King's College London

Research portal

Barriers to reporting non-motor symptoms to health-care providers in people with Parkinson's

Research output: Contribution to journalArticle

Catherine S. Hurt, Lorna Rixon, Kallol Ray Chaudhuri, Rona Moss-Morris, Mike Samuel, Richard Gerard Brown

Original languageEnglish
Pages (from-to)220-225
Number of pages6
JournalParkinsonism and Related Disorders
Early online date20 Apr 2019
Accepted/In press15 Apr 2019
E-pub ahead of print20 Apr 2019
PublishedJul 2019


King's Authors


Background: Non-motor symptoms (NMS)are common in Parkinson's disease (PD)and cause significant distress. A high rate of non-declaration of NMS by patients to healthcare providers (HCP)means that many NMS remain untreated. Current understanding of the factors preventing disclosure of NMS to HCPs is limited. The present study aimed to i)further assess the prevalence of NMS and associated distress, ii)establish current rates of NMS reporting across a range of sources, and iii)explore overall and any symptom specific barriers to help-seeking for NMS. Methods: 358 PD patients completed a cross-sectional survey of NMS severity, reporting and barriers to help-seeking. A series of Generalised Estimating Equations were used to determine whether barriers were symptom specific. Results: A mean of 10.5 NMS were reported by each patient. Rates of non-reporting of NMS ranged from 15 to 72% of those experiencing distressing symptoms. The most commonly reported barriers to help-seeking were acceptance of symptoms; lack of awareness that a symptom was associated with PD, and belief that no effective treatments were available. Symptom specific barriers were found for sexual dysfunction (embarrassment), unexplained pain and urinary problems (belief about lack of treatment availability). Conclusion: A diverse range of barriers prevent PD patients reporting NMS to HCPs and these barriers differ between NMS. The study provides the foundations for developing interventions to increase reporting by targeting individual NMS. Increasing rates of help-seeking for NMS by patients to their Parkinson's healthcare providers will increase appropriate clinical care which may improve quality of life and well-being.

Download statistics

No data available

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454