Cognition, coping, and outcome in Parkinson's disease

Allbwn ymchwil: Cyfraniad at gyfnodolynErthygladolygiad gan gymheiriaid

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Cognition, coping, and outcome in Parkinson's disease. / Hurt, Catherine S; Landau, Sabine; Burn, David J et al.
Yn: International Psychogeriatrics, Cyfrol 24, Rhif 10, 10.2012, t. 1656-1663.

Allbwn ymchwil: Cyfraniad at gyfnodolynErthygladolygiad gan gymheiriaid

HarvardHarvard

Hurt, CS, Landau, S, Burn, DJ, Hindle, JV, Samuel, M, Wilson, K, Brown, RG & PROMS-PD Study Group 2012, 'Cognition, coping, and outcome in Parkinson's disease', International Psychogeriatrics, cyfrol. 24, rhif 10, tt. 1656-1663. https://doi.org/10.1017/S1041610212000749

APA

Hurt, C. S., Landau, S., Burn, D. J., Hindle, J. V., Samuel, M., Wilson, K., Brown, R. G., & PROMS-PD Study Group (2012). Cognition, coping, and outcome in Parkinson's disease. International Psychogeriatrics, 24(10), 1656-1663. https://doi.org/10.1017/S1041610212000749

CBE

Hurt CS, Landau S, Burn DJ, Hindle JV, Samuel M, Wilson K, Brown RG, PROMS-PD Study Group. 2012. Cognition, coping, and outcome in Parkinson's disease. International Psychogeriatrics. 24(10):1656-1663. https://doi.org/10.1017/S1041610212000749

MLA

Hurt, Catherine S et al. "Cognition, coping, and outcome in Parkinson's disease". International Psychogeriatrics. 2012, 24(10). 1656-1663. https://doi.org/10.1017/S1041610212000749

VancouverVancouver

Hurt CS, Landau S, Burn DJ, Hindle JV, Samuel M, Wilson K et al. Cognition, coping, and outcome in Parkinson's disease. International Psychogeriatrics. 2012 Hyd;24(10):1656-1663. doi: 10.1017/S1041610212000749

Author

Hurt, Catherine S ; Landau, Sabine ; Burn, David J et al. / Cognition, coping, and outcome in Parkinson's disease. Yn: International Psychogeriatrics. 2012 ; Cyfrol 24, Rhif 10. tt. 1656-1663.

RIS

TY - JOUR

T1 - Cognition, coping, and outcome in Parkinson's disease

AU - Hurt, Catherine S

AU - Landau, Sabine

AU - Burn, David J

AU - Hindle, John V

AU - Samuel, Mike

AU - Wilson, Ken

AU - Brown, Richard G

AU - PROMS-PD Study Group

PY - 2012/10

Y1 - 2012/10

N2 - BACKGROUND: Cognitive impairment and depression are common and disabling non-motor symptoms of Parkinson's disease (PD). Previous studies have shown associations between them but the nature of the relationship remains unclear. In chronic illness, problem- or task-oriented coping strategies are associated with better outcome but often require higher level cognitive functioning. The present study investigated, in a sample of patients with PD, the relationships between cognitive function, choice of coping strategies, and a broad index of outcome including depression, anxiety, and health-related quality of life (QoL). It was hypothesized that the coping strategy used could mediate the association between cognition and outcome.METHODS: 347 participants completed the Coping Inventory for Stressful Situations, the Hospital Anxiety and Depression Scale, the Parkinson's Disease Questionnaire-8, the Unified Parkinson's Disease Rating Scale, and the Addenbrooke's Cognitive Examination-Revised. Structural Equation Modeling was used to test the hypothesized model of cognition, coping, and outcome based on a direct association between cognition and outcome and an indirect association mediated by coping.RESULTS: Overall, poorer cognition predicted less use of task-oriented coping, which predicted worse outcome (a latent variable comprised of higher depression and anxiety and lower QoL). The analyses suggested a small indirect effect of cognition on outcome mediated by coping.CONCLUSIONS: The findings suggest that patients who fail to employ task-oriented coping strategies may be at greater risk of depression, anxiety, and poor health-related QoL. Even mild to moderate cognitive impairment may contribute to reduced use of task-oriented coping. Suitably adapted cognitive-behavioral approaches may be useful to enable the use of adaptive coping strategies in such patients.

AB - BACKGROUND: Cognitive impairment and depression are common and disabling non-motor symptoms of Parkinson's disease (PD). Previous studies have shown associations between them but the nature of the relationship remains unclear. In chronic illness, problem- or task-oriented coping strategies are associated with better outcome but often require higher level cognitive functioning. The present study investigated, in a sample of patients with PD, the relationships between cognitive function, choice of coping strategies, and a broad index of outcome including depression, anxiety, and health-related quality of life (QoL). It was hypothesized that the coping strategy used could mediate the association between cognition and outcome.METHODS: 347 participants completed the Coping Inventory for Stressful Situations, the Hospital Anxiety and Depression Scale, the Parkinson's Disease Questionnaire-8, the Unified Parkinson's Disease Rating Scale, and the Addenbrooke's Cognitive Examination-Revised. Structural Equation Modeling was used to test the hypothesized model of cognition, coping, and outcome based on a direct association between cognition and outcome and an indirect association mediated by coping.RESULTS: Overall, poorer cognition predicted less use of task-oriented coping, which predicted worse outcome (a latent variable comprised of higher depression and anxiety and lower QoL). The analyses suggested a small indirect effect of cognition on outcome mediated by coping.CONCLUSIONS: The findings suggest that patients who fail to employ task-oriented coping strategies may be at greater risk of depression, anxiety, and poor health-related QoL. Even mild to moderate cognitive impairment may contribute to reduced use of task-oriented coping. Suitably adapted cognitive-behavioral approaches may be useful to enable the use of adaptive coping strategies in such patients.

KW - Adaptation, Psychological

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Anxiety

KW - Cognition

KW - Depression

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Neuropsychological Tests

KW - Parkinson Disease

KW - Psychiatric Status Rating Scales

KW - Quality of Life

KW - Severity of Illness Index

KW - Journal Article

U2 - 10.1017/S1041610212000749

DO - 10.1017/S1041610212000749

M3 - Article

C2 - 22612910

VL - 24

SP - 1656

EP - 1663

JO - International Psychogeriatrics

JF - International Psychogeriatrics

SN - 1041-6102

IS - 10

ER -