McNamara Patrick, Durso Raymon, Harris Erica
Boston University School of Medicine and VA Boston Healthcare System, Department of Neurology, Boston, MA 02130, USA.
Clin Rehabil. 2006 Sep;20(9):818-26. doi: 10.1177/0269215506070811.
To identify the life goals of people with Parkinson's disease, to assess whether patients felt that these goals were 'on track', and to assess the relation of these life goals to neuropsychologic and mood function.
Cross-sectional descriptive study with an age-matched control group.
Outpatient Movement Disorders Clinics Veterans Hospital.
Twenty-two patients with mid-stage Parkinson's disease and 22 age-matched controls.
Rivermead Life Goals Inventory, neuropsychological and mood scales.
People with Parkinson's disease were less likely than age-matched controls to cite religion, social contacts, leisure activities and personal care as 'extremely important life goals'. People with Parkinson's disease assigned significantly lower 'importance' ratings to leisure activities and religion than did controls. In addition, people with Parkinson's disease assigned significantly lower 'on track' ratings for leisure activities, work, social contacts, religion and financial affairs compared with controls' rating on the same items. Although people with Parkinson's disease showed significantly greater levels of cognitive and mood dysfunction than did controls, their mean importance ratings on life goals correlated only with mood function scores.
The leisure activities, work, social contacts, religion and financial affairs of people with Parkinson's disease are less 'on track' than are their personal and family relationships. Subjective importance ratings of particular life goals of people with Parkinson's disease were found to be significantly related to mood function and not to cognitive function. Goal derailment ratings on the other hand were significantly related to both mood and cognitive impairment.
确定帕金森病患者的生活目标，评估患者是否觉得这些目标“进展顺利”，并评估这些生活目标与神经心理和情绪功能的关系。
与年龄匹配的对照组进行横断面描述性研究。
退伍军人医院门诊运动障碍诊所。
22例中期帕金森病患者和22名年龄匹配的对照组。
Rivermead生活目标量表、神经心理和情绪量表。
与年龄匹配的对照组相比，帕金森病患者将宗教、社交、休闲活动和个人护理视为“极其重要的生活目标”的可能性较小。帕金森病患者对休闲活动和宗教的“重要性”评分明显低于对照组。此外，与对照组对相同项目的评分相比，帕金森病患者对休闲活动、工作、社交、宗教和财务事务的“进展顺利”评分明显较低。尽管帕金森病患者的认知和情绪功能障碍水平明显高于对照组，但其生活目标的平均重要性评分仅与情绪功能得分相关。
帕金森病患者的休闲活动、工作、社交、宗教和财务事务比其个人和家庭关系“进展不那么顺利”。发现帕金森病患者特定生活目标的主观重要性评分与情绪功能显著相关，而与认知功能无关。另一方面，目标偏离评分与情绪和认知障碍均显著相关。
