Assessing self-awareness of dyskinesias in Parkinson’s disease through movie materials
Identifieur interne : 000215 ( Main/Exploration ); précédent : 000214; suivant : 000216Assessing self-awareness of dyskinesias in Parkinson’s disease through movie materials
Auteurs : Emilia J. Sitek ; Witold Soltan ; Dariusz Wieczorek ; Piotr Robowski ; Michal Schinwelski ; Jaroslaw SlawekSource :
- Functional Neurology [ 0393-5264 ] ; 2011.
Abstract
The aim of our study was to determine self-awareness of dyskinesias and other core motor symptoms in Parkinson’s disease (PD) through the use of movie presentations. A scale based on 10 movies (five depicting dyskinesias and five showing core symptoms) and the Self-Assessment Parkinson’s Disease Disability Scale were administered to 21 patients (all with a Mini-Mental State Examination – MMSE score ≥25). Neurological assessment included the Unified Parkinson’s Disease Rating Scale and the Hoehn-Yahr and Schwab-England scales. In addition, the MMSE, Beck Depression Inventory and Stroop task were administered. Overall, patient and caregiver ratings of dyskinesias and core PD symptoms were consistent. Two patients (9%) completely denied dyskinesias, while four patients (19%) significantly underestimated their dyskinesias. Our results confirm that poor self-awareness of symptoms in PD may be selective and that denial of dyskinesias affects only a minority of patients with normal cognitive status (MMSE≥25). Most patients are aware of the presence of dyskinesias. Poor self-awareness of dyskinesias is associated with longer disease duration.
Url:
PubMed: 22152432
PubMed Central: 3814553
Affiliations:
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<front><div type="abstract" xml:lang="en"><title>Summary
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<p>The aim of our study was to determine self-awareness of dyskinesias and other core motor symptoms in Parkinson’s disease (PD) through the use of movie presentations. A scale based on 10 movies (five depicting dyskinesias and five showing core symptoms) and the Self-Assessment Parkinson’s Disease Disability Scale were administered to 21 patients (all with a Mini-Mental State Examination – MMSE score ≥25). Neurological assessment included the Unified Parkinson’s Disease Rating Scale and the Hoehn-Yahr and Schwab-England scales. In addition, the MMSE, Beck Depression Inventory and Stroop task were administered. Overall, patient and caregiver ratings of dyskinesias and core PD symptoms were consistent. Two patients (9%) completely denied dyskinesias, while four patients (19%) significantly underestimated their dyskinesias. Our results confirm that poor self-awareness of symptoms in PD may be selective and that denial of dyskinesias affects only a minority of patients with normal cognitive status (MMSE≥25). Most patients are aware of the presence of dyskinesias. Poor self-awareness of dyskinesias is associated with longer disease duration.
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<name sortKey="Sitek, Emilia J" sort="Sitek, Emilia J" uniqKey="Sitek E" first="Emilia J." last="Sitek">Emilia J. Sitek</name>
<name sortKey="Slawek, Jaroslaw" sort="Slawek, Jaroslaw" uniqKey="Slawek J" first="Jaroslaw" last="Slawek">Jaroslaw Slawek</name>
<name sortKey="Soltan, Witold" sort="Soltan, Witold" uniqKey="Soltan W" first="Witold" last="Soltan">Witold Soltan</name>
<name sortKey="Wieczorek, Dariusz" sort="Wieczorek, Dariusz" uniqKey="Wieczorek D" first="Dariusz" last="Wieczorek">Dariusz Wieczorek</name>
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