Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Int J Geriatr Psychiatry. 2019 Aug;34(8):1128-1138. doi: 10.1002/gps.5137. Epub 2019 May 20.
Parkinson's disease (PD) is a progressive neurodegenerative disease that often impedes activities of daily living (ADL) and social functioning. Impairment in these areas can alter social roles by interfering with employment status, household management, friendships, and other relationships. Understanding how PD affects social functioning can help clinicians choose management strategies that mitigate these changes.
We conducted a mixed-methods systematic review of existing literature on social roles and social functioning in PD. A tailored search strategy in five databases identified 51 full-text reports that fulfilled the inclusion criteria and passed the quality appraisal. We aggregated and analyzed the results from these studies and then created a narrative summary.
Our review demonstrates how PD causes many people to withdraw from their accustomed social roles and experience deficits in corresponding activities. We describe how PD symptoms (eg, tremor, facial masking, and neuropsychiatric symptoms) interfere with relationships (eg, couple, friends, and family) and precipitate earlier departure from the workforce. Additionally, several studies demonstrated that conventional PD therapy has little positive effect on social role functioning.
Our report presents critical insight into how PD affects social functioning and gives direction to future studies and interventions (eg, couple counseling and recreational activities).
帕金森病（PD）是一种进行性神经退行性疾病，常影响日常生活活动（ADL）和社交功能。这些领域的障碍会通过干扰就业状况、家庭管理、友谊和其他关系来改变社会角色。了解 PD 如何影响社交功能可以帮助临床医生选择减轻这些变化的管理策略。
我们对 PD 中社会角色和社交功能的现有文献进行了混合方法系统评价。在五个数据库中进行了定制的搜索策略，确定了符合纳入标准并通过质量评估的 51 篇全文报告。我们对这些研究的结果进行了汇总和分析，然后创建了一个叙述性摘要。
我们的综述表明 PD 如何导致许多人退出他们习惯的社会角色，并在相应的活动中出现缺陷。我们描述了 PD 症状（如震颤、面部掩饰和神经精神症状）如何干扰人际关系（如夫妻、朋友和家庭），并促使他们更早地离开工作岗位。此外，几项研究表明，传统的 PD 治疗对社会角色功能几乎没有积极影响。
我们的报告提供了对 PD 如何影响社交功能的重要见解，并为未来的研究和干预措施（如夫妻咨询和娱乐活动）指明了方向。
