Prevalence and Clinical Correlates of Comorbid Anxiety and Panic Disorders in Patients with Parkinson's Disease.

Parkinson disease anxiety disorders mood disorders movement disorder neurodegenerative diseases panic disorder

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
25 May 2021
Historique:
received: 01 04 2021
revised: 13 05 2021
accepted: 21 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 3 6 2021
Statut: epublish

Résumé

Mood and anxiety disorders are the most common neuropsychiatric syndromes associated with Parkinson's disease (PD). The aim of our study was to estimate the prevalence of lifetime and current anxiety disorders in patients with Parkinson's Disease (PD), to explore possible distinctive neurological and psychiatric features associated with such comorbidity. One hundred patients were consecutively recruited at the Movement Disorders Section of the Neurological Outpatient Clinic of the University of Pisa. According to the MINI-Plus 5.0.0, 41 subjects were diagnosed with lifetime anxiety disorder (22 with panic disorder) and 26 were diagnosed with current anxiety disorders. Patients with anxiety disorders were more frequently characterized by psychiatric symptoms preceding PD, lifetime major depression and antidepressant treatments. They showed more anxious temperamental traits and scored higher at Parkinson Anxiety Scale (PAS) and persistent anxiety subscale. Current anxiety disorders were associated with more severe psychopathology, depressive symptomatology, and avoidant behavior. Among anxiety subtypes, patients with lifetime panic disorder showed higher rates of psychiatric symptoms before PD, lifetime unipolar depression, current psychiatric treatment, and a more severe psychopathology. Given the overall high impact of anxiety on patients' quality of life, clinicians should not underestimate the extent of different anxiety dimensions in PD.

Identifiants

pubmed: 34070549
pii: jcm10112302
doi: 10.3390/jcm10112302
pmc: PMC8198165
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

