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帕金森病患者躯体化与非运动症状严重程度的相关性。

Association Between Somatization and Nonmotor Symptoms Severity in People With Parkinson Disease.

机构信息

Mexican Faculty of Medicine, 27840La Salle University, Mexico City, Mexico.

Clinical Neurodegenerative Research Unit, 61614National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

出版信息

J Geriatr Psychiatry Neurol. 2021 Jan;34(1):60-65. doi: 10.1177/0891988720901787. Epub 2020 Feb 6.

DOI:10.1177/0891988720901787
PMID:32027207
Abstract

OBJECTIVE

To assess the frequency of somatization and its association with motor, nonmotor symptoms, and quality of life in persons with Parkinson disease (PD).

METHODS

A cross-sectional case-control study was carried out. Assessments included the List of 90 Symptoms somatic factor (SCL-90-R SOM), Movement Disorder Society Unified Parkinson's Ratings Scale (MDS-UPDRS), Non-Motor Symptom Scale (NMSS), Montreal Cognitive Assessment (MoCA), and Parkinson Questionnaire-8 (PDQ-8).

RESULTS

A total 93 persons with PD and 93 controls were included. Somatization within the PD group was 2 times more frequent compared to the control group (43% vs 21.5%, = .003). Persons with PD had higher NMSS total scores (48.6 ± 42.6 vs 28.3 ± 30.4, = .001). Patients with PD with somatization had worst MDS-UPDRS, NMSS, MoCA, and PDQ-8 (all < .05).

CONCLUSION

Somatization is more frequent in persons with PD compared to healthy controls. Somatization in PD is associated with nonmotor symptoms and worst quality of life.

摘要

目的

评估躯体化的频率及其与帕金森病(PD)患者的运动和非运动症状及生活质量的关系。

方法

进行了一项横断面病例对照研究。评估包括症状清单 90 项躯体化因子(SCL-90-R SOM)、运动障碍协会统一帕金森病评定量表(MDS-UPDRS)、非运动症状量表(NMSS)、蒙特利尔认知评估量表(MoCA)和帕金森病问卷-8 (PDQ-8)。

结果

共纳入 93 例 PD 患者和 93 名对照者。与对照组相比,PD 组躯体化的发生率高 2 倍(43%比 21.5%,P =.003)。PD 患者 NMSS 总分较高(48.6±42.6 比 28.3±30.4,P =.001)。有躯体化的 PD 患者的 MDS-UPDRS、NMSS、MoCA 和 PDQ-8 评分最差(均 P<.05)。

结论

与健康对照组相比,PD 患者躯体化更为常见。PD 中的躯体化与非运动症状和最差的生活质量有关。

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