Movement Disorders (revue)

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A Systematic Review of Prevalence Studies of Depression in Parkinson's Disease

Identifieur interne : 001925 ( PascalFrancis/Curation ); précédent : 001924; suivant : 001926

A Systematic Review of Prevalence Studies of Depression in Parkinson's Disease

Auteurs : Jennifer S. A. M. Reijnders [Pays-Bas] ; Uwe Ehrt [Norvège] ; Wim E. J. Weber [Pays-Bas] ; Dag Aarsland [Norvège] ; Albert F. G. Leentjens [Pays-Bas]

Source :

RBID : Pascal:08-0133658

Descripteurs français

English descriptors

Abstract

Prevalence rates of depressive disorders in Parkinson's disease (PD) vary widely across studies, ranging from 2.7% to more than 90%. The aim of this systematic review was to calculate average prevalences of depressive disorders taking into account the different settings and different diagnostic approaches of studies. Using Medline on Pubmed, a systematic literature search was carried out for studies of depression in Parkinson's disease. A total of 104 articles were included and assessed for quality; 51 articles fulfilled the quality criteria. Multiple publications from the same database were not included in the meta-analysis. In the remaining 36 articles, the weighted prevalence of major depressive disorder was 17% of PD patients, that of minor depression 22% and dysthymia 13%. Clinically significant depressive symptoms, irrespective of the presence of a DSM defined depressive disorder, were present in 35%. In studies using a (semi) structured interview to establish DSM criteria, the reported prevalence of major depressive disorder was 19%, while in studies using DSM criteria without a structured interview, the reported prevalence of major depressive disorder was 7%. Population studies report lower prevalence rates for both major depressive disorder and the clinically significant depressive symptoms than studies in other settings. This systematic review suggests that the average prevalence of major depressive disorder in PD is substantial, but lower than generally assumed.
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A11 04  1    @1 AARSLAND (Dag)
A11 05  1    @1 LEENTJENS (Albert F. G.)
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C01 01    ENG  @0 Prevalence rates of depressive disorders in Parkinson's disease (PD) vary widely across studies, ranging from 2.7% to more than 90%. The aim of this systematic review was to calculate average prevalences of depressive disorders taking into account the different settings and different diagnostic approaches of studies. Using Medline on Pubmed, a systematic literature search was carried out for studies of depression in Parkinson's disease. A total of 104 articles were included and assessed for quality; 51 articles fulfilled the quality criteria. Multiple publications from the same database were not included in the meta-analysis. In the remaining 36 articles, the weighted prevalence of major depressive disorder was 17% of PD patients, that of minor depression 22% and dysthymia 13%. Clinically significant depressive symptoms, irrespective of the presence of a DSM defined depressive disorder, were present in 35%. In studies using a (semi) structured interview to establish DSM criteria, the reported prevalence of major depressive disorder was 19%, while in studies using DSM criteria without a structured interview, the reported prevalence of major depressive disorder was 7%. Population studies report lower prevalence rates for both major depressive disorder and the clinically significant depressive symptoms than studies in other settings. This systematic review suggests that the average prevalence of major depressive disorder in PD is substantial, but lower than generally assumed.
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C03 01  X  ENG  @0 Depression @5 01
C03 01  X  SPA  @0 Estado depresivo @5 01
C03 02  X  FRE  @0 Maladie de Parkinson @2 NM @5 02
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C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Prévalence @5 09
C03 04  X  ENG  @0 Prevalence @5 09
C03 04  X  SPA  @0 Prevalencia @5 09
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C07 01  X  ENG  @0 Mood disorder @5 37
C07 01  X  SPA  @0 Trastorno humor @5 37
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C07 05  X  ENG  @0 Central nervous system disease @5 41
C07 05  X  SPA  @0 Sistema nervosio central patología @5 41
N21       @1 077
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0133658

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