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Depressive symptom profile in Parkinson's disease: a comparison with depression in elderly patients without Parkinson's disease

Identifieur interne : 001B24 ( Main/Corpus ); précédent : 001B23; suivant : 001B25

Depressive symptom profile in Parkinson's disease: a comparison with depression in elderly patients without Parkinson's disease

Auteurs : Uwe Ehrt ; Kolbj Rn Br Nnick ; Albert F. G. Leentjens ; Jan Petter Larsen ; Dag Aarsland

Source :

RBID : ISTEX:CB8596FF1264CC9706FA7D3D3FCEFAB7189DAA55

English descriptors

Abstract

Objective: Depression is a common neuropsychiatric syndrome in Parkinson's disease (PD), and may be etiologically related to the neurochemical changes accompanying this disease. It is still unclear whether the disturbances of neurotransmitter activities lead to a specific profile of depressive symptoms, that is characteristic for PD and differs from that in depressed patients without PD. Method: We compared the individual depressive symptoms of 145 non‐demented depressed patients with PD and 100 depressed patients without PD by comparing item scores on the Montgomery‐Åsberg Depression Rating Scale by way of MANCOVA. Results: The severity of depression and the level of cognitive functioning in depressed PD patients were comparable with that of depressed control subjects. However, patients with PD showed significant less reported sadness, less anhedonia, less feelings of guilt and, slightly less loss of energy, but more concentration problems than depressed control subjects. Conclusion: The profile of depressive symptoms in PD differs from that in depressed subjects without PD. This finding is important for the conceptualisation and clinical diagnosis of depression in PD. Copyright © 2006 John Wiley & Sons, Ltd.

Url:
DOI: 10.1002/gps.1456

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ISTEX:CB8596FF1264CC9706FA7D3D3FCEFAB7189DAA55

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<keyword xml:id="kwd1">Parkinson's disease</keyword>
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<p>Depression is a common neuropsychiatric syndrome in Parkinson's disease (PD), and may be etiologically related to the neurochemical changes accompanying this disease. It is still unclear whether the disturbances of neurotransmitter activities lead to a specific profile of depressive symptoms, that is characteristic for PD and differs from that in depressed patients without PD.</p>
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<p>We compared the individual depressive symptoms of 145 non‐demented depressed patients with PD and 100 depressed patients without PD by comparing item scores on the Montgomery‐Åsberg Depression Rating Scale by way of MANCOVA.</p>
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<title type="main">Results</title>
<p>The severity of depression and the level of cognitive functioning in depressed PD patients were comparable with that of depressed control subjects. However, patients with PD showed significant less reported sadness, less anhedonia, less feelings of guilt and, slightly less loss of energy, but more concentration problems than depressed control subjects.</p>
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<title type="main">Conclusion</title>
<p>The profile of depressive symptoms in PD differs from that in depressed subjects without PD. This finding is important for the conceptualisation and clinical diagnosis of depression in PD. Copyright © 2006 John Wiley & Sons, Ltd.</p>
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<title>Depressive symptom profile in Parkinson's disease: a comparison with depression in elderly patients without Parkinson's disease</title>
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<namePart type="given">Uwe</namePart>
<namePart type="family">Ehrt</namePart>
<affiliation>Section of Geriatric Psychiatry, Stavanger University Hospital, Norway</affiliation>
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<name type="personal">
<namePart type="given">Kolbjørn</namePart>
<namePart type="family">Brønnick</namePart>
<affiliation>Section of Geriatric Psychiatry, Stavanger University Hospital, Norway</affiliation>
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<name type="personal">
<namePart type="given">Albert F. G.</namePart>
<namePart type="family">Leentjens</namePart>
<affiliation>Department of Psychiatry, Maastricht University Hospital, The Netherlands</affiliation>
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<name type="personal">
<namePart type="given">Jan Petter</namePart>
<namePart type="family">Larsen</namePart>
<affiliation>Department of Neurology, Stavanger University Hospital, Norway</affiliation>
<affiliation>Norwegian Centre for Movement Disorders, Stavanger, Norway</affiliation>
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<namePart type="given">Dag</namePart>
<namePart type="family">Aarsland</namePart>
<affiliation>Section of Geriatric Psychiatry, Stavanger University Hospital, Norway</affiliation>
<affiliation>School of Medicine, University of Bergen, Norway</affiliation>
<description>Correspondence: Stavanger University Hospital, Psychiatric Clinic, PO Box 1163, Hillevåg, 4095 Stavanger, Norway.</description>
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<abstract lang="en">Objective: Depression is a common neuropsychiatric syndrome in Parkinson's disease (PD), and may be etiologically related to the neurochemical changes accompanying this disease. It is still unclear whether the disturbances of neurotransmitter activities lead to a specific profile of depressive symptoms, that is characteristic for PD and differs from that in depressed patients without PD. Method: We compared the individual depressive symptoms of 145 non‐demented depressed patients with PD and 100 depressed patients without PD by comparing item scores on the Montgomery‐Åsberg Depression Rating Scale by way of MANCOVA. Results: The severity of depression and the level of cognitive functioning in depressed PD patients were comparable with that of depressed control subjects. However, patients with PD showed significant less reported sadness, less anhedonia, less feelings of guilt and, slightly less loss of energy, but more concentration problems than depressed control subjects. Conclusion: The profile of depressive symptoms in PD differs from that in depressed subjects without PD. This finding is important for the conceptualisation and clinical diagnosis of depression in PD. Copyright © 2006 John Wiley & Sons, Ltd.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>depression</topic>
<topic>symptom profile</topic>
<topic>neuropsychiatry</topic>
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<title>International Journal of Geriatric Psychiatry</title>
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<identifier type="ISSN">0885-6230</identifier>
<identifier type="eISSN">1099-1166</identifier>
<identifier type="DOI">10.1002/(ISSN)1099-1166</identifier>
<identifier type="PublisherID">GPS</identifier>
<part>
<date>2006</date>
<detail type="volume">
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<number>21</number>
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<start>252</start>
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