J Neuropsychiatry Clin Neurosci. 2004 Winter;16(1):29-36
pubmed: 14990756
Mov Disord. 2008 Jul 15;23(9):1211-6
pubmed: 18528898
Parkinsonism Relat Disord. 2010 Nov;16(9):576-81
pubmed: 20674460
Biol Psychiatry. 2006 Dec 15;60(12):1299-303
pubmed: 17014829
Handb Clin Neurol. 2019;165:83-121
pubmed: 31727232
J Geriatr Psychiatry Neurol. 2020 Jul;33(4):207-213
pubmed: 31597514
Mov Disord. 2014 Jul;29(8):967-75
pubmed: 25043800
Mov Disord. 2011 May;26(6):1022-31
pubmed: 21626547
Mov Disord. 2000 Jul;15(4):669-77
pubmed: 10928577
Psychopathology. 1989;22(5):278-88
pubmed: 2602525
Am J Psychiatry. 1988 Aug;145(8):1020-2
pubmed: 3394854
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57
pubmed: 9881538
Curr Neurol Neurosci Rep. 2005 Jul;5(4):275-83
pubmed: 15987611
Int Rev Neurobiol. 2017;133:679-717
pubmed: 28802938
Arch Neurol. 1999 Jan;56(1):33-9
pubmed: 9923759
Ann Neurol. 2006 Apr;59(4):591-6
pubmed: 16566021
Arch Gen Psychiatry. 1997 Oct;54(10):915-22
pubmed: 9337771
Behav Neurol. 1993;6(3):151-4
pubmed: 24487112
Mov Disord. 2009 Jul 15;24(9):1333-8
pubmed: 19425086
Eur J Neurol. 2017 Feb;24(2):404-411
pubmed: 28032408
Acta Psychiatr Scand Suppl. 1998;393:12-22
pubmed: 9777042
Parkinsonism Relat Disord. 2004 May;10 Suppl 1:S37-41
pubmed: 15109585
Mov Disord. 2015 Oct;30(12):1591-601
pubmed: 26474316
Mov Disord. 1998 Jan;13(1):29-33
pubmed: 9452322
Int J Geriatr Psychiatry. 2013 Oct;28(10):1069-76
pubmed: 23348834
J Neurol Sci. 2016 Aug 15;367:158-61
pubmed: 27423582
J Affect Disord. 2020 Jan 1;260:458-462
pubmed: 31539680
Br J Psychiatry. 2005 Mar;186:182-4
pubmed: 15738496
Mov Disord. 2014 Jul;29(8):1035-43
pubmed: 24862344
Arch Gen Psychiatry. 2005 Jun;62(6):593-602
pubmed: 15939837
Mov Disord. 2010 May 15;25(7):838-45
pubmed: 20461800
Biol Psychiatry. 1993 Oct 1;34(7):465-70
pubmed: 8268331
Eur J Neurol. 2004 May;11(5):315-20
pubmed: 15142224
J Affect Disord. 2008 Aug;109(3):233-50
pubmed: 18155775
Am J Geriatr Psychiatry. 2019 Sep;27(9):998-1018
pubmed: 31006550
Mov Disord. 2016 Aug;31(8):1125-33
pubmed: 27125963
J Neuropsychiatry Clin Neurosci. 2009 Fall;21(4):413-9
pubmed: 19996250
Parkinsons Dis. 2012;2012:640707
pubmed: 22191074
Clin Geriatr Med. 2020 Feb;36(1):93-104
pubmed: 31733705
Ther Adv Neurol Disord. 2014 Jan;7(1):52-9
pubmed: 24409202
J Neurol Neurosurg Psychiatry. 2011 Jul;82(7):803-9
pubmed: 21217155
Mov Disord. 2018 Oct;33(10):1521-1527
pubmed: 30225905
Mov Disord. 2012 Mar;27(3):379-86
pubmed: 22162098
Int Psychogeriatr. 2016 Jul;28(7):1153-63
pubmed: 26861614
Mov Disord. 2010 Jan 30;25(2):157-66
pubmed: 19950403
BMC Geriatr. 2017 Nov 22;17(1):270
pubmed: 29166864
OTJR (Thorofare N J). 2016 Jul;36(3):134-47
pubmed: 27618849
Mov Disord. 2009 Aug 15;24(11):1641-9
pubmed: 19514014
Mov Disord. 2012 Jan;27(1):79-83
pubmed: 21915909
NPJ Parkinsons Dis. 2019 Dec 11;5:30
pubmed: 31840044
Mov Disord. 2011 Feb 15;26(3):484-92
pubmed: 21312281
CNS Drugs. 2007;21(9):741-64
pubmed: 17696574
CNS Spectr. 2020 Dec 07;:1-7
pubmed: 33280618
Int Psychogeriatr. 2015 Nov;27(11):1777-84
pubmed: 26100107
J Affect Disord. 2015 Jan 1;170:95-103
pubmed: 25237732
J Affect Disord. 2012 Jan;136(1-2):e41-e49
pubmed: 20129674
Am J Geriatr Psychiatry. 2014 Dec;22(12):1410-7
pubmed: 24200594
Int J Geriatr Psychiatry. 2018 Apr;33(4):642-651
pubmed: 29235150
Biol Psychiatry. 2006 Dec 15;60(12):1304-5
pubmed: 17157096

Auteurs

Camilla Elefante (C)

2nd Psychiatric Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Giulio Emilio Brancati (GE)

2nd Psychiatric Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Silvia Bacciardi (S)

2nd Psychiatric Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Sonia Mazzucchi (S)

Neurological Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Eleonora Del Prete (E)

Neurological Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Giovanni Palermo (G)

Neurological Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Daniela Frosini (D)

Neurological Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Ubaldo Bonuccelli (U)

Neurological Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Roberto Ceravolo (R)

Neurological Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Lorenzo Lattanzi (L)

2nd Psychiatric Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Icro Maremmani (I)

2nd Psychiatric Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Giulio Perugi (G)

2nd Psychiatric Unit, Department of Clinical and Experimental Medicine, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy.

Classifications MeSH