Effect of Psychiatric and Other Nonmotor Symptoms on Disability in Parkinson's Disease
Abstract
Objectives To examine the effect of depression and other nonmotor symptoms on functional ability in Parkinson's disease (PD). Design A cross-sectional study of a convenience sample of PD patients receiving specialty care. Setting The Parkinson's Disease Research, Education and Clinical Center at the Philadelphia Veterans Affairs Medical Center. Participants One hundred fourteen community-dwelling patients with idiopathic PD. Measurements The Unified Parkinson's Disease Rating Scale (UPDRS); Hoehn and Yahr Stage; Mini-Mental State Examination; Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, depression module; probes for psychotic symptoms; Hamilton Depression Rating Scale; Geriatric Depression Scale-Short Form; Apathy Scale; and Epworth Sleepiness Scale. Disability was rated using the UPDRS activity of daily living (ADL) score and the Schwab and England ADL score. Multivariate analysis determined effect of depression and other nonmotor symptoms on disability. Results The presence of psychosis, depressive disorder, increasing depression severity, age, duration of PD, cognitive impairment, apathy, sleepiness, motor impairment, and percentage of time with dyskinesias were related to greater disability in bivariate analyses. Entering these factors into two multiple regression analyses, only the increasing severity of depression and worsening cognition were associated with greater disability using the UPDRS ADL score, account…
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Apathy has been found to interfere with Parkinson disease motor disability treatment, exacerbating disability, and lowering quality of life and ability to carry out activities of daily living.
“which has been found to interfere with PD motor disability treatment, exacerbating disability, and lowering quality of life and ability to carry out activities of daily living (ADL)”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Weintraub et al., 2004
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“As indicated above, apathy is being recognized as an increasingly important PD comorbidity, not necessarily associated with depression, which has been found to interfere with PD motor disability treatment, exacerbating disability, and lowering quality of life and ability to carry out activities of daily living (ADL) (…”
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- Authors
- Weintraub, D., Moberg, P. J., Duda, J. E., Katz, I. R., & Stern, M. B.
- Affiliations
- Veterans Health Administration (US)
- Philadelphia VA Medical Center (US)
- Corresponding author
- Weintraub, Daniel
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2004-04-14
- Volume
- 52
- Issue
- 5
- Pages
- 784-788
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W1556623372
- Cited by
- 381
- References
- 4
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 8 · 2023: 12 · 2022: 9 · 2021: 12 · 2020: 17 · 2019: 8 · 2018: 14 · 2017: 22 · 2016: 12 · 2015: 22 · 2014: 14 · 2013: 33 · 2012: 24
- FWCI
- 13.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- Parkinson's disease, disability, depression, non-motor symptoms, psychosis, apathy, sleepiness, cognitive impairment, functional capacity, activities of daily living, symptom severity
- MeSH terms
- Activities of Daily Living, Aged, Cognition, Cognition Disorders, Cross-Sectional Studies, Depression, Disability Evaluation, Female, Humans, Male, Parkinson Disease, Psychiatric Status Rating Scales, Quality of Life, Geriatric Assessment, Multivariate Analysis
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