Psychosocial Interventions for Depression and Anxiety in Parkinson's Disease

Yang, Sarah Nagle; Sajatovic, Martha; Walter, Benjamin L.

doi:10.1177/0891988712445096

Cited by 67 publications

(48 citation statements)

References 37 publications

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“…There are only a few studies examining psychological interventions for depression and anxiety in Parkinson's disease (Yang et al, 2012). These studies suggest that cognitive behavioral therapy (CBT) can be effective.…”

Section: Introductionmentioning

confidence: 99%

Internet-based cognitive behavioral therapy for depression and anxiety in Parkinson's disease — A pilot study

Kraepelien

Svenningsson

Lindefors

et al. 2015

Internet Interventions

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Background: Parkinson's disease (PD) is often associated with depression and anxiety. The availability of evidence-based psychological interventions is low. Objective: This pilot study investigates the feasibility and preliminary effect of internet-based cognitive behavioral therapy (ICBT) for depression and anxiety in PD. Methods: 9 patients with PD with comorbid symptoms on the relevant subscale of Hospital Anxiety and Depression Scale (HADS), of either depression (HADS-D N 7) or anxiety (HADS-A N 7) received 12 weeks of ICBT, specially adapted for depression and anxiety in PD. Primary outcome was change in depression and anxiety symptoms, measured with HADS total score. Effects on non-motor symptoms, PD specific health and quality of life and insomnia were explored, plus the participant's involvement, satisfaction, and subjective evaluation of the treatment. Results: Participants reported lower symptoms on HADS after ICBT (Cohen's d = 0.79, p b 0.05). However, levels of inactivity were rather high and questionnaires and comments from participants suggested that the treatment can be improved, for example by adding more therapist support. Conclusions: The results suggest that ICBT could be a feasible way to alleviate depression and anxiety in PD. However, a somewhat simplified treatment and different ways to provide support to enhance adherence and outcome are warranted.

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Section: Introductionmentioning

confidence: 99%

Internet-based cognitive behavioral therapy for depression and anxiety in Parkinson's disease — A pilot study

Kraepelien

Svenningsson

Lindefors

et al. 2015

Internet Interventions

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“…The second most common neurodegenerative disorder is represented by PD, with a prevalence of 1% of the elderly worldwide population. About 30% of PD patients show clinically significant depressive syndromes and, again, it appears to be also an increased risk for depressed patients to develop PD [19][20][21][22][23] . As far as regard MS, depressive syndromes are psychiatric most common disorders associated to the illness.…”

Section: Neurology and Psychiatrymentioning

confidence: 99%

Effects of music and music therapy on mood in neurological patients

Raglio

Attardo

Gontero

et al. 2015

WJP

164

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Mood disorder and depressive syndromes represent a common comorbid condition in neurological disorders with a prevalence rate that ranges between 20% and 50% of patients with stroke, epilepsy, multiple sclerosis, and Parkinson's disease. Notwithstanding, these conditions are often under-diagnosed and under-treated in the clinical practice and negatively affect the functional recovery, the adherence to treatment, the quality of life, and even the mortality risk. In addition, a bidirectional association between depression and neurological disorders may be possible being that depressive syndromes may be considered as a risk factor for certain neurological diseases. Despite the large amount of evidence regarding the effects of music therapy (MT) and other musical interventions on different aspects of neurological disorders, no updated article reviewing outcomes such as mood, emotions, depression, activity of daily living and so on is actually available; for this reason, little is known about the effectiveness of music and MT on these important outcomes in neurological patients. The aim of this article is to provide a narrative review of the current literature on musical interventions and their effects on mood and depression in patients with neurological disorders. Searching on PubMed and PsycInfo databases, 25 studies corresponding to the inclusion criteria have been selected; 11 of them assess the effects of music or MT in Dementia, 9 explore the efficacy on patients with Stroke, and 5 regard other neurological diseases like Multiple Sclerosis, Amyotrophic Lateral Sclerosis/motor neuron disease, Chronic quadriplegia, Parkinson's Disease, and Acquired Brain dysfunctions. Selected studies are based on relational and rehabilitative music therapy approaches or concern music listening interventions. Most of the studies support the efficacy of MT and other musical interventions on mood, depressive syndromes, and quality of life on neurological patients.

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“…Yang et al [37] reviewed studies of dPD involving cognitive behavioral therapy (CBT) as well as multidisciplinary rehabilitation therapy. The CBT trials included patients without suicidal or homicidal ideation or signs of cognitive decline.…”

Section: Self-administeredmentioning

confidence: 99%

Managing Depression in Parkinson’s Patients: Risk Factors and Clinical Pearls

Biemiller

Richard

2014

Neurodegener. Dis. Manag.

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Parkinson's disease (PD) is a neurodegenerative condition that is on the rise as the world's population ages. As our understanding of the disease increases, depression has emerged as a common syndrome in this population that significantly reduces quality of life, making its understanding, recognition and treatment an important area of focus for clinicians and researchers alike. It is hypothesized that depression is a consequence of the disease process itself, sometimes developing prior to the onset of motor symptoms. Many of the diagnostic tools and treatments for depression have not been fully evaluated in the PD population. However, several traditional diagnostic interviews and depression rating scales have been used in recent clinical trials. These study results suggest that some of the currently available antidepressant medications may be effective and well tolerated in this population. This paper reviews our understanding of depression in PD as well as the current recommendations for its diagnosis and treatment.

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Psychosocial Interventions for Depression and Anxiety in Parkinson's Disease

Cited by 67 publications

References 37 publications

Internet-based cognitive behavioral therapy for depression and anxiety in Parkinson's disease — A pilot study

Internet-based cognitive behavioral therapy for depression and anxiety in Parkinson's disease — A pilot study

Effects of music and music therapy on mood in neurological patients

Managing Depression in Parkinson’s Patients: Risk Factors and Clinical Pearls

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