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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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2017 (English)In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 136, no 1, 64-71 p.Article in journal (Refereed) Published
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
2017. Vol. 136, no 1, 64-71 p.
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.12695ISI: 000402646200010PubMedID: 27726132OAI: oai:DiVA.org:hkr-16218DiVA: diva2:1040538
Funder
Swedish Research Council, CLaSP/JPND HC-559-002Swedish Research Council, 2012-2809Swedish Research Council, 521-2012-2809Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2016-10-27 Created: 2016-10-27 Last updated: 2017-08-01Bibliographically approved

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Avdelningen för SjuksköterskeutbildningarnaResearch Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education
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