Philadelphia Geriatric Morale Scale in Essential Tremor: A Population-Based Study in Three Spanish Communities
Identifieur interne : 000433 ( Pmc/Checkpoint ); précédent : 000432; suivant : 000434Philadelphia 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 : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2008.
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.
Url:
DOI: 10.1002/mds.22124
PubMed: 18512746
PubMed Central: 2683421
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Sergievsky Center, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="A2"> Department of Neurology, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Neurology, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="A3"> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="A4"> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Benito Le N, Julian" sort="Benito Le N, Julian" uniqKey="Benito Le N J" first="Julián" last="Benito-Le N">Julián Benito-Le N</name><affiliation wicri:level="3"><nlm:aff id="A5"> The Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea> The Department of Neurology, University Hospital “12 de Octubre”, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Bermejo Pareja, Felix" sort="Bermejo Pareja, Felix" uniqKey="Bermejo Pareja F" first="Félix" last="Bermejo-Pareja">Félix Bermejo-Pareja</name><affiliation wicri:level="3"><nlm:aff id="A5"> The Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea> The Department of Neurology, University Hospital “12 de Octubre”, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18512746</idno><idno type="pmc">2683421</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2683421</idno><idno type="RBID">PMC:2683421</idno><idno type="doi">10.1002/mds.22124</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000026</idno><idno type="wicri:Area/Pmc/Curation">000026</idno><idno type="wicri:Area/Pmc/Checkpoint">000433</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Philadelphia Geriatric Morale Scale in Essential Tremor: A Population-Based Study in Three Spanish Communities</title><author><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name><affiliation wicri:level="4"><nlm:aff id="A1"> G.H. Sergievsky Center, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> G.H. Sergievsky Center, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="A2"> Department of Neurology, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Neurology, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="A3"> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="A4"> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Benito Le N, Julian" sort="Benito Le N, Julian" uniqKey="Benito Le N J" first="Julián" last="Benito-Le N">Julián Benito-Le N</name><affiliation wicri:level="3"><nlm:aff id="A5"> The Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea> The Department of Neurology, University Hospital “12 de Octubre”, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Bermejo Pareja, Felix" sort="Bermejo Pareja, Felix" uniqKey="Bermejo Pareja F" first="Félix" last="Bermejo-Pareja">Félix Bermejo-Pareja</name><affiliation wicri:level="3"><nlm:aff id="A5"> The Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea> The Department of Neurology, University Hospital “12 de Octubre”, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title><p id="P1">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.</p></sec><sec sec-type="methods" id="S2"><title>METHODS</title><p id="P2">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.</p></sec><sec id="S3"><title>RESULTS</title><p id="P3">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.</p></sec><sec id="S4"><title>CONCLUSIONS</title><p id="P4">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.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8610688</journal-id><journal-id journal-id-type="pubmed-jr-id">5937</journal-id><journal-id journal-id-type="nlm-ta">Mov Disord</journal-id><journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title><issn pub-type="ppub">0885-3185</issn><issn pub-type="epub">1531-8257</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18512746</article-id><article-id pub-id-type="pmc">2683421</article-id><article-id pub-id-type="doi">10.1002/mds.22124</article-id><article-id pub-id-type="manuscript">NIHMS109241</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Philadelphia Geriatric Morale Scale in Essential Tremor: A Population-Based Study in Three Spanish Communities</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Louis</surname><given-names>Elan D.</given-names></name><degrees>MD, MSc</degrees><xref rid="A1" ref-type="aff">1</xref><xref rid="A2" ref-type="aff">2</xref><xref rid="A3" ref-type="aff">3</xref><xref rid="A4" ref-type="aff">4</xref></contrib><contrib contrib-type="author"><name><surname>Benito-León</surname><given-names>Julián</given-names></name><degrees>MD, PhD</degrees><xref rid="A5" ref-type="aff">5</xref></contrib><contrib contrib-type="author"><name><surname>Bermejo-Pareja</surname><given-names>Félix</given-names></name><degrees>MD, PhD</degrees><xref rid="A5" ref-type="aff">5</xref></contrib><on-behalf-of>On behalf of the Neurological Disorders in Central Spain (NEDICES) Study Group</on-behalf-of></contrib-group><aff id="A1"><label>1</label> G.H. Sergievsky Center, Columbia University, New York, NY, USA</aff><aff id="A2"><label>2</label> Department of Neurology, Columbia University, New York, NY, USA</aff><aff id="A3"><label>3</label> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA</aff><aff id="A4"><label>4</label> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</aff><aff id="A5"><label>5</label> The Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain</aff><author-notes><corresp id="FN1">Correspondence: Dr. Elan Louis, Unit 198, Neurological Institute, 710 West, 168th Street, New York, NY, 10032, USA. Tel: (212) 305-9194, FAX: (212) 305-1304, Email: <email>EDL2@columbia.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>4</month><year>2009</year></pub-date><pub-date pub-type="ppub"><day>30</day><month>7</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>18</day><month>5</month><year>2009</year></pub-date><volume>23</volume><issue>10</issue><fpage>1435</fpage><lpage>1440</lpage><abstract><sec id="S1"><title>BACKGROUND</title><p id="P1">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.</p></sec><sec sec-type="methods" id="S2"><title>METHODS</title><p id="P2">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.</p></sec><sec id="S3"><title>RESULTS</title><p id="P3">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.</p></sec><sec id="S4"><title>CONCLUSIONS</title><p id="P4">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.</p></sec></abstract><kwd-group><kwd>essential tremor</kwd><kwd>epidemiology</kwd><kwd>quality of life</kwd><kwd>morale</kwd></kwd-group><contract-num rid="NS1">R01 NS039422-08</contract-num><contract-num rid="NS1">R01 NS039422-07</contract-num><contract-num rid="NS1">R01 NS039422-06</contract-num><contract-num rid="NS1">R01 NS039422-05A1</contract-num><contract-sponsor id="NS1">National Institute of Neurological Disorders and Stroke : NINDS</contract-sponsor></article-meta></front></pmc><affiliations><list><country><li>Espagne</li><li>États-Unis</li></country><region><li>Communauté de Madrid</li><li>État de New York</li></region><settlement><li>Madrid</li><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name></region><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name></country><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Benito Le N, Julian" sort="Benito Le N, Julian" uniqKey="Benito Le N J" first="Julián" last="Benito-Le N">Julián Benito-Le N</name></region><name sortKey="Bermejo Pareja, Felix" sort="Bermejo Pareja, Felix" uniqKey="Bermejo Pareja F" first="Félix" last="Bermejo-Pareja">Félix Bermejo-Pareja</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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