Tackling psychosocial maladjustment in Parkinson’s disease patients following subthalamic deep-brain stimulation: A randomised clinical trial
Publication Date
April 11, 2017
Authors
Joao Flores Alves Dos Santos, Sophie Tezenas Du Montcel, Marcella Gargiulo, Cecile Behar, et al
Volume
12
Issue
4
Pages
e0174512
DOI
https://dx.plos.org/10.1371/journal.pone.0174512
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0174512
Scopus
85017522889
Mendeley
http://www.mendeley.com/research/tackling-psychosocial-maladjustment-parkinsons-disease-patients-following-subthalamic-deepbrain-stim
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Mendeley | Further Information

{"title"=>"Tackling psychosocial maladjustment in Parkinson's disease patients following subthalamic deep-brain stimulation: A randomised clinical trial", "type"=>"journal", "authors"=>[{"first_name"=>"Joao Flores Alves Dos", "last_name"=>"Santos", "scopus_author_id"=>"56658222800"}, {"first_name"=>"Sophie Tezenas Du", "last_name"=>"Montcel", "scopus_author_id"=>"23103858900"}, {"first_name"=>"Marcella", "last_name"=>"Gargiulo", "scopus_author_id"=>"7005882360"}, {"first_name"=>"Cecile", "last_name"=>"Behar", "scopus_author_id"=>"14036761500"}, {"first_name"=>"Sébastien", "last_name"=>"Montel", "scopus_author_id"=>"23098450600"}, {"first_name"=>"Thierry", "last_name"=>"Hergueta", "scopus_author_id"=>"6602604524"}, {"first_name"=>"Soledad", "last_name"=>"Navarro", "scopus_author_id"=>"7101945846"}, {"first_name"=>"Hayat", "last_name"=>"Belaid", "scopus_author_id"=>"35068973200"}, {"first_name"=>"Pauline", "last_name"=>"Cloitre", "scopus_author_id"=>"57193920430"}, {"first_name"=>"Carine", "last_name"=>"Karachi", "scopus_author_id"=>"6508345746"}, {"first_name"=>"Luc", "last_name"=>"Mallet", "scopus_author_id"=>"7006918694"}, {"first_name"=>"Marie Laure", "last_name"=>"Welter", "scopus_author_id"=>"7004347892"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"28399152", "sgr"=>"85017522889", "doi"=>"10.1371/journal.pone.0174512", "scopus"=>"2-s2.0-85017522889", "pui"=>"615347857", "isbn"=>"1111111111", "issn"=>"19326203"}, "id"=>"4bbea350-9893-3efe-88cd-f6831d28c5e3", "abstract"=>"BACKGROUND Subthalamic nucleus deep brain stimulation (STN-DBS) is an effective treatment for the motor and non-motor signs of Parkinson's disease (PD), however, psychological disorders and social maladjustment have been reported in about one third of patients after STN-DBS. We propose here a perioperative psychoeducation programme to limit such social and familial disruption. METHODS Nineteen PD patients and carers were included in a randomised single blind study. Social adjustment scale (SAS) scores from patients and carers that received the psychoeducation programme (n = 9) were compared, both 1 and 2 years after surgery, with patients and carers with usual care (n = 10). Depression, anxiety, cognitive status, apathy, coping, parkinsonian disability, quality-of-life, carers' anxiety and burden were also analysed. RESULTS Seventeen patients completed the study, 2 were excluded from the final analysis because of adverse events. At 1 year, 2/7 patients with psychoeducation and 8/10 with usual care had an aggravation in at least one domain of the SAS (p = .058). At 2 years, only 1 patient with psychoeducation suffered persistent aggravated social adjustment as compared to 8 patients with usual care (p = .015). At 1 year, anxiety, depression and instrumental coping ratings improved more in the psychoeducation than in the usual care group (p = .038, p = .050 and p = .050, respectively). No significant differences were found between groups for quality of life, cognitive status, apathy or motor disability. CONCLUSIONS Our results suggest that a perioperative psychoeducation programme prevents social maladjustment in PD patients following STN-DBS and improves anxiety and depression compared to usual care. These preliminary data need to be confirmed in larger studies.", "link"=>"http://www.mendeley.com/research/tackling-psychosocial-maladjustment-parkinsons-disease-patients-following-subthalamic-deepbrain-stim", "reader_count"=>36, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Librarian"=>1, "Researcher"=>10, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>6, "Other"=>1, "Student > Master"=>1, "Student > Bachelor"=>1, "Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Librarian"=>1, "Researcher"=>10, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>6, "Other"=>1, "Student > Master"=>1, "Student > Bachelor"=>1, "Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Engineering"=>1, "Medicine and Dentistry"=>6, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>4, "Psychology"=>13, "Social Sciences"=>2, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>6}, "Neuroscience"=>{"Neuroscience"=>4}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>13}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Unspecified"=>{"Unspecified"=>8}}, "reader_count_by_country"=>{"Japan"=>1, "Switzerland"=>2}, "group_count"=>1}

Scopus | Further Information

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