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Published Online: 1 October 2012

Motor and Non-Motor Symptoms in Turkish Patients With Parkinson’s Disease Affecting Family Caregiver Burden and Quality of Life

Publication: The Journal of Neuropsychiatry and Clinical Neurosciences

Abstract

Parkinson’s disease (PD) decreases the quality of life (QoL) of both caregivers and patients by increasing stress and burden, and it has a negative impact on their psychological state. In the present study, the authors examined the impact of PD-patient motor and non-motor clinical symptoms on the psychological health, burden, and QoL of Turkish caregivers. The study included 50 patients with PD and their caregivers. Patients’ disease severity and disability, motor and non-motor symptoms, disease complications, sleep disturbances, anxiety, and depressive symptoms were assessed with various scales. Data were analyzed by multiple linear-regression models to identify variables associated with caregiver burden, psychological status, and QoL. Anxiety and depressive symptoms exhibited by the patients significantly affected the psychological state of the caregivers. Caregiver burden was increased by disease severity; the patient’s degree of disability, anxiety, and depressive symptoms; and excessive daytime sleepiness. Caregiver QoL was significantly affected by the presence of dyskinesia, sialorrhea, and anxiety symptoms in patients with PD. These findings indicate that caregiving for patients with PD, particularly those in later stages, with psychiatric symptoms, affects caregiver psychological status, QoL, and caregiver burden. These results can be used to develop treatment approaches to improve caregivers’ psychological status and QoL and decrease caregiver burden.

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Published In

Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Pages: 478 - 483
PubMed: 23224455

History

Received: 26 October 2011
Revision received: 11 February 2012
Accepted: 22 March 2012
Published online: 1 October 2012
Published in print: Fall 2012

Authors

Details

Betul Ozdilek, M.D.
Department of Neurology, Marmara University Hospital, Istanbul Turkey.
Dilek Ince Gunal, M.D.
Department of Neurology, Marmara University Hospital, Istanbul Turkey.

Notes

Send correspondence to Betul Ozdilek, M.D., Erenkoy Research and Training Hospital for Neurology and Psychiatry; e-mail: [email protected]

Competing Interests

The authors report no conflict of interest.

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