Prevalence of anxiety disorders and anxiety subtypes in patients with Parkinson's disease
Identifieur interne : 000988 ( Main/Exploration ); précédent : 000987; suivant : 000989Prevalence of anxiety disorders and anxiety subtypes in patients with Parkinson's disease
Auteurs : Gregory M. Pontone [États-Unis] ; James R. Williams [États-Unis] ; Karen E. Anderson [États-Unis] ; Gary Chase [États-Unis] ; Susanne A. Goldstein [États-Unis] ; Stephen Grill [États-Unis] ; Elaina S. Hirsch [États-Unis] ; Susan Lehmann [États-Unis] ; John T. Little [États-Unis] ; Russell L. Margolis [États-Unis] ; Peter V. Rabins [États-Unis] ; Howard D. Weiss [États-Unis] ; Laura Marsh [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-07-15.
English descriptors
Abstract
Anxiety disorders are common in Parkinson's disease (PD), but are not well characterized. This study determined the prevalence and clinical correlates of all DSM‐IV‐TR anxiety disorder diagnoses in a sample of 127 subjects with idiopathic PD who underwent comprehensive assessments administered by a psychiatrist and neurologist. A panel of six psychiatrists with expertise in geriatric psychiatry and/or movement disorders established by consensus all psychiatric diagnoses. Current and lifetime prevalence of at least one anxiety disorder diagnosis was 43% (n = 55) and 49% (n = 63), respectively. Anxiety disorder not otherwise specified, a DSM diagnosis used for anxiety disturbances not meeting criteria for defined subtypes, was the most common diagnosis (30% lifetime prevalence, n = 38). Compared with nonanxious subjects, panic disorder (n = 13) was associated with earlier age of PD onset [50.3 (12.2) vs. 61.0 (13.7) years, P < 0.01], higher rates of motor fluctuations [77% (10/13) vs. 39% (25/64), P = 0.01] and morning dystonia [38% (5/13) vs. 13% (8/62), P < 0.03]. This high prevalence of anxiety disorders, including disturbances often not meeting conventional diagnostic criteria, suggests that anxiety in PD is likely underdiagnosed and undertreated and refined characterization of anxiety disorders in PD is needed. In addition, certain anxiety subtypes may be clinically useful markers associated with disease impact in PD. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22611
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-07-15">2009-07-15</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1333">1333</biblScope><biblScope unit="page" to="1338">1338</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">12BDF62B0ADF420737FCB90C09F78455CD7F4237</idno><idno type="DOI">10.1002/mds.22611</idno><idno type="ArticleID">MDS22611</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>anxiety</term><term>nonmotor symptoms</term><term>psychiatric disorders</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Anxiety disorders are common in Parkinson's disease (PD), but are not well characterized. This study determined the prevalence and clinical correlates of all DSM‐IV‐TR anxiety disorder diagnoses in a sample of 127 subjects with idiopathic PD who underwent comprehensive assessments administered by a psychiatrist and neurologist. A panel of six psychiatrists with expertise in geriatric psychiatry and/or movement disorders established by consensus all psychiatric diagnoses. Current and lifetime prevalence of at least one anxiety disorder diagnosis was 43% (n = 55) and 49% (n = 63), respectively. Anxiety disorder not otherwise specified, a DSM diagnosis used for anxiety disturbances not meeting criteria for defined subtypes, was the most common diagnosis (30% lifetime prevalence, n = 38). Compared with nonanxious subjects, panic disorder (n = 13) was associated with earlier age of PD onset [50.3 (12.2) vs. 61.0 (13.7) years, P < 0.01], higher rates of motor fluctuations [77% (10/13) vs. 39% (25/64), P = 0.01] and morning dystonia [38% (5/13) vs. 13% (8/62), P < 0.03]. This high prevalence of anxiety disorders, including disturbances often not meeting conventional diagnostic criteria, suggests that anxiety in PD is likely underdiagnosed and undertreated and refined characterization of anxiety disorders in PD is needed. In addition, certain anxiety subtypes may be clinically useful markers associated with disease impact in PD. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Pennsylvanie</li></region><settlement><li>University Park (Pennsylvanie)</li></settlement><orgName><li>Université d'État de Pennsylvanie</li></orgName></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Pontone, Gregory M" sort="Pontone, Gregory M" uniqKey="Pontone G" first="Gregory M." last="Pontone">Gregory M. Pontone</name></region><name sortKey="Anderson, Karen E" sort="Anderson, Karen E" uniqKey="Anderson K" first="Karen E." last="Anderson">Karen E. Anderson</name><name sortKey="Anderson, Karen E" sort="Anderson, Karen E" uniqKey="Anderson K" first="Karen E." last="Anderson">Karen E. Anderson</name><name sortKey="Chase, Gary" sort="Chase, Gary" uniqKey="Chase G" first="Gary" last="Chase">Gary Chase</name><name sortKey="Goldstein, Susanne A" sort="Goldstein, Susanne A" uniqKey="Goldstein S" first="Susanne A." last="Goldstein">Susanne A. Goldstein</name><name sortKey="Goldstein, Susanne A" sort="Goldstein, Susanne A" uniqKey="Goldstein S" first="Susanne A." last="Goldstein">Susanne A. Goldstein</name><name sortKey="Grill, Stephen" sort="Grill, Stephen" uniqKey="Grill S" first="Stephen" last="Grill">Stephen Grill</name><name sortKey="Grill, Stephen" sort="Grill, Stephen" uniqKey="Grill S" first="Stephen" last="Grill">Stephen Grill</name><name sortKey="Hirsch, Elaina S" sort="Hirsch, Elaina S" uniqKey="Hirsch E" first="Elaina S." last="Hirsch">Elaina S. Hirsch</name><name sortKey="Lehmann, Susan" sort="Lehmann, Susan" uniqKey="Lehmann S" first="Susan" last="Lehmann">Susan Lehmann</name><name sortKey="Little, John T" sort="Little, John T" uniqKey="Little J" first="John T." last="Little">John T. Little</name><name sortKey="Little, John T" sort="Little, John T" uniqKey="Little J" first="John T." last="Little">John T. Little</name><name sortKey="Little, John T" sort="Little, John T" uniqKey="Little J" first="John T." last="Little">John T. Little</name><name sortKey="Margolis, Russell L" sort="Margolis, Russell L" uniqKey="Margolis R" first="Russell L." last="Margolis">Russell L. Margolis</name><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><name sortKey="Rabins, Peter V" sort="Rabins, Peter V" uniqKey="Rabins P" first="Peter V." last="Rabins">Peter V. Rabins</name><name sortKey="Weiss, Howard D" sort="Weiss, Howard D" uniqKey="Weiss H" first="Howard D." last="Weiss">Howard D. Weiss</name><name sortKey="Weiss, Howard D" sort="Weiss, Howard D" uniqKey="Weiss H" first="Howard D." last="Weiss">Howard D. Weiss</name><name sortKey="Williams, James R" sort="Williams, James R" uniqKey="Williams J" first="James R." last="Williams">James R. Williams</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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