Movement Disorders (revue)

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Clinical Correlates of Depressive Symptoms in Familial Parkinson's Disease

Identifieur interne : 000451 ( Pmc/Checkpoint ); précédent : 000450; suivant : 000452

Clinical Correlates of Depressive Symptoms in Familial Parkinson's Disease

Auteurs : Nathan Pankratz [États-Unis] ; Karen S. Marder [États-Unis] ; Cheryl A. Halter [États-Unis] ; Alice Rudolph [États-Unis] ; Cliff W. Shults [États-Unis] ; William C. Nichols [États-Unis] ; Tatiana Foroud [États-Unis]

Source :

RBID : PMC:2872794

Abstract

Depression is one of the most common nonmotor complications of Parkinson's disease (PD) and has a major impact on quality of life. Although several clinical factors have been associated with depression in PD, the relationship between depression and stage of illness as well as between depression and degree of disability remains controversial. We have collected clinical data on 1,378 PD cases from 632 families, using the Unified Parkinson's Disease Rating Scale (UPDRS) Parts II (activities of daily living) & III (motor), the Mini-Mental State Exam, the Geriatric Depression Scale (GDS), and the Blessed Functional Activity Scale (Blessed). Analyses were performed using the 840 individuals with verified PD and without evidence of cognitive decline. Logistic regression was used to identify study variables that individually and collectively best predicted the presence of depressive symptoms (GDS ≥ 10). After correcting for multiple tests, depressive symptoms were significantly associated with Hoehn and Yahr stage and other clinical measures but not with any genetic variant (parkin, LRRK2, APOE). The Blessed score, education, presence of a first degree relative with signs of depression, and UPDRS Part II were found to best predict depressive symptomatology (R2 = 0.33; P = 4 × 10−48). Contrary to several reports, the results from this large study indicate that stage of illness, motor impairment, and functional disability are strongly correlated with depressive symptoms.


Url:
DOI: 10.1002/mds.22285
PubMed: 18785635
PubMed Central: 2872794


Affiliations:


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Le document en format XML

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<p id="P1">Depression is one of the most common nonmotor complications of Parkinson's disease (PD) and has a major impact on quality of life. Although several clinical factors have been associated with depression in PD, the relationship between depression and stage of illness as well as between depression and degree of disability remains controversial. We have collected clinical data on 1,378 PD cases from 632 families, using the Unified Parkinson's Disease Rating Scale (UPDRS) Parts II (activities of daily living) & III (motor), the Mini-Mental State Exam, the Geriatric Depression Scale (GDS), and the Blessed Functional Activity Scale (Blessed). Analyses were performed using the 840 individuals with verified PD and without evidence of cognitive decline. Logistic regression was used to identify study variables that individually and collectively best predicted the presence of depressive symptoms (GDS ≥ 10). After correcting for multiple tests, depressive symptoms were significantly associated with Hoehn and Yahr stage and other clinical measures but not with any genetic variant (
<italic>parkin, LRRK2, APOE</italic>
). The Blessed score, education, presence of a first degree relative with signs of depression, and UPDRS Part II were found to best predict depressive symptomatology (R
<sup>2</sup>
= 0.33;
<italic>P</italic>
= 4 × 10
<sup>−48</sup>
). Contrary to several reports, the results from this large study indicate that stage of illness, motor impairment, and functional disability are strongly correlated with depressive symptoms.</p>
</div>
</front>
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<given-names>Nathan</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="corresp" rid="CR1">*</xref>
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<name>
<surname>Marder</surname>
<given-names>Karen S.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Halter</surname>
<given-names>Cheryl A.</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rudolph</surname>
<given-names>Alice</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shults</surname>
<given-names>Cliff W.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nichols</surname>
<given-names>William C.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A6">6</xref>
<xref ref-type="aff" rid="A7">7</xref>
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<name>
<surname>Foroud</surname>
<given-names>Tatiana</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<collab>the Parkinson's Study Group – PROGENI Investigators</collab>
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<aff id="A1">
<label>1</label>
Department of Medical and Molecular Genetics, Indiana University, Indianapolis, Indiana, USA</aff>
<aff id="A2">
<label>2</label>
Department of Neurology, Columbia University and The Taub Institute, New York, USA</aff>
<aff id="A3">
<label>3</label>
Department of Neurology, University of Rochester, Rochester, New York, USA</aff>
<aff id="A4">
<label>4</label>
Department of Neurology, University of California, San Diego, La Jolla, California, USA</aff>
<aff id="A5">
<label>5</label>
VA San Diego Healthcare System, San Diego, California, USA</aff>
<aff id="A6">
<label>6</label>
Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA</aff>
<aff id="A7">
<label>7</label>
Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA</aff>
<author-notes>
<corresp id="CR1">
<label>*</label>
Correspondence to: Dr. Nathan Pankratz, Medical and Molecular Genetics, Indiana University, School of Medicine, Hereditary Genomics Division, 410 West 10th Street, MI-4000, Indianapolis, Indiana 46202.
<email>npankrat@iupui.edu</email>
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<pub-date pub-type="nihms-submitted">
<day>11</day>
<month>5</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub">
<day>15</day>
<month>11</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>19</day>
<month>5</month>
<year>2010</year>
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<volume>23</volume>
<issue>15</issue>
<fpage>2216</fpage>
<lpage>2223</lpage>
<permissions>
<copyright-statement>© 2008 Movement Disorder Society</copyright-statement>
<copyright-year>2008</copyright-year>
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<abstract>
<p id="P1">Depression is one of the most common nonmotor complications of Parkinson's disease (PD) and has a major impact on quality of life. Although several clinical factors have been associated with depression in PD, the relationship between depression and stage of illness as well as between depression and degree of disability remains controversial. We have collected clinical data on 1,378 PD cases from 632 families, using the Unified Parkinson's Disease Rating Scale (UPDRS) Parts II (activities of daily living) & III (motor), the Mini-Mental State Exam, the Geriatric Depression Scale (GDS), and the Blessed Functional Activity Scale (Blessed). Analyses were performed using the 840 individuals with verified PD and without evidence of cognitive decline. Logistic regression was used to identify study variables that individually and collectively best predicted the presence of depressive symptoms (GDS ≥ 10). After correcting for multiple tests, depressive symptoms were significantly associated with Hoehn and Yahr stage and other clinical measures but not with any genetic variant (
<italic>parkin, LRRK2, APOE</italic>
). The Blessed score, education, presence of a first degree relative with signs of depression, and UPDRS Part II were found to best predict depressive symptomatology (R
<sup>2</sup>
= 0.33;
<italic>P</italic>
= 4 × 10
<sup>−48</sup>
). Contrary to several reports, the results from this large study indicate that stage of illness, motor impairment, and functional disability are strongly correlated with depressive symptoms.</p>
</abstract>
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</kwd-group>
<contract-num rid="NS1">R01 NS037167-10 ||NS</contract-num>
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