Department of Neurology, Boston University School of Medicine and VA New England Healthcare System, 72 East Concord Street, B528, Boston, MA 02118, USA.
Parkinsons Dis. 2010 Mar 11;2010:263083. doi: 10.4061/2010/263083.
Purpose. To assess the impact of clinical variables on social skills and behaviors in Parkinson's disease (PD) patients and patient versus examiner estimates of social functioning. Methods. Twenty-eight patients with PD and 32 controls with chronic disease were assessed with a battery of neuropsychologic, personality, mood, and social function tests. Results. Patients' estimates of their own social functioning were not significantly different from examiners' estimates. The impact of clinical variables on social functioning in PD revealed depression to be the strongest association of social functioning in PD on both the patient and the examiner version of the Social Adaptation Self-Evaluation Scale. Conclusions. PD patients appear to be well aware of their social strengths and weaknesses. Depression and motor symptom severity are significant predictors of both self- and examiner reported social functioning in patients with PD. Assessment and treatment of depression in patients with PD may improve social functioning and overall quality of life.
目的。评估临床变量对帕金森病（PD）患者社会技能和行为的影响，以及患者与检查者对社会功能的估计。方法。对 28 名 PD 患者和 32 名慢性疾病对照者进行了神经心理学、人格、情绪和社会功能测试的测试。结果。患者对自身社会功能的评估与检查者的评估没有显著差异。在 PD 中，临床变量对社会功能的影响表明，抑郁是 PD 患者在社会适应自我评估量表的患者和检查者版本中与社会功能最强的关联。结论。PD 患者似乎对自己的社会优势和劣势有很好的认识。抑郁和运动症状严重程度是 PD 患者自我报告和检查者报告的社会功能的重要预测因素。对 PD 患者的抑郁进行评估和治疗可能会改善社会功能和整体生活质量。
