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Well-being and distress of patients with Parkinson's disease: a comparative investigation

Published online by Cambridge University Press:  10 December 2017

Francesca Vescovelli ,
Daniele Sarti  and
Chiara Ruini Open the ORCID record for Chiara Ruini [Opens in a new window]
Francesca Vescovelli*
Affiliation:
Department of Psychology, University of Bologna, Bologna, Italy
Daniele Sarti
Affiliation:
Physical Medicine and Rehabilitation, Riminiterme Center of Rehabilitation, Rimini, Italy
Chiara Ruini
Affiliation:
Department of Psychology, University of Bologna, Bologna, Italy
*
Correspondence should be addressed to: Francesca Vescovelli, Department of Psychology, University of Bologna, Viale Berti Pichat, 5, 40127 Bologna, Italy. Phone: +39 051 2091817; Fax: +39 051 243086. Email: francesca.vescovelli@unibo.it.
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Abstract

Background:

Psychological resources, such as psychological well-being (PWB) and life satisfaction (LS) can aid individuals suffering from chronic illnesses to cope with their illness. The aim of this study was to investigate PWB, LS, quality of life (QoL), and distress in patients with Parkinson's disease (PD) and to compare them with healthy controls.

Methods:

One hundred and thirteen individuals were recruited. Fifty of the participants suffered from PD, while 53 individuals reported other non-neurological diseases. PD patients were assessed through medical routine examinations. All participants had to be devoid of severe cognitive impairment. They were administered self-report questionnaires to measure PWB, LS, QoL, and distress. A cross-sectional comparative design was applied.

Results:

PD patients reported higher general PWB than controls with the exception of the autonomy subscale where the PD patients scored lower. However, they also reported higher distress (anxiety, depression, somatic symptoms, and hostility-irritability), lower LS, and poorer QoL compared to controls. In regressive models, general PWB and LS were significantly correlated to the presence of PD, to its functional impairments, and not to other socio-demographic variables.

Conclusions:

Findings confirmed previous literature on other neurological conditions, showing that PD may be associated with greater psychological distress, lower levels of LS and QoL. At the same time, PD patients may preserve their PWB, which is a protective factor for mental and physical health. The presence of these psychological resources is inversely related to functional impairments. Future studies should better investigate the pattern of PWB in PD.

Keywords

Parkinson's diseaseneurologyhealth agingdepressionanxietyquality of life
Type
Original Research Article
Information
International Psychogeriatrics , Volume 31 , Issue 1: Issue Theme: Parkinson's Disease , January 2019 , pp. 21 - 30
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

