Rutgers,The State University of New Jersey,Robert Wood Johnson Medical School,Piscataway,NJ,USA.
Int Psychogeriatr. 2019 Jan;31(1):1-4. doi: 10.1017/S1041610219000048.
It has been well established that Parkinson's disease (PD) is not just a movement disorder (Weintraub and Burn, 2011). Fortunately, the past two decades have seen increased attention to the neuropsychiatric aspects of the disease process. Neuropsychiatric symptoms (e.g., mood, sleep, psychosis, and impulse control) are experienced by the overwhelming majority of people living with PD (PWP) and have a detrimental impact on physical and cognitive decline (Pontone et al., 2016), quality of life (van Uem et al., 2016), and caregiving relationships (Santos-García, 2015). As a field, all multidisciplinary providers involved in the care of PWP, inclusive of movement disorder specialists, geriatric psychiatrists, clinical psychologists, social workers, and other allied healthcare providers, must work to improve the recognition and treatment of key non-motor symptoms, such as depression and anxiety, as part of the standard of care (Cohen et al., 2016). Improved detection and management is critical, as the failure to appropriately treat psychiatric complications negatively impacts the overall course of the illness, functional aspects of daily life, and the PWP ability to fully engage in their own self-care (Pontone et al., 2016).
帕金森病（PD）不仅仅是一种运动障碍，这一点已经得到充分证实（Weintraub 和 Burn，2011）。幸运的是，在过去的二十年中，人们越来越关注疾病过程中的神经精神方面。神经精神症状（例如情绪、睡眠、精神病和冲动控制障碍）是绝大多数帕金森病患者（PWP）所经历的，对身体和认知能力下降（Pontone 等人，2016）、生活质量（van Uem 等人，2016）和照护关系（Santos-García，2015）都有不利影响。作为一个领域，所有参与 PWP 护理的多学科提供者，包括运动障碍专家、老年精神病学家、临床心理学家、社会工作者和其他相关医疗保健提供者，都必须努力提高对关键非运动症状（如抑郁和焦虑）的识别和治疗水平，这是护理标准的一部分（Cohen 等人，2016）。提高检测和管理水平至关重要，因为未能适当治疗精神并发症会对疾病的整体进程、日常生活的功能方面以及 PWP 充分参与自身自我护理的能力产生负面影响（Pontone 等人，2016）。
