Assessing self-awareness of dyskinesias in Parkinson’s disease through movie materials
Identifieur interne : 000225 ( Pmc/Corpus ); précédent : 000224; suivant : 000226Assessing 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.
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PubMed: 22152432
PubMed Central: 3814553
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PMC:3814553Le document en format XML
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</title><author><name sortKey="Sitek, Emilia J" sort="Sitek, Emilia J" uniqKey="Sitek E" first="Emilia J." last="Sitek">Emilia J. Sitek</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Soltan, Witold" sort="Soltan, Witold" uniqKey="Soltan W" first="Witold" last="Soltan">Witold Soltan</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Wieczorek, Dariusz" sort="Wieczorek, Dariusz" uniqKey="Wieczorek D" first="Dariusz" last="Wieczorek">Dariusz Wieczorek</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Robowski, Piotr" sort="Robowski, Piotr" uniqKey="Robowski P" first="Piotr" last="Robowski">Piotr Robowski</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Schinwelski, Michal" sort="Schinwelski, Michal" uniqKey="Schinwelski M" first="Michal" last="Schinwelski">Michal Schinwelski</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Slawek, Jaroslaw" sort="Slawek, Jaroslaw" uniqKey="Slawek J" first="Jaroslaw" last="Slawek">Jaroslaw Slawek</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">Functional Neurology</title><idno type="ISSN">0393-5264</idno><idno type="eISSN">1971-3274</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary
</title><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.
</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Funct Neurol</journal-id><journal-id journal-id-type="publisher-id">Functional Neurology
</journal-id><journal-title-group><journal-title>Functional Neurology</journal-title></journal-title-group><issn pub-type="ppub">0393-5264</issn><issn pub-type="epub">1971-3274</issn><publisher><publisher-name>CIC Edizioni Internationali
</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22152432</article-id><article-id pub-id-type="pmc">3814553</article-id><article-id pub-id-type="publisher-id">04 pag121_126
</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Assessing self-awareness of dyskinesias in Parkinson’s disease through movie materials
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sitek</surname><given-names>Emilia J.</given-names></name><degrees>MA, PhD
</degrees><xref ref-type="aff" rid="af1-04_pag121_126"><sup>a
</sup></xref><xref ref-type="aff" rid="af2-04_pag121_126"><sup>b
</sup></xref><xref ref-type="corresp" rid="c1-04_pag121_126"></xref></contrib><contrib contrib-type="author"><name><surname>Soltan</surname><given-names>Witold</given-names></name><degrees>MD
</degrees><xref ref-type="aff" rid="af2-04_pag121_126"><sup>b
</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wieczorek</surname><given-names>Dariusz</given-names></name><degrees>MA, PhD
</degrees><xref ref-type="aff" rid="af3-04_pag121_126"><sup>c
</sup></xref></contrib><contrib contrib-type="author"><name><surname>Robowski</surname><given-names>Piotr</given-names></name><degrees>MD
</degrees><xref ref-type="aff" rid="af1-04_pag121_126"><sup>a
</sup></xref><xref ref-type="aff" rid="af2-04_pag121_126"><sup>b
</sup></xref></contrib><contrib contrib-type="author"><name><surname>Schinwelski</surname><given-names>Michal</given-names></name><degrees>MD
</degrees><xref ref-type="aff" rid="af1-04_pag121_126"><sup>a
</sup></xref><xref ref-type="aff" rid="af2-04_pag121_126"><sup>b
</sup></xref></contrib><contrib contrib-type="author"><name><surname>Slawek</surname><given-names>Jaroslaw</given-names></name><degrees>MD, PhD
</degrees><xref ref-type="aff" rid="af1-04_pag121_126"><sup>a
</sup></xref><xref ref-type="aff" rid="af2-04_pag121_126"><sup>b
</sup></xref></contrib></contrib-group><aff id="af1-04_pag121_126"><label> a</label> Department of Neurological and Psychiatric Nursing, Medical University of Gdansk, Poland</aff><aff id="af2-04_pag121_126"><label> b</label> St Adalbert Hospital, Neurology Department, Gdansk, Poland</aff><aff id="af3-04_pag121_126"><label> c</label> Department of Rehabilitation, Medical University of Gdansk, Poland</aff><author-notes><corresp id="c1-04_pag121_126">Corresponding author: Emilia J. Sitek, St Adalbert Hospital, Neurology Dpt., Al. Jana Pawla II 50, 80-462 Gdansk, Poland, E-mail:
<email>emsitek@gmail.com
</email></corresp></author-notes><pub-date pub-type="collection"><season>Jul-Sep</season><year>2011
</year></pub-date><pub-date pub-type="epub"><day>11</day><month>12</month><year>2011</year></pub-date><volume>26</volume><issue>3</issue><fpage>121
</fpage><lpage>126
</lpage><permissions><copyright-statement>Copyright ©2011, CIC Edizioni Internazionali
</copyright-statement><copyright-year>2011
</copyright-year></permissions><abstract><title>Summary
</title><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.
</p></abstract><kwd-group><kwd>awareness of movement disorders
</kwd><kwd>dyskinesias
</kwd><kwd>Parkinson’s disease
</kwd><kwd>self-awareness
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