Calne Susan M, Lidstone Sarah C, Kumar Ajit
Pacific Parkinson's Research Center, Vancouver Coastal Health Authority UBC Site, University of British Columbia, M 36 Purdy Pavilion, 2221 Wesbrook Mall, Vancouver, BC, Canada V6T 2B5.
Parkinsonism Relat Disord. 2008;14(2):143-50. doi: 10.1016/j.parkreldis.2007.07.012. Epub 2007 Sep 21.
Young-onset Parkinson's disease (YOPD) patients have psychosocial issues that create more challenges than for older patients. They are diagnosed during the most productive years of their lives, live longer with the disease, and are at increased risk for non-motor symptoms of PD. This article describes issues that health care professionals may need to address, including anxiety, depression, cognitive disturbances, breakdown of relationships, and employment. These psychosocial problems require as much attention as the medical problems; they negatively impact the emotional stability of both the patient and family, interfering with all relationships. YOPD patients can benefit from a team approach to their treatment.
早发性帕金森病（YOPD）患者面临的社会心理问题比老年患者更多，挑战也更大。他们在人生最具生产力的年龄段被确诊，患病后存活时间更长，且出现帕金森病非运动症状的风险增加。本文描述了医疗保健专业人员可能需要解决的问题，包括焦虑、抑郁、认知障碍、人际关系破裂和就业问题。这些社会心理问题与医疗问题一样需要得到充分关注；它们会对患者及其家人的情绪稳定性产生负面影响，干扰所有人际关系。YOPD患者可从团队治疗方法中受益。
