帕金森病患者身体功能与心理症状之间的关系：帕金森病患者及其照料者的认知
The relationship between physical function and psychological symptoms in Parkinson's: Perceptions of People with Parkinson's and Carers.
作者信息
Hodgson Philip, Jordan Alastair, Sinani Charikleia, Charura Divine
机构信息
York St John University, York, United Kingdom.
Tees, Esk and Wear Valleys NHS Foundation Trust, West Park Hospital, Darlington, United Kingdom.
出版信息
PLoS One. 2025 Apr 15;20(4):e0310578. doi: 10.1371/journal.pone.0310578. eCollection 2025.
BACKGROUND
People with Parkinson's (PwP) can experience both physical and psychological symptoms, and understanding the perspectives of people affected is crucial for improved management, and clinical outcomes.
OBJECTIVES
This online survey aimed to gain a better understanding of the relationship between the subjectively experienced physical and psychological symptoms by PwP and their carers, while also considering the influence of personal roles and past symptom experiences.
METHODS
A UK-wide survey of 251 PwP and 62 carers was conducted. The survey focused on reported diagnosed and non-diagnosed psychological symptoms experienced, their onset, and the perceived impact of physical and psychological symptoms on one another. Responses were summarised using descriptive statistics.
RESULTS
A substantial proportion of respondents reported at least one diagnosed psychological condition (38.5%) or undiagnosed psychological symptoms (44.6%) such as anxiety and depression. Half of respondents reported perceiving a bi-directional interaction between physical and psychological symptoms, with this perception most reported in people with prior experience of psychological symptoms. Our sample shows that while PwP and carers have similar views on the impact of psychological symptoms, carers perceive the impact of physical symptoms to be greater than PwP.
CONCLUSIONS
PwP and carers appear to perceive an interaction between physical and psychological symptoms in Parkinson's, noting that psychological symptoms frequently precede Parkinson's diagnosis but are often under-recognised. Improved awareness of the potential link between physical and psychological symptoms in PwP may help to improve assessment, and onward referral processes to enhance care. Further research may assist in identifying potential disease subtypes and allow the prediction of changes in physical and psychological presentation.
背景
帕金森病患者可能会出现身体和心理症状，了解患者及其照顾者的观点对于改善管理和临床结果至关重要。
目的
这项在线调查旨在更好地理解帕金森病患者及其照顾者主观体验到的身体和心理症状之间的关系，同时考虑个人角色和既往症状经历的影响。
方法
在英国范围内对251名帕金森病患者和62名照顾者进行了调查。该调查聚焦于报告的已确诊和未确诊的心理症状、其发作情况，以及身体和心理症状对彼此的感知影响。使用描述性统计对回答进行了总结。
结果
相当一部分受访者报告至少有一种已确诊的心理状况（38.5%）或未确诊的心理症状（44.6%），如焦虑和抑郁。一半的受访者报告察觉到身体和心理症状之间存在双向相互作用，这种感知在有心理症状既往经历的人群中最为常见。我们的样本显示，虽然帕金森病患者和照顾者对心理症状的影响有相似看法，但照顾者认为身体症状的影响比患者更大。
结论
帕金森病患者和照顾者似乎察觉到帕金森病中身体和心理症状之间存在相互作用，指出心理症状常在帕金森病诊断之前出现，但往往未得到充分认识。提高对帕金森病患者身体和心理症状潜在联系的认识可能有助于改善评估以及后续转诊流程，以加强护理。进一步的研究可能有助于识别潜在的疾病亚型，并预测身体和心理表现的变化。
Zotero 插件