Association of Stress-Health Factors among Parkinson's Disease Patient/Caregiving-Partner Dyads
| Autor: | Irene Litvan, Kala Phillips, Allison Rodgers, Megan E. Jablonski, Chelsea Siwik, J. Vincent Filoteo, Paul Salmon, Sandra E. Sephton, Elizabeth Cash |
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| Rok vydání: | 2021 |
| Předmět: |
Coping (psychology)
Psychological intervention Pilot Projects Disease Neuropsychological Tests Bedtime 03 medical and health sciences 0302 clinical medicine Quality of life Medicine Humans Prospective Studies 030304 developmental biology 0303 health sciences business.industry Parkinson Disease General Medicine Psychiatry and Mental health Clinical Psychology Distress Neuropsychology and Physiological Psychology Cross-Sectional Studies Quality of Life Brief Empirical Report Anxiety medicine.symptom business Psychosocial 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Arch Clin Neuropsychol |
| ISSN: | 1873-5843 |
| Popis: | Objective Few studies have explored the shared effects of Parkinson’s disease (PD) within patient/caregiver dyads. To fill this gap, we compared stress-health outcomes of patients with those of caregiving-partners, examined individual stress-health associations, and explored stress-health associations within dyads. Method A total of 18 PD patient/caregiving-partner dyads (N = 36) reported on disease-specific distress, anxiety, quality of life (QOL), and provided saliva samples for cortisol assessment. This cross-sectional, secondary analysis of a prospective pilot study used Actor-Partner Interdependence Models to test aims. Results Patients reported greater anxiety, poorer QOL, and demonstrated flatter cortisol slopes and higher mean bedtime cortisol compared to caregiving-partners. Both patients and caregiving-partners with greater anxiety had elevated bedtime cortisol and poorer QOL. Greater disease-specific distress in an individual was associated with higher diurnal mean cortisol in their partner. Conclusions Findings highlight the potential for psychosocial interventions at the dyadic level to reduce shared burden and promote coping among PD patient/caregiving-partner dyads. |
| Databáze: | OpenAIRE |
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