A longitudinal study on the effects of COVID-19 pandemic on non-motor symptoms in Parkinson’s disease

Introduction The COVID-19 pandemic led to psychological consequences on people’s mental health, representing a condition of increased vulnerability for the weakest sections of population, including elderly patients with Parkinson’s disease (PD). This longitudinal study aimed at exploring the impact...

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Veröffentlicht in:Neurological sciences 2022-08, Vol.43 (8), p.4605-4609
Hauptverfasser: D’Iorio, Alfonsina, Baiano, Chiara, Maraucci, Giovanna, Vitale, Carmine, Amboni, Marianna, Santangelo, Gabriella
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container_issue 8
container_start_page 4605
container_title Neurological sciences
container_volume 43
creator D’Iorio, Alfonsina
Baiano, Chiara
Maraucci, Giovanna
Vitale, Carmine
Amboni, Marianna
Santangelo, Gabriella
description Introduction The COVID-19 pandemic led to psychological consequences on people’s mental health, representing a condition of increased vulnerability for the weakest sections of population, including elderly patients with Parkinson’s disease (PD). This longitudinal study aimed at exploring the impact of the most frequent non-motor symptoms and their contribute on health-related quality of life of PD patients after the COVID-19 outbreak, in comparison with the pre-pandemic status. Methods Forty-two non-demented PD patients underwent a first assessment between December 2018 and January 2020 (T0). Then, between March and May 2021 (T1), they were contacted again and asked to complete the second assessment. Levels of global functioning, several non-motor symptoms (i.e. depression, apathy, anxiety, anhedonia) and health-related quality of life were investigated. Results Results of the the paired Wilcoxon signed-rank test showed that at T1, PD patients scored lower on the emotional subscale of the DAS, Z  =  − 2.49; p  = 0.013; Cohen d z  = 0.691. Higher scores of the TEPS total score, Z  =  − 2.38; p  = 0.025; Cohen d z  = 0.621, and LEDD, Z  =  − 2.63; p  = 0.008; Cohen d z  = 0.731, were also reported at T1. Conclusion The present study suggested that self-isolation at home might lead to a reduction of apathy and anhedonia in PD patients due to the increase in social support provided by families during COVID-19 restrictions. This evidence brings out the need of a consistent and persistent social support which might be represented by caregivers or/and social assistive robotics.
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This longitudinal study aimed at exploring the impact of the most frequent non-motor symptoms and their contribute on health-related quality of life of PD patients after the COVID-19 outbreak, in comparison with the pre-pandemic status. Methods Forty-two non-demented PD patients underwent a first assessment between December 2018 and January 2020 (T0). Then, between March and May 2021 (T1), they were contacted again and asked to complete the second assessment. Levels of global functioning, several non-motor symptoms (i.e. depression, apathy, anxiety, anhedonia) and health-related quality of life were investigated. Results Results of the the paired Wilcoxon signed-rank test showed that at T1, PD patients scored lower on the emotional subscale of the DAS, Z  =  − 2.49; p  = 0.013; Cohen d z  = 0.691. Higher scores of the TEPS total score, Z  =  − 2.38; p  = 0.025; Cohen d z  = 0.621, and LEDD, Z  =  − 2.63; p  = 0.008; Cohen d z  = 0.731, were also reported at T1. Conclusion The present study suggested that self-isolation at home might lead to a reduction of apathy and anhedonia in PD patients due to the increase in social support provided by families during COVID-19 restrictions. This evidence brings out the need of a consistent and persistent social support which might be represented by caregivers or/and social assistive robotics.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s10072-022-06112-w</identifier><identifier>PMID: 35538300</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Apathy ; Coronaviruses ; COVID-19 ; Emotional behavior ; Hedonic response ; Longitudinal studies ; Medicine ; Medicine &amp; Public Health ; Movement disorders ; Neurodegenerative diseases ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Pandemics ; Parkinson's disease ; Psychiatry ; Quality of life ; Social interactions</subject><ispartof>Neurological sciences, 2022-08, Vol.43 (8), p.4605-4609</ispartof><rights>The Author(s) 2022. corrected publication 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. corrected publication 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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This longitudinal study aimed at exploring the impact of the most frequent non-motor symptoms and their contribute on health-related quality of life of PD patients after the COVID-19 outbreak, in comparison with the pre-pandemic status. Methods Forty-two non-demented PD patients underwent a first assessment between December 2018 and January 2020 (T0). Then, between March and May 2021 (T1), they were contacted again and asked to complete the second assessment. Levels of global functioning, several non-motor symptoms (i.e. depression, apathy, anxiety, anhedonia) and health-related quality of life were investigated. Results Results of the the paired Wilcoxon signed-rank test showed that at T1, PD patients scored lower on the emotional subscale of the DAS, Z  =  − 2.49; p  = 0.013; Cohen d z  = 0.691. Higher scores of the TEPS total score, Z  =  − 2.38; p  = 0.025; Cohen d z  = 0.621, and LEDD, Z  =  − 2.63; p  = 0.008; Cohen d z  = 0.731, were also reported at T1. 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This longitudinal study aimed at exploring the impact of the most frequent non-motor symptoms and their contribute on health-related quality of life of PD patients after the COVID-19 outbreak, in comparison with the pre-pandemic status. Methods Forty-two non-demented PD patients underwent a first assessment between December 2018 and January 2020 (T0). Then, between March and May 2021 (T1), they were contacted again and asked to complete the second assessment. Levels of global functioning, several non-motor symptoms (i.e. depression, apathy, anxiety, anhedonia) and health-related quality of life were investigated. Results Results of the the paired Wilcoxon signed-rank test showed that at T1, PD patients scored lower on the emotional subscale of the DAS, Z  =  − 2.49; p  = 0.013; Cohen d z  = 0.691. Higher scores of the TEPS total score, Z  =  − 2.38; p  = 0.025; Cohen d z  = 0.621, and LEDD, Z  =  − 2.63; p  = 0.008; Cohen d z  = 0.731, were also reported at T1. Conclusion The present study suggested that self-isolation at home might lead to a reduction of apathy and anhedonia in PD patients due to the increase in social support provided by families during COVID-19 restrictions. This evidence brings out the need of a consistent and persistent social support which might be represented by caregivers or/and social assistive robotics.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35538300</pmid><doi>10.1007/s10072-022-06112-w</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-7728-852X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Apathy
Coronaviruses
COVID-19
Emotional behavior
Hedonic response
Longitudinal studies
Medicine
Medicine & Public Health
Movement disorders
Neurodegenerative diseases
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Pandemics
Parkinson's disease
Psychiatry
Quality of life
Social interactions
title A longitudinal study on the effects of COVID-19 pandemic on non-motor symptoms in Parkinson’s disease
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