Suicidal and Death Ideation in Parkinson’s Disease
Identifieur interne : 000027 ( Pmc/Curation ); précédent : 000026; suivant : 000028Suicidal and Death Ideation in Parkinson’s Disease
Auteurs : Sarra Nazem [États-Unis] ; Andrew D. Siderowf [États-Unis] ; John E. Duda [États-Unis] ; Gregory K. Brown [États-Unis] ; Tom Ten Have [États-Unis] ; Matthew B. Stern [États-Unis] ; Daniel Weintraub [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2008.
Abstract
Parkinson’s disease (PD) is a chronic, disabling illness affecting primarily the elderly and is associated with a high prevalence of depression. Although these are known risk factors for suicidal and death ideation, little is known about the prevalence and correlates of such ideation in PD. A convenience sample of 116 outpatients with idiopathic PD at two movement disorders centers were administered a modified Paykel Scale for suicidal and death ideation, as well as an extensive psychiatric, neuropsychological, and neurological battery. Univariate and multivariate logistic regression models were used to determine the correlates of suicidal or death ideation. Current death ideation (28%) or suicide ideation (11%) were present in 30% of the sample, and 4% had a lifetime suicide attempt. On univariate logistic regression analysis, increasing severity of depression (odds ratio = 2.92, 95% CI 2.01-4.24,
Url:
DOI: 10.1002/mds.22130
PubMed: 18618660
PubMed Central: 2635951
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<front><div type="abstract" xml:lang="en"><p id="P2">Parkinson’s disease (PD) is a chronic, disabling illness affecting primarily the elderly and is associated with a high prevalence of depression. Although these are known risk factors for suicidal and death ideation, little is known about the prevalence and correlates of such ideation in PD. A convenience sample of 116 outpatients with idiopathic PD at two movement disorders centers were administered a modified Paykel Scale for suicidal and death ideation, as well as an extensive psychiatric, neuropsychological, and neurological battery. Univariate and multivariate logistic regression models were used to determine the correlates of suicidal or death ideation. Current death ideation (28%) or suicide ideation (11%) were present in 30% of the sample, and 4% had a lifetime suicide attempt. On univariate logistic regression analysis, increasing severity of depression (odds ratio = 2.92, 95% CI 2.01-4.24, <italic>P</italic>
< 0.001), impulse control disorder (ICD) behaviors sometime during PD (odds ratio = 6.08, 95% CI 1.90-19.49, <italic>P</italic>
= 0.002), and psychosis (odds ratio = 2.45, 95% CI 1.05-5.69, <italic>P</italic>
= 0.04) were associated with either ideation. On multivariate logistic regression analysis, only increasing severity of depressive symptoms (odds ratio = 2.76, 95% CI 1.88-4.07, <italic>P</italic>
< 0.001) predicted suicidal or death ideation. In conclusion, active suicidal or death ideation occurs in up to one-third of PD patients. Comorbid psychiatric disorders, more than PD-related disease variables, are associated with this ideation, highlighting the need for a comprehensive approach to the clinical care of PD patients.</p>
</div>
</front>
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<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>
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<issn pub-type="epub">1531-8257</issn>
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<title-group><article-title>Suicidal and Death Ideation in Parkinson’s Disease</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Nazem</surname>
<given-names>Sarra</given-names>
</name>
<degrees>BA</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author"><name><surname>Siderowf</surname>
<given-names>Andrew D.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Duda</surname>
<given-names>John E.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brown</surname>
<given-names>Gregory K.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author"><name><surname>Have</surname>
<given-names>Tom Ten</given-names>
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<xref ref-type="aff" rid="A4">4</xref>
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<contrib contrib-type="author"><name><surname>Stern</surname>
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<contrib contrib-type="author"><name><surname>Weintraub</surname>
<given-names>Daniel</given-names>
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<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="author-notes" rid="FN1">*</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA</aff>
<aff id="A2"><label>2</label>
Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA</aff>
<aff id="A3"><label>3</label>
Parkinson’s Disease Research, Education and Clinical Center (PADRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA</aff>
<aff id="A4"><label>4</label>
Center for Clinical and Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA</aff>
<aff id="A5"><label>5</label>
Mental Illness Research, Education and Clinical Center (MIRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA</aff>
<author-notes><fn fn-type="corresp" id="FN1"><label>*</label>
<p id="P1">Correspondence to: Dr. Daniel Weintraub; 3535 Market St., Room 3003, Philadelphia, Pennsylvania 19104. E-mail: <email>weintrau@mail.med.upenn.edu</email>
</p>
</fn>
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<pub-date pub-type="nihms-submitted"><day>13</day>
<month>1</month>
<year>2009</year>
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<pub-date pub-type="ppub"><day>15</day>
<month>8</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>5</day>
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<volume>23</volume>
<issue>11</issue>
<fpage>1573</fpage>
<lpage>1579</lpage>
<abstract><p id="P2">Parkinson’s disease (PD) is a chronic, disabling illness affecting primarily the elderly and is associated with a high prevalence of depression. Although these are known risk factors for suicidal and death ideation, little is known about the prevalence and correlates of such ideation in PD. A convenience sample of 116 outpatients with idiopathic PD at two movement disorders centers were administered a modified Paykel Scale for suicidal and death ideation, as well as an extensive psychiatric, neuropsychological, and neurological battery. Univariate and multivariate logistic regression models were used to determine the correlates of suicidal or death ideation. Current death ideation (28%) or suicide ideation (11%) were present in 30% of the sample, and 4% had a lifetime suicide attempt. On univariate logistic regression analysis, increasing severity of depression (odds ratio = 2.92, 95% CI 2.01-4.24, <italic>P</italic>
< 0.001), impulse control disorder (ICD) behaviors sometime during PD (odds ratio = 6.08, 95% CI 1.90-19.49, <italic>P</italic>
= 0.002), and psychosis (odds ratio = 2.45, 95% CI 1.05-5.69, <italic>P</italic>
= 0.04) were associated with either ideation. On multivariate logistic regression analysis, only increasing severity of depressive symptoms (odds ratio = 2.76, 95% CI 1.88-4.07, <italic>P</italic>
< 0.001) predicted suicidal or death ideation. In conclusion, active suicidal or death ideation occurs in up to one-third of PD patients. Comorbid psychiatric disorders, more than PD-related disease variables, are associated with this ideation, highlighting the need for a comprehensive approach to the clinical care of PD patients.</p>
</abstract>
<kwd-group><kwd>Parkinson’s disease</kwd>
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<kwd>depression</kwd>
</kwd-group>
<contract-num rid="MH1">K23 MH067894-05</contract-num>
<contract-sponsor id="MH1">National Institute of Mental Health : NIMH</contract-sponsor>
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