorders; and 11.4% had clinically relevant anxiety symptoms without meeting the criteria for any specific anxiety disorder. Score profiles on the HARS and BAI differed significantly between the disorders, but these differences were associated with different scores on a limited number of items, and the respective symptom profiles were not readily interpretable. Female sex, the presence of motor fluctuations, as well as a previous history of an anxiety disorder were markers for anxiety disorders. The use of a mono-amino oxidase (MAO)-B inhibitor was associated with a reduced prevalence of anxiety disorders. Research into anxiety in PD is hampered by the questionable validity of DSM IV defined anxiety disorders in this population. A first focus for research should therefore be the identification of clinically useful anxiety presentations and their validation in PD.</EA>
<CC>002B17; 002B17G</CC>
<FD>Trouble anxieux; Maladie de Parkinson; Angoisse anxiété; Etat dépressif; Pathologie du système nerveux; Symptomatologie; Etude transversale; Echelle d'évaluation; Inventaire</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Affect affectivité; Trouble de l'humeur</FG>
<ED>Anxiety disorder; Parkinson disease; Anxiety; Depression; Nervous system diseases; Symptomatology; Cross sectional study; Evaluation scale; Inventory</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Affect affectivity; Mood disorder</EG>
<SD>Trastorno ansiedad; Parkinson enfermedad; Angustia ansiedad; Estado depresivo; Sistema nervioso patología; Sintomatología; Estudio transversal; Escala evaluación; Inventario</SD>
<LO>INIST-20953.354000190875360170</LO>
<ID>11-0211297</ID>
</server>
</inist>
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