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中国帕金森病精神病评估工具的研究进展

Research progress of assessment tools for Parkinson's disease psychosis in China.

作者信息

Wang Shuchan, Yang Baoqin, Lu Ping, Chen Yaping, Dai Jianing, Zhao Lijun, Wang Miaomiao, Yu Jiahuan, Zhang Lixiu

机构信息

Nursing Department, The Affiliated Kangning Hospital of Ningbo University, Ningbo, China.

Medical College, Huzhou University, Huzhou, China.

出版信息

Front Psychiatry. 2025 Jul 10;16:1588618. doi: 10.3389/fpsyt.2025.1588618. eCollection 2025.

DOI:10.3389/fpsyt.2025.1588618
PMID:40708592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12287042/
Abstract

Parkinson's disease psychosis (PDP) has a significant impact on the quality of life and disease prognosis of patients with Parkinson's disease (PD). Accurate assessment of psychotic symptoms in PD patients is critical for early detection and intervention. This, in turn, improves clinical outcomes and quality of life. This review evaluates both internationally validated and China-specific assessment tools for PDP, including the Parkinson's Psychosis Questionnaire, Geriatric Apathy Scale, and culturally adapted instruments. We analyze the psychometric properties, cultural applicability, and clinical utility of these tools in Chinese populations. Our findings provide evidence-based recommendations for healthcare professionals to optimize tool selection, enhance diagnostic accuracy, and guide targeted interventions in China's diverse clinical settings. The review also identifies gaps in current assessment approaches and proposes directions for future tool development and validation studies.

摘要

帕金森病精神病(PDP)对帕金森病(PD)患者的生活质量和疾病预后有重大影响。准确评估PD患者的精神症状对于早期发现和干预至关重要。这反过来又能改善临床结局和生活质量。本综述评估了国际上经过验证的以及针对中国的PDP评估工具,包括帕金森精神病问卷、老年淡漠量表和文化适应性工具。我们分析了这些工具在中国人群中的心理测量特性、文化适用性和临床实用性。我们的研究结果为医疗保健专业人员提供了基于证据的建议,以优化工具选择、提高诊断准确性,并在中国多样化的临床环境中指导有针对性的干预措施。该综述还指出了当前评估方法中的差距,并提出了未来工具开发和验证研究的方向。

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Research progress of assessment tools for Parkinson's disease psychosis in China.中国帕金森病精神病评估工具的研究进展
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本文引用的文献

1
Development and validation of the geriatric apathy scale: Examining multi-dimensional apathy profiles in a neurodegenerative population with cultural considerations.老年淡漠量表的编制与验证:在具有文化考虑因素的神经退行性人群中考察多维淡漠特征。
Asian J Psychiatr. 2024 Mar;93:103924. doi: 10.1016/j.ajp.2024.103924. Epub 2024 Jan 9.
2
Unilateral anterior capsulotomy combined with deep brain stimulation for Parkinson's disease psychosis and motor dysfunctions.单侧前囊切开术联合脑深部电刺激治疗帕金森病精神障碍和运动功能障碍。
Prog Neuropsychopharmacol Biol Psychiatry. 2024 Jan 10;128:110865. doi: 10.1016/j.pnpbp.2023.110865. Epub 2023 Sep 20.
3
Minor Phenomena in Parkinson's Disease-Prevalence, Associations, and Risk of Developing Psychosis.帕金森病中的小现象——患病率、相关性和发展为精神病的风险。
J Geriatr Psychiatry Neurol. 2024 Mar;37(2):134-145. doi: 10.1177/08919887231195220. Epub 2023 Aug 5.
4
Investigating the interaction between neuropsychiatry features and daily activities on social function in patients with Parkinson's disease with mild cognitive impairment.探究帕金森病伴轻度认知障碍患者神经精神症状与日常活动对社会功能的相互作用。
BJPsych Open. 2022 Nov 25;8(6):e205. doi: 10.1192/bjo.2022.611.
5
Unmet needs in the diagnosis and treatment of Parkinson's disease psychosis and dementia-related psychosis.帕金森病精神病和与痴呆相关的精神病的诊断和治疗中的未满足需求。
Int J Psychiatry Clin Pract. 2023 Mar;27(1):69-81. doi: 10.1080/13651501.2022.2058406. Epub 2022 May 14.
6
A brief history of brain iron accumulation in Parkinson disease and related disorders.帕金森病及相关疾病中脑铁蓄积的简史。
J Neural Transm (Vienna). 2022 Jun;129(5-6):505-520. doi: 10.1007/s00702-022-02505-5. Epub 2022 May 9.
7
Incidence, Prevalence, and Mortality of Psychosis Associated with Parkinson's Disease (1991-2010).帕金森病相关精神病的发病率、患病率及死亡率(1991 - 2010年)
J Parkinsons Dis. 2022;12(4):1319-1327. doi: 10.3233/JPD-213035.
8
Clinical Characteristics of Minor Hallucinations in Chinese Parkinson's Disease Patients.中国帕金森病患者轻微幻觉的临床特征
Front Aging Neurosci. 2022 Jan 20;13:723405. doi: 10.3389/fnagi.2021.723405. eCollection 2021.
9
Neuropsychiatric Symptoms in Parkinson's Disease Patients Are Associated with Reduced Health-Related Quality of Life and Increased Caregiver Burden.帕金森病患者的神经精神症状与健康相关生活质量下降及照顾者负担增加有关。
Brain Sci. 2022 Jan 11;12(1):89. doi: 10.3390/brainsci12010089.
10
The neuropsychiatry of Parkinson's disease: advances and challenges.帕金森病的神经精神医学:进展与挑战。
Lancet Neurol. 2022 Jan;21(1):89-102. doi: 10.1016/S1474-4422(21)00330-6.