Philadelphia Geriatric Morale Scale in essential tremor: A population‐based study in three Spanish communities
Identifieur interne : 002693 ( Main/Exploration ); précédent : 002692; suivant : 002694Philadelphia Geriatric Morale Scale in essential tremor: A population‐based study in three Spanish communities
Auteurs : Elan D. Louis [États-Unis] ; Julián Benito-Le N [Espagne] ; Félix Bermejo-Pareja [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-07-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Aging (psychology), Antidepressive Agents (therapeutic use), Arthritis (epidemiology), Attitude to Health, Comorbidity, Depression (drug therapy), Depression (etiology), Depression (psychology), Epidemiology, Essential Tremor (psychology), Female, Geriatrics, Humans, Male, Morale, Nervous system diseases, Predictive Value of Tests, Quality of life, Questionnaires, Severity of Illness Index, Smoking (epidemiology), Spain (epidemiology), Spanish, Tremor, epidemiology, essential tremor, morale, quality of life.
- MESH :
- chemical , therapeutic use : Antidepressive Agents.
- geographic , epidemiology : Spain.
- drug therapy : Depression.
- epidemiology : Arthritis, Smoking.
- etiology : Depression.
- psychology : Aging, Depression, Essential Tremor.
- Aged, Aged, 80 and over, Attitude to Health, Comorbidity, Female, Humans, Male, Morale, Predictive Value of Tests, Questionnaires, Severity of Illness Index.
Abstract
Essential tremor (ET) is associated with both functional disability and depression. Each could contribute to a poor sense of well‐being and low morale. We hypothesized that morale would be lower in ET cases than controls. Using a population‐based, cross‐sectional design, morale was assessed in 187 ET cases and 561 matched controls living in three communities in central Spain using the Philadelphia Geriatric Center Morale Scale (PGCMS) (range = 0 [low morale]–17), which included three‐dimensions of psychological well‐being: agitation, lonely dissatisfaction, and attitude toward own aging. The PGCMS score was lower in ET cases than controls (9.41 ± 3.21 vs. 10.39 ± 2.92, P < 0.001), as were the Agitation subscore (3.17 ± 1.71 vs. 3.78 ± 1.67, P< 0.001) and Lonely Dissatisfaction subscore (3.75 ± 1.34 vs. 4.02 ± 1.24, P < 0.05). Nearly one‐half of the ET cases were classified as having low morale compared with only one‐third of controls (P = 0.006). In a linear regression analysis adjusting for demographic factors and multiple comorbid conditions, ET cases had a lower log PGCMS score than controls (P < 0.001). Exclusion of participants on antidepressant medication did not change the results. Our results indicate that morale is significantly lower in community‐dwelling ET cases than in matched controls. This lower morale could in part be a proxy for mild, untreated depression. It therefore seems important to detect and then possibly treat this problem to improve the psychological well‐being of patients with this disease. © 2008 Movement Disorder Society
Url:
- https://api.istex.fr/document/388CB66FC07C02D3950F8811ED8E13FE5C31D034/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2683421
DOI: 10.1002/mds.22124
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="fr">Essential tremor (ET) is associated with both functional disability and depression. Each could contribute to a poor sense of well‐being and low morale. We hypothesized that morale would be lower in ET cases than controls. Using a population‐based, cross‐sectional design, morale was assessed in 187 ET cases and 561 matched controls living in three communities in central Spain using the Philadelphia Geriatric Center Morale Scale (PGCMS) (range = 0 [low morale]–17), which included three‐dimensions of psychological well‐being: agitation, lonely dissatisfaction, and attitude toward own aging. The PGCMS score was lower in ET cases than controls (9.41 ± 3.21 vs. 10.39 ± 2.92, P < 0.001), as were the Agitation subscore (3.17 ± 1.71 vs. 3.78 ± 1.67, P< 0.001) and Lonely Dissatisfaction subscore (3.75 ± 1.34 vs. 4.02 ± 1.24, P < 0.05). Nearly one‐half of the ET cases were classified as having low morale compared with only one‐third of controls (P = 0.006). In a linear regression analysis adjusting for demographic factors and multiple comorbid conditions, ET cases had a lower log PGCMS score than controls (P < 0.001). Exclusion of participants on antidepressant medication did not change the results. Our results indicate that morale is significantly lower in community‐dwelling ET cases than in matched controls. This lower morale could in part be a proxy for mild, untreated depression. It therefore seems important to detect and then possibly treat this problem to improve the psychological well‐being of patients with this disease. © 2008 Movement Disorder Society</div>
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