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Mood, side of motor symptom onset and pain complaints in Parkinson's disease

Identifieur interne : 001529 ( Main/Corpus ); précédent : 001528; suivant : 001530

Mood, side of motor symptom onset and pain complaints in Parkinson's disease

Auteurs : Patrick Mcnamara ; Karina Stavitsky ; Erica Harris ; Orsolya Szent-Imrey ; Raymon Durso

Source :

RBID : ISTEX:DA9AC5FCBC1611CE7C1D0B6D39E07E7F9BFD74A3

English descriptors

Abstract

Objective: Patients with Parkinson's disease (PD) present with a variety of non‐motor symptoms including sensory complaints and mood disturbances. In the current pilot study, we aimed to explore pain complaints and the association between mood and pain in PD. We hypothesized that pain ratings would be elevated in patients with PD relative to controls. As PD is lateralized at onset and studies have found lateralization of some non‐motor symptoms in PD, we also hypothesized that PD patients would exhibit differing pain profiles depending on side of onset of the disease. Methods: Twenty‐three PD patients (11 right‐onset (RPD), 12 left‐onset (LPD) disease), and 11 control participants (CS) completed a mood questionnaire (Depression Anxiety Stress Scale; DASS) as well as the short form of the McGill Pain Questionnaire. Results: Both PD groups reported higher present pain intensity scores (p = 0.001), more evaluative pain intensity (p = 0.02), and more overall pain (p = 0.02) than control participants. There was a significant association between mood and all of the McGill pain ratings in the LPD patients, with those reporting more mood symptoms rating higher on all pain scales (all p‐values < 0.001). This association was not found in the RPD group. Conclusions: Our results suggest an association between mood and pain in patients with PD that may be related to the differential contribution of right‐hemispheric neural networks in processing of mood and pain states. These findings merit further investigation into the relation between mood and pain in patients with PD. Copyright © 2009 John Wiley & Sons, Ltd.

Url:
DOI: 10.1002/gps.2374

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ISTEX:DA9AC5FCBC1611CE7C1D0B6D39E07E7F9BFD74A3

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<p>Patients with Parkinson's disease (PD) present with a variety of non‐motor symptoms including sensory complaints and mood disturbances. In the current pilot study, we aimed to explore pain complaints and the association between mood and pain in PD. We hypothesized that pain ratings would be elevated in patients with PD relative to controls. As PD is lateralized at onset and studies have found lateralization of some non‐motor symptoms in PD, we also hypothesized that PD patients would exhibit differing pain profiles depending on side of onset of the disease.</p>
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<p>Twenty‐three PD patients (11 right‐onset (RPD), 12 left‐onset (LPD) disease), and 11 control participants (CS) completed a mood questionnaire (Depression Anxiety Stress Scale; DASS) as well as the short form of the McGill Pain Questionnaire.</p>
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<title type="main">Results</title>
<p>Both PD groups reported higher present pain intensity scores (
<i>p</i>
 = 0.001), more evaluative pain intensity (
<i>p</i>
 = 0.02), and more overall pain (
<i>p</i>
 = 0.02) than control participants. There was a significant association between mood and all of the McGill pain ratings in the LPD patients, with those reporting more mood symptoms rating higher on all pain scales (all
<i>p</i>
‐values < 0.001). This association was not found in the RPD group.</p>
</section>
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<title type="main">Conclusions</title>
<p>Our results suggest an association between mood and pain in patients with PD that may be related to the differential contribution of right‐hemispheric neural networks in processing of mood and pain states. These findings merit further investigation into the relation between mood and pain in patients with PD. Copyright © 2009 John Wiley & Sons, Ltd.</p>
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<affiliation>Department of Neurology (127), VA Boston Healthcare System, Boston, MA, USA</affiliation>
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<affiliation>Department of Neurology (127), VA Boston Healthcare System, Boston, MA, USA</affiliation>
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<abstract lang="en">Objective: Patients with Parkinson's disease (PD) present with a variety of non‐motor symptoms including sensory complaints and mood disturbances. In the current pilot study, we aimed to explore pain complaints and the association between mood and pain in PD. We hypothesized that pain ratings would be elevated in patients with PD relative to controls. As PD is lateralized at onset and studies have found lateralization of some non‐motor symptoms in PD, we also hypothesized that PD patients would exhibit differing pain profiles depending on side of onset of the disease. Methods: Twenty‐three PD patients (11 right‐onset (RPD), 12 left‐onset (LPD) disease), and 11 control participants (CS) completed a mood questionnaire (Depression Anxiety Stress Scale; DASS) as well as the short form of the McGill Pain Questionnaire. Results: Both PD groups reported higher present pain intensity scores (p = 0.001), more evaluative pain intensity (p = 0.02), and more overall pain (p = 0.02) than control participants. There was a significant association between mood and all of the McGill pain ratings in the LPD patients, with those reporting more mood symptoms rating higher on all pain scales (all p‐values < 0.001). This association was not found in the RPD group. Conclusions: Our results suggest an association between mood and pain in patients with PD that may be related to the differential contribution of right‐hemispheric neural networks in processing of mood and pain states. These findings merit further investigation into the relation between mood and pain in patients with PD. Copyright © 2009 John Wiley & Sons, Ltd.</abstract>
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<topic>Parkinson's disease</topic>
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<title>International Journal of Geriatric Psychiatry</title>
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<identifier type="ISSN">0885-6230</identifier>
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<part>
<date>2010</date>
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<number>25</number>
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