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Caregiver distress associated with neuropsychiatric problems in patients with early Parkinson’s disease: the Norwegian ParkWest study

Authors

  • I. Leiknes,

    1. The Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger, Norway
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  • O.-B. Tysnes,

    1. Department of Neurology, Haukeland University Hospital, Bergen, Norway
    2. School of Medicine, University of Bergen, Bergen, Norway
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  • D. Aarsland,

    1. The Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger, Norway
    2. School of Medicine, University of Bergen, Bergen, Norway
    3. Department of Psychiatry, Stavanger University Hospital, Stavanger, Norway
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  • J. P. Larsen

    1. The Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger, Norway
    2. School of Medicine, University of Bergen, Bergen, Norway
    3. Department of Neurology, Stavanger University Hospital, Stavanger, Norway
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Ingrid Leiknes, The Norwegian Centre for Movement Disorders, Stavanger University Hospital, PO Box 8100, 4068 Stavanger, Norway
Tel.: 0047 51515601
Fax: 0047 51515515
e-mail: leii@sus.no

Abstract

Leiknes I, Tysnes O-B, Aarsland D, Larsen JP. Caregiver distress associated with neuropsychiatric problems in patients with early Parkinson’s disease: the Norwegian ParkWest study.
Acta Neurol Scand: 2010: 122: 418–424.
© 2010 The Authors Journal compilation © 2010 Blackwell Munksgaard.

Objectives –  We investigated caregiver distress associated with neuropsychiatric problems in patients with newly diagnosed Parkinson’s disease (PD).

Materials and methods –  Persons who were next of kins of 198 patients and 168 healthy individuals completed the Neuropsychiatric Inventory Caregiver Distress Scale.

Results –  Even at the time of diagnosis PD has a considerable impact on the next of kins’ experience of distress. Nearly 50% reported distress, significantly more than in the control group, and more than one-quarter reported moderate severe distress. Except the more rarely reported neuropsychiatric symptoms, apathy was the symptom that most frequently caused caregiver distress in PD patient’s next of kin (94.5%), followed by depression (88.2%), anxiety (86.2%) and irritability (83.3%).

Conclusions –  The study underlines the importance of focusing on neuropsychiatric aspects in patients and associated caregiver distress even in early PD management.

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