Andreadou, E. et al. (2011). The impact of comorbidity and other clinical and sociodemographic factors on health-related quality of life in Greek patients with Parkinson's disease. Aging & Mental Health, 15, 913–921. doi: 10.1080/13607863.2011.569477.Google Scholar
Barskova, T. and Oesterreich, R. (2009). Post-traumatic growth in people living with a serious medical condition and its relations to physical and mental health: a systematic review. Disability and Rehabilitation, 31, 1709–1733. doi: 10.1080/09638280902738441.Google Scholar
Bassi, M. et al. (2016). Illness perception and well-being among persons with multiple sclerosis and their caregivers. Journal of Clinical Psychology in Medical Settings, 23, 33–52. doi: 10.1007/s10880-015-9425-8.Google Scholar
Behari, M., Srivastava, A. K. and Pandey, R. M. (2005). Quality of life in patients with Parkinson's disease. Parkinsonism & Related Disorders, 11, 221–226. doi: 10.1016/j.parkreldis.2004.12.005.Google Scholar
Brandel, M., Vescovelli, F. and Ruini, C. (2017). Beyond Ryff's scale: comprehensive measures of eudaimonic well-being in clinical populations. A systematic review. Clinical Psychology and Psychotherapy, 1–23. doi: 10.1002/cpp.2104.Google Scholar
Cronin-Golomb, A. (2013). Emergence of nonmotor symptoms as the focus of research and treatment of Parkinson's disease: introduction to the special section on nonmotor dysfunctions in Parkinson's disease. Behavioral Neuroscience, 127, 135–138. doi: 10.1037/a0032142.Google Scholar
Cubí-Mollá, P., De Vries, J. and Devlin, N. (2014). A study of the relationship between health and subjective well-being in Parkinson's disease patients. Value in Health, 17, 372–379. doi: 10.1016/j.jval.2014.03.002.Google Scholar
Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.Google Scholar
Duncan, G. W. et al. (2014). Health-related quality of life in early Parkinson's disease: the impact of nonmotor symptoms. Movement Disorders, 29, 195–202. doi: 10.1002/mds.25664.Google Scholar
Dural, A., Atay, M. B., Akbostanci, C. and Kucukdeveci, A. (2003). Impairment, disability, and life satisfaction in Parkinson's disease. Disability and Rehabilitation, 25, 318–323. doi: 10.1080/0963828021000043761.Google Scholar
Fava, G. A. et al. (1983). Italian validation of the symptom rating test (SRT) and symptom questionnaire (SQ). Canadian Journal of Psychiatry, 28, 117–123. doi: 10.1177/070674378302800208.Google Scholar
Fereshtehnejad, S. M., Ghazi, L., Shafieesabet, M., Shahidi, G. A., Delbari, A. and Lökk, J. (2014). Motor, psychiatric and fatigue features associated with nutritional status and its effects on quality of life in Parkinson's disease patients. PLoS One, 9, e91153. doi: 10.1371/journal.pone.0091153.Google Scholar
Folstein, M. F., Robins, L. N. and Helzer, J. E. (1983). The mini-mental state examination. Archives of General Psychiatry, 40, 812. doi: 10.1001/archpsyc.1983.01790060110016.Google Scholar
Gable, S. L. and Haidt, J. (2005). What (and why) is positive psychology?. Review of General Psychology, 9, 103–110. doi: 10.1037/1089-2680.9.2.103.Google Scholar
Gustafsson, H., Nordström, P., Stråhle, S. and Nordström, A. (2015). Parkinson's disease: a population-based investigation of life satisfaction and employment. Journal of Rehabilitation Medicine, 47, 45–51. doi: 10.2340/16501977-1884.Google Scholar
Hoehn, M. M. and Yahr, M. D. (1967). Parkinsonism onset, progression, and mortality. Neurology, 17, 427.Google Scholar
Huberty, C. J. (2002). A history of effect size indices. Educational and Psychological Measurement, 62, 227–240. doi: 10.1177/0013164402062002002.Google Scholar
Hurt, C. S. et al. (2011). Coping in Parkinson's disease: an examination of the coping inventory for stressful situations. Coping in Parkinson's disease: an examination of the coping inventory for stressful situations. International Journal of Geriatric Psychiatry, 26, 1030–1037. doi: 10.1002/gps.2634.Google Scholar
International Wellbeing Group (2013). Personal Wellbeing Index, 5th edn. Melbourne: Australian Centre on Quality of Life, Deakin University. Available at: http://www.deakin.edu.au/research/acqol/instruments/wellbeing-index/index.php.Google Scholar
Jankovic, J. (2008). Parkinson's disease: clinical features and diagnosis. Journal of Neurology, Neurosurgery & Psychiatry, 79, 368–376. doi: 10.1136/jnnp.2007.131045.Google Scholar
Kan, Y., Kawamura, M., Hasegawa, Y., Mochizuki, S. and Nakamura, K. (2002). Recognition of emotion from facial, prosodic and written verbal stimuli in Parkinson's disease. Cortex, 38, 623–630. doi: 10.1016/S0010-9452(08)70026-1.Google Scholar
Kang, M. Y. and Ellis-Hill, C. (2015). How do people live life successfully with Parkinson's disease?. Journal of Clinical Nursing, 24, 2314–2322. doi: 10.1111/jocn.12819.Google Scholar
Kellner, R. (1987). A symptom questionnaire. Journal of Clinical Psychiatry, 48, 269–274.Google Scholar
