La maladie de Parkinson en France (serveur d'exploration)

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Modeling anxiety in Parkinson's disease.

Identifieur interne : 000129 ( PubMed/Checkpoint ); précédent : 000128; suivant : 000130

Modeling anxiety in Parkinson's disease.

Auteurs : Martijn P G. Broen [Pays-Bas] ; Sebastian Köhler [Pays-Bas] ; Anja J H. Moonen [Pays-Bas] ; Mark L. Kuijf [Pays-Bas] ; Kathy Dujardin [France] ; Laura Marsh [États-Unis] ; Irene H. Richard [États-Unis] ; Sergio E. Starkstein [Australie] ; Pablo Martinez-Martin [Espagne] ; Albert F G. Leentjens [Pays-Bas]

Source :

RBID : pubmed:26685935

English descriptors

Abstract

The aim of this work was to construct a model for anxiety in PD and compare the relative contributions of PD-specific and -nonspecific general population risk factors for anxiety in this model.

DOI: 10.1002/mds.26461
PubMed: 26685935


Affiliations:


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pubmed:26685935

Le document en format XML

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<div type="abstract" xml:lang="en">The aim of this work was to construct a model for anxiety in PD and compare the relative contributions of PD-specific and -nonspecific general population risk factors for anxiety in this model.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The aim of this work was to construct a model for anxiety in PD and compare the relative contributions of PD-specific and -nonspecific general population risk factors for anxiety in this model.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Structural equation modeling of associations of risk factors with the anxiety outcome using a cross-sectional data set of 342 patients with PD were used.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A model with acceptable to good fit was generated that explained 65% of the variance in anxiety scores. A previous history of depression and the severity of the depressive symptoms scored on the Hamilton Depression Rating Scale were the only nonspecific variables with a direct effect on anxiety. The presence of motor fluctuations and disease-related decline in activities of daily living were PD-specific markers of anxiety. Nonspecific risk factors had a greater influence in the model than PD-specific risk factors. Standardized regression coefficients suggested that the Hamilton Depression Rating Scale score was the most important contributor to the variation in anxiety. A post-hoc analysis showed that the effects of the following variables on anxiety levels were fully mediated by depression: sex; family history of depression; previous history of anxiety; cognitive status; difficulties in non-disease-specific activities of daily living; and severity of motor signs.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In this cross-sectional study, we showed that nonspecific general population risk factors are more important markers for anxiety than PD-specific risk factors. Depression was the most prominent marker. PD-specific markers for anxiety appear to be more situational and related to off periods and disease-specific disturbances of activities of daily living.</AbstractText>
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</AffiliationInfo>
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<AffiliationInfo>
<Affiliation>Department of Psychiatry, Maastricht University Medical Center, Maastricht, The Netherlands.</Affiliation>
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