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

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Coping and quality of life of patients with Parkinson disease who have undergone deep brain stimulation of the subthalamic nucleus.

Identifieur interne : 000B32 ( PubMed/Checkpoint ); précédent : 000B31; suivant : 000B33

Coping and quality of life of patients with Parkinson disease who have undergone deep brain stimulation of the subthalamic nucleus.

Auteurs : Sébastien Robert Montel [France] ; Catherine Bungener

Source :

RBID : pubmed:18786708

English descriptors

Abstract

Although the positive effect of DBS of the STN on motor signs and mobility in PD is indisputable, the effect on mental health (depression and anxiety) as well as on QoL is subject to more debate. Some works have already shown that coping strategies have an impact on QoL, depression, and anxiety. To date, no studies have examined the coping strategies used by patients with PD who undergo STN stimulation. We decided to investigate the coping strategies of patients with PD who have undergone an STN DBS and their relationship with QoL while taking depression and anxiety into account.

DOI: 10.1016/j.surneu.2008.05.026
PubMed: 18786708


Affiliations:


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pubmed:18786708

Le document en format XML

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<title xml:lang="en">Coping and quality of life of patients with Parkinson disease who have undergone deep brain stimulation of the subthalamic nucleus.</title>
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<name sortKey="Montel, Sebastien Robert" sort="Montel, Sebastien Robert" uniqKey="Montel S" first="Sébastien Robert" last="Montel">Sébastien Robert Montel</name>
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<nlm:affiliation>Laboratory of Clinical Psychopathology and Neuropsychology, University Paris Descartes, France. montel.sebastien@wanadoo.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
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<wicri:noRegion>University Paris Descartes</wicri:noRegion>
<wicri:noRegion>University Paris Descartes</wicri:noRegion>
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<name sortKey="Bungener, Catherine" sort="Bungener, Catherine" uniqKey="Bungener C" first="Catherine" last="Bungener">Catherine Bungener</name>
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<term>Aged, 80 and over</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Anxiety (etiology)</term>
<term>Cognition</term>
<term>Deep Brain Stimulation (adverse effects)</term>
<term>Depression (etiology)</term>
<term>Dopamine Agonists (therapeutic use)</term>
<term>Female</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Patient Education as Topic</term>
<term>Psychomotor Performance</term>
<term>Quality of Life</term>
<term>Severity of Illness Index</term>
<term>Surveys and Questionnaires</term>
<term>Time Factors</term>
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<term>Dopamine Agonists</term>
<term>Levodopa</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Deep Brain Stimulation</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Anxiety</term>
<term>Depression</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cognition</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Education as Topic</term>
<term>Psychomotor Performance</term>
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<div type="abstract" xml:lang="en">Although the positive effect of DBS of the STN on motor signs and mobility in PD is indisputable, the effect on mental health (depression and anxiety) as well as on QoL is subject to more debate. Some works have already shown that coping strategies have an impact on QoL, depression, and anxiety. To date, no studies have examined the coping strategies used by patients with PD who undergo STN stimulation. We decided to investigate the coping strategies of patients with PD who have undergone an STN DBS and their relationship with QoL while taking depression and anxiety into account.</div>
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<Day>17</Day>
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<Day>19</Day>
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<Volume>72</Volume>
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<Title>Surgical neurology</Title>
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<ArticleTitle>Coping and quality of life of patients with Parkinson disease who have undergone deep brain stimulation of the subthalamic nucleus.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although the positive effect of DBS of the STN on motor signs and mobility in PD is indisputable, the effect on mental health (depression and anxiety) as well as on QoL is subject to more debate. Some works have already shown that coping strategies have an impact on QoL, depression, and anxiety. To date, no studies have examined the coping strategies used by patients with PD who undergo STN stimulation. We decided to investigate the coping strategies of patients with PD who have undergone an STN DBS and their relationship with QoL while taking depression and anxiety into account.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 40 patients stimulated for 12 months and 40 patients under dopatherapy were compared. The 2 groups were matched according to age, sex, age at disease onset, severity of disease, motor scores, daily treatment dosage, and professional status. Semistructured interviews were carried out, after which, their mental and cognitive states were assessed using different scales (MINI, MADRS, EHD, HAMA, FAB). Finally, all subjects completed 3 self-report questionnaires: 2 assessing coping strategies (WCC, CHIP), and 1, QoL the Parkinson Disease Questionnaire (PDQ-39).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Depression and anxiety were not significantly influenced by the type of treatment. Concerning coping strategies, we found a significant effect of the stimulation on instrumental strategies with higher scores for patients under dopatherapy. As for QoL, the only difference concerned communication with a poorer QoL for stimulated patients. We noted no significant correlations between any coping strategies and all of the dimensions of QoL in the stimulated group, whereas we found the opposite result for the dopatherapy group.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results encourage us to prepare patient candidates for such stimulation by developing interventions focused first on their expectations and second, on their coping strategies.</AbstractText>
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