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SCIENTIFIC LITERATURE · MED

Anksiyete, yeni teşhis edilen Parkinson hastalığında bilişsel bozukluk ile ilişkilidir.

Anxiety is associated with cognitive impairment in newly-diagnosed Parkinson's disease.

Makine çevirisi · Editoryal inceleme bekliyor

Parkinsonism Relat Disord · 2017-01-04

DOI: 10.1016/j.parkreldis.2017.01.001PMID: 28108263

Open accessResearch Support, Non-U.S. Gov't; research-article; Journal ArticleKaynağa git ↗

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IntroductionAnxiety and mild cognitive impairment (MCI) are prevalent non-motor manifestations of Parkinson's disease (PD). While few studies have demonstrated a possible link between cognitive dysfunction and anxiety in PD, to our knowledge, no studies have directly examined the association between them. This study investigated the association between anxiety and cognitive deficits in newly diagnosed PD patients.MethodsPatients with newly diagnosed PD (N = 185) were recruited from community and outpatient clinics. Anxiety was assessed using the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) clinician rated anxiety item, which has previously been validated against a standardized criteria for the diagnosis of anxiety disorders in PD. Participants scoring ≥2 were classified as anxious. A threshold of 1 SD below normative values (obtained from controls) was used to define cognitive impairment. Impairments in specific cognitive domains were identified as being >1 SD below controls in ≥1 test per domain.ResultsAfter controlling for age, education and motor severity, patients with anxiety were three times more likely to have cognitive impairment compared to those without anxiety (OR = 3.0, 95% CI = 1.2-7.3, p ConclusionThis study shows an association between anxiety and cognitive impairment (specifically memory impairment). Examining the neural basis of this association warrants future research in this developing field.

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