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Motor fluctuations and psychological distress in Parkinson's disease

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Motor fluctuations and psychological distress in Parkinson's disease. / Fernie, B. A.; Spada, M. M.; Brown, R. G.

In: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, Vol. 38, No. 6, 01.06.2019, p. 518-526.

Research output: Contribution to journalArticle

Harvard

Fernie, BA, Spada, MM & Brown, RG 2019, 'Motor fluctuations and psychological distress in Parkinson's disease', Health psychology : official journal of the Division of Health Psychology, American Psychological Association, vol. 38, no. 6, pp. 518-526. https://doi.org/10.1037/hea0000736

APA

Fernie, B. A., Spada, M. M., & Brown, R. G. (2019). Motor fluctuations and psychological distress in Parkinson's disease. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 38(6), 518-526. https://doi.org/10.1037/hea0000736

Vancouver

Fernie BA, Spada MM, Brown RG. Motor fluctuations and psychological distress in Parkinson's disease. Health psychology : official journal of the Division of Health Psychology, American Psychological Association. 2019 Jun 1;38(6):518-526. https://doi.org/10.1037/hea0000736

Author

Fernie, B. A. ; Spada, M. M. ; Brown, R. G. / Motor fluctuations and psychological distress in Parkinson's disease. In: Health psychology : official journal of the Division of Health Psychology, American Psychological Association. 2019 ; Vol. 38, No. 6. pp. 518-526.

Bibtex Download

@article{1f8bf9a59ee04ff1b4ac53478ebb533d,
title = "Motor fluctuations and psychological distress in Parkinson's disease",
abstract = "OBJECTIVES: Off periods in Parkinson's disease are associated with a worsening of nonmotor symptoms and acute psychological distress. The relationship between motor fluctuations and episodic distress in naturalistic settings remains unclear, particularly the role of individual psychological factors. This study aimed to identify those factors through real-life, real-time assessment using ecological momentary assessment (EMA). METHOD: Twenty participants (seven female) completed multiple brief prompted surveys over a 7-day period assessing current motor and medication state, social situation, episodic distress, and cognitive processes (rumination, symptom focus, and worry). Baseline depression and anxiety were measured using validated questionnaires, as were positive and negative beliefs and attitudes (metacognitions) regarding cognitive processes. The feasibility of EMA via smartphones was assessed at the end of the study. RESULTS: Across participants, 496 complete data sets were collected. Generalized linear mixed-model regression analyses showed that episodic distress was predicted by a combination of cognitive processes, F(1, 483) = 41.14, p <.001, momentary motor state, F(3, 483) = 10.40, p <.001, time of day, F(1, 23) = 12.42, p = .002, and trait negative metacognitions, F(1, 6) = 7.21, p = .037). EMA was judged acceptable by the majority of participants. CONCLUSIONS: Time of day, cognitive processes, and negative metacognitions predict episodic distress independent of motor state. This indicates potential targets for nonpharmacological interventions aimed at alleviating episodic distress in patients with motor fluctuations. EMA is a feasible methodology for Parkinson's disease research and potential tool for delivering such interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).",
keywords = "Distress, Ecological momentary assessment, Metacognition, Motor fluctuations, Parkinson's disease",
author = "Fernie, {B. A.} and Spada, {M. M.} and Brown, {R. G.}",
note = "Fernie, Bruce A Spada, Marcantonio M Brown, Richard G eng National Institute for Health Research; Biomedical Research Centre Health Psychol. 2019 Apr 11. pii: 2019-19146-001. doi: 10.1037/hea0000736.",
year = "2019",
month = jun,
day = "1",
doi = "10.1037/hea0000736",
language = "English",
volume = "38",
pages = "518--526",
journal = "Health psychology : official journal of the Division of Health Psychology, American Psychological Association",
issn = "0278-6133",
number = "6",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Motor fluctuations and psychological distress in Parkinson's disease

AU - Fernie, B. A.

AU - Spada, M. M.