Martínez-Martín, P., Gil-Nagel, A., Gracia, L. M., Gómez, J. B., Martínez-Sarriés, J. and Bermejo, F. (1994). Unified Parkinson's disease rating scale characteristics and structure. Movement Disorders, 9, 76–83. doi: 10.1002/mds.870090112.Google Scholar
Martinez-Martin, P., Rodriguez-Blazquez, C., Forjaz, M. J. and Kurtis, M. M. (2015). Impact of pharmacotherapy on quality of life in patients with Parkinson's disease. CNS Drugs, 29, 397–413. doi: 10.1007/s40263-015-0247-x.Google Scholar
Peters, M., Fitzpatrick, R., Doll, H., Playford, D. and Jenkinson, C. (2011). Does self-reported well-being of patients with Parkinson's disease influence caregiver strain and quality of life? Parkinsonism & Related Disorders, 17, 348–352. doi: 10.1016/j.parkreldis.2011.02.009.Google Scholar
Pusswald, G., Fleck, M., Lehrner, J., Haubenberger, D., Weber, G. and Auff, E. (2012). The “sense of coherence” and the coping capacity of patients with Parkinson disease. International Psychogeriatrics, 24, 1972–1979. doi: 10.1017/S1041610212001330.Google Scholar
Rosengren, L., Brogårdh, C., Jacobsson, L. and Lexell, J. (2016). Life satisfaction and associated factors in persons with mild to moderate Parkinson's disease. NeuroRehabilitation, 39, 285–294. doi: 10.3233/NRE-161359.Google Scholar
Rosqvist, K., Hagell, P., Odin, P., Ekström, H., Iwarsson, S. and Nilsson, M. H. (2017). Factors associated with life satisfaction in Parkinson's disease. Acta Neurologica Scandinavica, 136, 64–71. doi: 10.1111/ane.12695.Google Scholar
Ruini, C., Ottolini, F., Rafanelli, C., Ryff, C. and Fava, G. A. (2003). Italian validation of psychological well- being scales (PWB). Rivista di Psichiatria, 38, 117–130. [article in Italian].Google Scholar
Ruini, C., Vescovelli, F. and Albieri, E. (2013). Post-traumatic growth in breast cancer survivors: new insights into its relationships with well-being and distress. Journal of Clinical Psychology in Medical Settings, 20, 383–391. doi: 10.1007/s10880-012-9340-1.Google Scholar
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069–1081. doi: 10.1037/0022-3514.57.6.1069.Google Scholar
Ryff, C. D. (2014). Psychological well-being revisited: advances in the science and practice of eudaimonia. Psychotherapy and Psychosomatics, 83, 10–28. doi: 10.1159/000353263.Google Scholar
Ryff, C. D., Singer, B. H. and Love, G. D. (2004). Positive health: connecting well-being with biology. Philosophical Transactions-Royal Society of London Series B Biological Sciences, 359, 1383–1394. doi: 10.1098/rstb.2004.1521.Google Scholar
Sagna, A., Gallo, J. J. and Pontone, G. M. (2014). Systematic review of factors associated with depression and anxiety disorders among older adults with Parkinson's disease. Parkinsonism & Related Disorders, 20, 708–715. doi: 10.1016/j.parkreldis.2014.03.020.Google Scholar
Seligman, M. E., Steen, T. A., Park, N. and Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. American Psychologist, 60, 410–421. doi: 10.1037/0003-066X.60.5.410.Google Scholar
Sonino, N. and Fava, G. A. (1998). A simple instrument for assessing stress in clinical practice. Postgraduate Medical Journal, 74, 408–410.Google Scholar
Starkstein, S., Dragovic, M., Brockman, S., Wilson, M., Bruno, V. and Merello, M. (2015). The impact of emotional distress on motor blocks and festination in Parkinson's Disease. The Journal of Neuropsychiatry and Clinical Neurosciences, 27, 121–126. doi: 10.1176/appi.neuropsych.13030053.Google Scholar
van Uem, J. M. et al. (2016). Health-related quality of life in patients with Parkinson's disease - a systematic review based on the ICF model. Neuroscience & Biobehavioral Reviews, 61, 26–34. doi: 10.1016/j.neubiorev.2015.11.014.Google Scholar
Wagenbreth, C., Wattenberg, L., Heinze, H. J. and Zaehle, T. (2016). Implicit and explicit processing of emotional facial expressions in Parkinson's disease. Behavioural Brain Research, 303, 182–190. doi: 10.1016/j.bbr.2016.01.059.Google Scholar
Wee, N. et al. (2016). Depression and anxiety are co-morbid but dissociable in mild Parkinson's disease: a prospective longitudinal study of patterns and predictors. Parkinsonism & Related Disorders, 23, 50–56. doi: 10.1016/j.parkreldis.2015.12.001.Google Scholar
Weintraub, D., Cary, M. S., Stern, M. B., Taraborelli, D. and Katz, I. R. (2006). Daily affect in Parkinson disease is responsive to life events and motor symptoms. The American Journal of Geriatric Psychiatry, 14, 161–168. doi: 10.1097/01.JGP.0000192494. 96543.f4.Google Scholar
Wood, A. M., Froh, J. J. and Geraghty, A. W. (2010). Gratitude and well-being: a review and theoretical integration. Clinical Psychology Review, 30, 890–905. doi: 10.1016/j.cpr.2010.03.005.Google Scholar
World Health Organization (WHO Constitution, 1948). Avaibale at: http://www.who.int/governance/eb/who_constitution_en.pdf.Google Scholar