Serveur d'exploration autour de Joseph Jankovic

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Changes in cognitive-emotional and physiological symptoms of depression following STN-DBS for the treatment of Parkinson's disease.

Identifieur interne : 000065 ( PubMed/Checkpoint ); précédent : 000064; suivant : 000066

Changes in cognitive-emotional and physiological symptoms of depression following STN-DBS for the treatment of Parkinson's disease.

Auteurs : A Strutt [États-Unis] ; R. Simpson ; Joseph Jankovic [États-Unis] ; M York

Source :

RBID : pubmed:21668586

English descriptors

Abstract

Subthalamic nucleus deep brain stimulation (STN-DBS) has been shown to have beneficial effects on the motor features of Parkinson's disease (PD), but its impact on non-motor symptoms, most notably mood, has not been fully explored.

DOI: 10.1111/j.1468-1331.2011.03447.x
PubMed: 21668586


Affiliations:


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pubmed:21668586

Le document en format XML

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<title xml:lang="en">Changes in cognitive-emotional and physiological symptoms of depression following STN-DBS for the treatment of Parkinson's disease.</title>
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<name sortKey="Strutt, A M" sort="Strutt, A M" uniqKey="Strutt A" first="A" last="Strutt">A Strutt</name>
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<nlm:affiliation>Department of Neurology, Baylor College of Medicine, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Baylor College of Medicine, Houston, TX</wicri:regionArea>
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<region type="state">Texas</region>
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<name sortKey="Simpson, R" sort="Simpson, R" uniqKey="Simpson R" first="R" last="Simpson">R. Simpson</name>
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<name sortKey="Jankovic, J" sort="Jankovic, J" uniqKey="Jankovic J" first="J" last="Jankovic">Joseph Jankovic</name>
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<name sortKey="York, M K" sort="York, M K" uniqKey="York M" first="M" last="York">M York</name>
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<term>Cognition (physiology)</term>
<term>Deep Brain Stimulation (adverse effects)</term>
<term>Depression (etiology)</term>
<term>Depression (psychology)</term>
<term>Emotions (physiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson Disease (therapy)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Deep Brain Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Depression</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Cognition</term>
<term>Emotions</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Depression</term>
<term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Subthalamic nucleus deep brain stimulation (STN-DBS) has been shown to have beneficial effects on the motor features of Parkinson's disease (PD), but its impact on non-motor symptoms, most notably mood, has not been fully explored.</div>
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<Title>European journal of neurology</Title>
<ISOAbbreviation>Eur. J. Neurol.</ISOAbbreviation>
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<ArticleTitle>Changes in cognitive-emotional and physiological symptoms of depression following STN-DBS for the treatment of Parkinson's disease.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Subthalamic nucleus deep brain stimulation (STN-DBS) has been shown to have beneficial effects on the motor features of Parkinson's disease (PD), but its impact on non-motor symptoms, most notably mood, has not been fully explored.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In the first study to independently compare the emotional-cognitive and somatic/physiological symptoms of depression, we examined mood differences in 17 bilateral STN-DBS and 22 matched non-surgical PD patients at baseline and 6 months.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The STN-DBS group reported higher levels of depression at baseline with significant endorsement of physical symptomatology. Postoperatively, no significant between-group differences in physical symptoms of depression were found. In contrast, a significant group by time interaction for cognitive-emotional symptoms of depression was found, with the STN-DBS group reporting an increase in psychological symptoms of distress. The STN-DBS group also reported an increase in anxiety following surgery. The suicide rate of 5% found in our study is consistent with other postoperative studies in PD. The impact of changes in levodopa and psychotropic medication are also explored.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Preliminary results suggest that the motor improvement often observed in patients with PD following bilateral STN-DBS may be partially offset by an increase in affective-cognitive symptoms of depression.</AbstractText>
<CopyrightInformation>© 2011 The Author(s). European Journal of Neurology © 2011 EFNS.</CopyrightInformation>
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