Thinking about motor fluctuations: An examination of metacognitions in Parkinson's disease

TY - JOUR

T1 - Thinking about motor fluctuations

T2 - An examination of metacognitions in Parkinson's disease

AU - Fernie, Bruce A.

AU - Spada, Marcantonio M.

AU - Ray Chaudhuri, K

AU - Klingelhoefer, Lisa

AU - Brown, Richard G.

AU - Ray Chaudhuri, Kallol

PY - 2015/12

Y1 - 2015/12

N2 - ObjectiveMotor fluctuations (characterised by a sudden increase in symptom intensity, referred to as an 'off-period') are common side effects after treatment of Parkinson's disease (PD) with dopaminergic medication. A proportion of these people find motor fluctuations highly distressing. This study aimed to identify metacognitions associated with cognitive and attentional responses to these experiences. MethodsTen individuals with PD who experience motor fluctuations were interviewed for this study using an adapted metacognitive profiling schedule. Participants were asked about their metacognitions, and the cognitive processes and attentional strategies activated in response to a distressing off-period. ResultsMetacognitions identified were more often related to conceptual thinking about symptoms rather than symptom focus and data suggested trends for increased depressive symptoms among individuals with stronger metacognitive beliefs. Conclusion Metacognitions may play a role in determining or maintaining off-period distress in PD.

AB - ObjectiveMotor fluctuations (characterised by a sudden increase in symptom intensity, referred to as an 'off-period') are common side effects after treatment of Parkinson's disease (PD) with dopaminergic medication. A proportion of these people find motor fluctuations highly distressing. This study aimed to identify metacognitions associated with cognitive and attentional responses to these experiences. MethodsTen individuals with PD who experience motor fluctuations were interviewed for this study using an adapted metacognitive profiling schedule. Participants were asked about their metacognitions, and the cognitive processes and attentional strategies activated in response to a distressing off-period. ResultsMetacognitions identified were more often related to conceptual thinking about symptoms rather than symptom focus and data suggested trends for increased depressive symptoms among individuals with stronger metacognitive beliefs. Conclusion Metacognitions may play a role in determining or maintaining off-period distress in PD.

KW - Distress

KW - Metacognitions

KW - Motor fluctuations

KW - Off-periods

KW - Parkinson's disease

UR - http://www.scopus.com/inward/record.url?scp=84929249980&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychores.2015.05.001

DO - 10.1016/j.jpsychores.2015.05.001

M3 - Article

AN - SCOPUS:84929249980

SN - 0022-3999

VL - 79

SP - 669

EP - 673

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

IS - 6

ER -