Subjective Cognitive and Communicative Complaints and Health-Related Quality of Life in Parkinson's Disease with and without Mild Cognitive Impairment

Autor: David Aguillon, Omar Buriticá, Juan Esteban Velez-Hernandez, Lucia Madrigal-Zapata, Dag Aarsland, Daniel Vasquez, Alberto Jaramillo-Jimenez, Miguel Germán Borda, Francisco Lopera, Yamile Bocanegra, Melissa Sierra Castrillon, Elkin Garcia-Cifuentes, Daniel Camilo Aguirre-Acevedo, David Antonio Pineda Salazar, Carlos Andrés Tobón Quintero, Leonardo Moreno Gómez
Rok vydání: 2020
Předmět:
Zdroj: Revista Colombiana de psiquiatria (English ed.).
ISSN: 2530-3120
Popis: Introduction Mild Cognitive Impairment (MCI) is common in Parkinson's Disease (PD). Few studies have compared the Health-Related Quality of Life (HRQoL) in patients with and without MCI due to PD (PD-MCI), and its correlation to patients’ subjective cognitive and communicative difficulties has not been explored. Objective We aimed to compare HRQoL in PD-MCI and PD without MCI (PD-nMCI), and explore its possible relationship to subjective cognitive and communicative complaints. Methods We included 29 PD-nMCI and 11 PD-MCI patients. The HRQoL was assessed with the Parkinson's Disease Questionnaire-39 (PDQ-39): its Cognition dimension was used as a measure of subjective cognitive complaints, its Communication dimension for subjective communicative complaints, and the summary index (PDQ-39 SI) as an indicator of HRQoL. Non-parametric partial correlations between the Cognition and Communication dimensions, and the adjusted PDQ-39 SI were conducted. Results PD-MCI patients had greater subjective cognitive and communicative complaints and worse HRQoL than PD-nMCI patients. In the PD-MCI group, both subjective cognitive and communicative complaints exhibited significant direct correlations with the adjusted HRQoL scores. Conclusions HRQoL seems to be affected in PD-MCI, and it might be influenced by greater subjective cognitive and communicative complaints. Including patient-reported outcome measures of HRQoL, and providing cognitive and speech rehabilitation, as well as psychotherapeutic strategies to face these deficits can enhance the patient-centred approach in PD.
Databáze: OpenAIRE
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