Young‐ versus older‐onset Parkinson's disease: Impact of disease and psychosocial consequences
Identifieur interne : 003E88 ( Main/Exploration ); précédent : 003E87; suivant : 003E89Young‐ versus older‐onset Parkinson's disease: Impact of disease and psychosocial consequences
Auteurs : Anette Schrag [Royaume-Uni] ; Anna Hovris [Royaume-Uni] ; David Morley [Royaume-Uni] ; Niall Quinn [Royaume-Uni] ; Marjan Jahanshahi [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Activities of Daily Living, Adaptation, Psychological, Adult, Age Factors, Age of onset, Aged, Comparative study, Depression, Depressive Disorder, Major (diagnosis), Depressive Disorder, Major (etiology), Disability Evaluation, Exploration, Female, Human, Humans, Male, Marriage (psychology), Middle Aged, Movement Disorders (etiology), Parkinson Disease (complications), Parkinson Disease (diagnosis), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Psychosocial factor, Quality of Life, Quality of life, Questionnaires, Self Concept, Severity of Illness Index, Social Support, Socioeconomic Factors, Stereotyping, depression, health‐related quality of life, older‐onset, psychosocial impact, young‐onset.
- MESH :
- complications : Parkinson Disease.
- diagnosis : Depressive Disorder, Major, Parkinson Disease.
- etiology : Depressive Disorder, Major, Movement Disorders.
- psychology : Marriage, Parkinson Disease.
- Activities of Daily Living, Adaptation, Psychological, Adult, Age Factors, Aged, Disability Evaluation, Female, Humans, Male, Middle Aged, Quality of Life, Questionnaires, Self Concept, Severity of Illness Index, Social Support, Socioeconomic Factors, Stereotyping.
Abstract
The effect of Parkinson's disease (PD) on young patients' lives is likely to differ from that in older patients. For this study, 75 patients with onset of PD before the age of 50 and 66 patients with later onset completed a booklet of questionnaires on demographic and clinical variables, quality of life, and psychosocial factors. Apart from a higher rate of treatment‐related dyskinesias in the younger onset group, the two groups did not differ in self‐reported disease severity or disability. A higher percentage of young‐onset patients was unemployed due to disability or had retired early. Quality of life as measured on the PDQ‐39 was significantly worse in young‐onset patients than in older‐onset patients. Young‐onset patients also had worse scores on the stigma and marital satisfaction scales, and were depressed more frequently. Differences between the two groups in their most commonly employed coping strategies and in terms of their satisfaction with emotional support did not reach significance. We conclude that young‐onset patients more frequently experience loss of employment, disruption of family life, greater perceived stigmatization, and depression than do older‐onset patients with PD. In addition to more severe treatment‐related motor complications, social and psychosocial factors may contribute to greater impairment of quality of life in young patients with PD. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10527
Affiliations:
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Le document en format XML
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first="Marjan" last="Jahanshahi">Marjan Jahanshahi</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. 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For this study, 75 patients with onset of PD before the age of 50 and 66 patients with later onset completed a booklet of questionnaires on demographic and clinical variables, quality of life, and psychosocial factors. Apart from a higher rate of treatment‐related dyskinesias in the younger onset group, the two groups did not differ in self‐reported disease severity or disability. A higher percentage of young‐onset patients was unemployed due to disability or had retired early. Quality of life as measured on the PDQ‐39 was significantly worse in young‐onset patients than in older‐onset patients. Young‐onset patients also had worse scores on the stigma and marital satisfaction scales, and were depressed more frequently. Differences between the two groups in their most commonly employed coping strategies and in terms of their satisfaction with emotional support did not reach significance. We conclude that young‐onset patients more frequently experience loss of employment, disruption of family life, greater perceived stigmatization, and depression than do older‐onset patients with PD. In addition to more severe treatment‐related motor complications, social and psychosocial factors may contribute to greater impairment of quality of life in young patients with PD. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Schrag, Anette" sort="Schrag, Anette" uniqKey="Schrag A" first="Anette" last="Schrag">Anette Schrag</name></region><name sortKey="Hovris, Anna" sort="Hovris, Anna" uniqKey="Hovris A" first="Anna" last="Hovris">Anna Hovris</name><name sortKey="Jahanshahi, Marjan" sort="Jahanshahi, Marjan" uniqKey="Jahanshahi M" first="Marjan" last="Jahanshahi">Marjan Jahanshahi</name><name sortKey="Morley, David" sort="Morley, David" uniqKey="Morley D" first="David" last="Morley">David Morley</name><name sortKey="Quinn, Niall" sort="Quinn, Niall" uniqKey="Quinn N" first="Niall" last="Quinn">Niall Quinn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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