Barriers to mental health care utilization in Parkinson's disease
Open accessAbstract
Background: Parkinson’s disease (PD) is frequently complicated by co-occurring psychiatric problems such as depression and anxiety that negatively affect the course and management of the illness. Yet, in most cases, these psychiatric comorbidities are neither recognized nor treated to remission. The primary purpose of this study was to identify and describe barriers to mental health care utilization for people with PD. Secondary objectives included the assessment of attitudes and preferences regarding the need for mental health services in the PD community and the acceptability of telehealth interventions as a method for improving access and quality of care. Methods: A total of 769 people with PD completed an anonymous cross-sectional questionnaire assessing barriers to mental health care utilization in this medical population. Respondents were drawn from a national sample. Results: Commonly endorsed barriers to mental health care utilization in PD reflect the patients’ incomplete understanding of mental health problems, access issues, and illness-specific concerns, as well as the inadequate screening and detection of psychiatric complications by medical providers and the need for more effective treatments in this medical population. Several demographic, medical, and psychiatric variables also influenced the likelihood of accessing mental health care. Interest in telehealth approaches to mental health treatment was high and, in several instances, correlated with perceived barriers to mental health care utilization. Conclusions: People with PD may encounter a multitude of barriers that impede their pursuit of mental health care. Clinical implications are discussed and further research is needed to replicate and extend these findings.
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Barriers to mental health treatment in PD include significant mobility impairments, lack of available services locally, high prevalence of rural and remote PD patients, and transportation burden including distance traveled and costs.
“given their significant mobility impairments, a lack of available services locally (and a high prevalence of rural and remote PD patients), and transportation burden including distance traveled and costs (Dobkin et al., 2013”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Dobkin et al., 2013
The Results (Mental Health Care Utilization; page unavailable) identify PD-related physical impairment, unavailable local services, and lack of transportation as reported barriers. The Results (Mental Health Needs Assessment and Tele-health Interventions; page unavailable) also report long travel distances for PD medical care, though not specifically for mental health treatment. Our copy does not establish a high prevalence of rural or remote PD patients or identify transportation costs as a barrier. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPD patients report specific interest in care delivered via home-based telehealth interventions.
“PD patients report specific interest in care delivered via home-based telehealth interventions (Dobkin et al., 2013”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Dobkin et al., 2013
Many PD patients do not receive mental health treatment.
“Many PD patients, however, do not receive mental health treatment (Frisina et al., 2008”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Dobkin et al., 2013
The accessibility and availability of psychological interventions will become an increasingly important consideration, given mobility, transport and cost concerns for Parkinson's disease patients.
“The accessibility and availability of psychological interventions will become an increasingly important consideration, given mobility, transport and cost concerns for PD patients (Dobkin et al., 2013”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Dobkin et al., 2013
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Telepsychotherapy Improves Health-Related Quality of Life in Parkinson’s Disease
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AVALIAÇÃO PSIQUIÁTRICA DO PACIENTE COM DOENÇA DE PARKINSON
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- Authors
- Dobkin, R. D., Rubino, J. T., Friedman, J., Allen, L. A., Gara, M. A., & Menza, M.
- Affiliations
- University of Medicine and Dentistry of New Jersey (US)
- Corresponding author
- Dobkin, Roseanne D.
- ORCID
- Dobkin, Roseanne D.
- Venue
- Journal of Geriatric Psychiatry and Neurology
- Publisher
- SAGE Publications
- Published
- 2013-04-15
- Volume
- 26
- Issue
- 2
- Pages
- 105-116
- ISSN
- 0891-9887 (ISSN-L)
- 1552-5708
- PMC
- PMC3644337
- OpenAlex
- W2153659555
- Cited by
- 93
- References
- 19
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 10 · 2023: 11 · 2022: 12 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 7 · 2016: 6 · 2015: 2 · 2014: 6 · 2013: 2
- FWCI
- 8.01
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Geriatric Psychiatry and Neurology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (K23NS052155)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Parkinson's disease, mental health service utilization, barriers to care, depression, anxiety, psychiatric comorbidity, telemedicine, access to mental health care
- MeSH terms
- Mental Disorders, Cross-Sectional Studies, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Middle Aged, Parkinson Disease, Surveys and Questionnaires, Telemedicine, Needs Assessment
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