AU - Brown, R. G.

N1 - Fernie, Bruce A Spada, Marcantonio M Brown, Richard G eng National Institute for Health Research; Biomedical Research Centre Health Psychol. 2019 Apr 11. pii: 2019-19146-001. doi: 10.1037/hea0000736.

PY - 2019/6/1

Y1 - 2019/6/1

N2 - OBJECTIVES: Off periods in Parkinson's disease are associated with a worsening of nonmotor symptoms and acute psychological distress. The relationship between motor fluctuations and episodic distress in naturalistic settings remains unclear, particularly the role of individual psychological factors. This study aimed to identify those factors through real-life, real-time assessment using ecological momentary assessment (EMA). METHOD: Twenty participants (seven female) completed multiple brief prompted surveys over a 7-day period assessing current motor and medication state, social situation, episodic distress, and cognitive processes (rumination, symptom focus, and worry). Baseline depression and anxiety were measured using validated questionnaires, as were positive and negative beliefs and attitudes (metacognitions) regarding cognitive processes. The feasibility of EMA via smartphones was assessed at the end of the study. RESULTS: Across participants, 496 complete data sets were collected. Generalized linear mixed-model regression analyses showed that episodic distress was predicted by a combination of cognitive processes, F(1, 483) = 41.14, p <.001, momentary motor state, F(3, 483) = 10.40, p <.001, time of day, F(1, 23) = 12.42, p = .002, and trait negative metacognitions, F(1, 6) = 7.21, p = .037). EMA was judged acceptable by the majority of participants. CONCLUSIONS: Time of day, cognitive processes, and negative metacognitions predict episodic distress independent of motor state. This indicates potential targets for nonpharmacological interventions aimed at alleviating episodic distress in patients with motor fluctuations. EMA is a feasible methodology for Parkinson's disease research and potential tool for delivering such interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

AB - OBJECTIVES: Off periods in Parkinson's disease are associated with a worsening of nonmotor symptoms and acute psychological distress. The relationship between motor fluctuations and episodic distress in naturalistic settings remains unclear, particularly the role of individual psychological factors. This study aimed to identify those factors through real-life, real-time assessment using ecological momentary assessment (EMA). METHOD: Twenty participants (seven female) completed multiple brief prompted surveys over a 7-day period assessing current motor and medication state, social situation, episodic distress, and cognitive processes (rumination, symptom focus, and worry). Baseline depression and anxiety were measured using validated questionnaires, as were positive and negative beliefs and attitudes (metacognitions) regarding cognitive processes. The feasibility of EMA via smartphones was assessed at the end of the study. RESULTS: Across participants, 496 complete data sets were collected. Generalized linear mixed-model regression analyses showed that episodic distress was predicted by a combination of cognitive processes, F(1, 483) = 41.14, p <.001, momentary motor state, F(3, 483) = 10.40, p <.001, time of day, F(1, 23) = 12.42, p = .002, and trait negative metacognitions, F(1, 6) = 7.21, p = .037). EMA was judged acceptable by the majority of participants. CONCLUSIONS: Time of day, cognitive processes, and negative metacognitions predict episodic distress independent of motor state. This indicates potential targets for nonpharmacological interventions aimed at alleviating episodic distress in patients with motor fluctuations. EMA is a feasible methodology for Parkinson's disease research and potential tool for delivering such interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

KW - Distress

KW - Ecological momentary assessment

KW - Metacognition

KW - Motor fluctuations

KW - Parkinson's disease

UR - http://www.scopus.com/inward/record.url?scp=85064348071&partnerID=8YFLogxK

U2 - 10.1037/hea0000736

DO - 10.1037/hea0000736

M3 - Article

VL - 38

SP - 518

EP - 526

JO - Health psychology : official journal of the Division of Health Psychology, American Psychological Association

JF - Health psychology : official journal of the Division of Health Psychology, American Psychological Association

SN - 0278-6133

IS - 6

ER -

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