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Factors associated with life satisfaction in Parkinson's disease
Lund University.
Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.ORCID iD: 0000-0003-2174-372X
Lund University.
Lund University.
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2016 (English)In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, no 10 OctoberArticle in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVES: To identify factors associated with life satisfaction (LS) in people with Parkinson's disease (PD), including a specific focus on those with late-stage PD.

MATERIAL AND METHODS: The study included 251 persons with PD (median age 70 years; PD duration 8 years). Analyses involved the total sample and a subsample with late-stage PD, that is Hoehn and Yahr stages IV and V (n=62). LS was assessed with item 1 of the Life Satisfaction Questionnaire (LiSat-11). Simple logistic regression analyses were performed for both the total sample and for the subsample with late-stage PD. For the total sample, a multivariable logistic regression analysis was also performed.

RESULTS: In the total sample, 12 of the 20 independent variables were significantly associated with LS: need of help with ADL; walking difficulties; number of non-motor symptoms (NMS); fatigue; depressive symptoms; general self-efficacy; motor symptoms; pain; PD severity; freezing episodes; gender (woman); and fluctuations. When controlling for age and gender in the multivariable logistic regression model, depressive symptoms were negatively associated with high LS and general self-efficacy was positively associated with high LS. In late-stage PD, simple logistic regression analyses (controlling for age and gender) identified the following factors as associated with LS: number of NMS, general self-efficacy, walking difficulties and fatigue.

CONCLUSIONS: This study provides new knowledge on factors associated with LS in a PD sample, including those with late-stage PD. As the ultimate goal for PD care should be improvement in LS, the results have direct clinical implication.

Place, publisher, year, edition, pages
2016. no 10 October
Keyword [en]
LiSat-11, Parkinson's disease, associated factors, depressive symptoms, general self-efficacy, late-stage, life satisfaction
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-16218DOI: 10.1111/ane.12695PubMedID: 27726132OAI: oai:DiVA.org:hkr-16218DiVA: diva2:1040538
Available from: 2016-10-27 Created: 2016-10-27 Last updated: 2017-03-15Bibliographically approved

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CiteExportLink to record
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