Difficulties in activities of daily living are associated with stigma in patients with Parkinson's disease who are candidates for deep brain stimulation
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
42(2): 190-194, Mar.-Apr. 2020. tab
Artículo
en Inglés
| LILACS
| ID: biblio-1089252
ABSTRACT
Objective:
Parkinson's disease (PD) is often accompanied by stigma, which could contribute to a worse prognosis. The objective of this study is to identify the variables associated with stigma in PD patients who are candidates for deep brain stimulation (DBS).Methods:
We investigated sociodemographic and clinical variables associated with stigma in a sample of 54 PD patients indicated for DBS. The independent variables were motor symptoms assessed by the Movement Disorder Society‐sponsored revision of the Unified Parkinson Disease Rating Scale (MDS-UPDRS III), depressive symptoms measured by the Hospital Anxiety and Depression Scale, age, disease duration and the presence of a general medical condition. The Mobility, Activities of daily living and Emotional well-being domains of the 39-item Parkinson's Disease Questionnaire (PDQ-39) were also investigated as independent variables, and the Stigma domain of the PDQ-39 scale was considered the outcome variable.Results:
After multiple linear regression analysis, activities of daily living remained associated with the Stigma domain (B = 0.42 [95%CI 0.003-0.83], p = 0.048). The full model accounted for 15% of the variance in the Stigma domain (p = 0.03).Conclusions:
Although causal assumptions are not appropriate for cross-sectional studies, the results suggest that ADL difficulties could contribute to greater stigma in PD patients with refractory motor symptoms who are candidates for DBS.
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Asunto principal:
Enfermedad de Parkinson
/
Calidad de Vida
/
Actividades Cotidianas
/
Estimulación Encefálica Profunda
/
Estigma Social
Tipo de estudio:
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Investigación cualitativa
/
Factores de riesgo
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Asunto de la revista:
Psiquiatria
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Portugal
Institución/País de afiliación:
Departamento de Neurocirurgia, UFSC/BR
/
Hospital Governador Celso Ramos/BR
/
Instituto de Psiquiatria de Santa Catarina (IPQ-SC)/BR
/
Núcleo de Psiquiatria, UFSC/BR
/
Universidade Federal de Minas Gerais (UFMG)/BR
/
Universidade Federal de Santa Catarina (UFSC)/BR
/
Universidade do Porto/PT
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