Duration of disease does not equally influence all aspects of quality of life in Parkinson’s disease
Author(s)
Type
Journal Article
Abstract
Health related quality of life (HRQoL) is negatively impacted in patients suffering from Parkinson's disease (PD). For the specific components that comprise HRQoL, the relationship between clinical variables, such as disease duration, is not fully characterized. In this cross-sectional study (n=302), self-reported HRQoL on the Parkinson's Disease Questionnaire (PDQ-39) was evaluated as a global construct as well as individual subscale scores. HRQoL was compared in three groups: those within 5years of diagnosis, those within 6-10years of diagnosis, and those greater than 11years since diagnosis. Non-parametric analyses revealed lower HRQoL with increasing disease duration when assessed as a global construct. However, when subscales were evaluated, difficulties with bodily discomfort and cognitive complaints were comparable in individuals in the 1-5years and 6-10year duration groups. Exploratory regression analyses suggested disease duration does explain unique variance in some subscales, even after controlling for Hoehn and Yahr stage and neuropsychiatric features. Our findings show that HRQoL domains in PD patients are affected differentially across the duration of the disease. Clinicians and researchers may need to tailor interventions intended to improve HRQoL at different domains as the disease progresses.
Date Issued
2016-01-06
Date Acceptance
2015-09-18
Citation
Journal of Clinical Neuroscience, 2016, 28, pp.102-106
ISSN
1532-2653
Publisher
Elsevier
Start Page
102
End Page
106
Journal / Book Title
Journal of Clinical Neuroscience
Volume
28
Copyright Statement
© 2016 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
PII: S0967-5868(15)00660-8
Subjects
Disease duration
Health-related quality of life
Parkinson’s disease
Neurology & Neurosurgery
1103 Clinical Sciences
1109 Neurosciences
Publication Status
Published