Cognitive Self-Efficacy in Parkinson's Disease.
Pooja M Jethani1, Joan Toglia2, Erin R Foster3
1Louisiana State University of Health Sciences, Shreveport, LA, USA.
OTJR : Occupation, Participation and Health
|October 31, 2023
Summary
People with Parkinson's disease (PD) show lower cognitive self-efficacy (CSE) than healthy individuals. This may impact daily activities and rehabilitation engagement, highlighting the need for occupational therapists to address CSE in PD care.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Science
Background:
- Cognitive self-efficacy (CSE) is crucial for daily functioning and rehabilitation.
- Understanding how Parkinson's disease (PD) impacts CSE is vital for effective patient care.
- Previous research has not fully elucidated the relationship between PD and CSE.
Purpose of the Study:
- To investigate the effect of Parkinson's disease on cognitive self-efficacy.
- To compare CSE levels between individuals with PD and healthy controls.
- To explore factors associated with CSE in individuals with PD.
Main Methods:
- The Cognitive Self-Efficacy Questionnaire (CSEQ) was administered to 47 non-demented individuals with PD and 52 healthy comparison (HC) participants.
- Participants completed measures assessing recognition and management of cognitive symptoms, and performance of cognitively complex functional activities.
- Correlations between CSEQ scores and individual characteristics (e.g., depressive symptoms, medication dosage) were analyzed within the PD group.
Main Results:
- The PD group exhibited significantly lower CSEQ scores across all measured aspects compared to the HC group.
- Within the PD group, scores related to managing cognitive symptoms (Part 2) were lower than those for recognizing symptoms (Part 1) and performing functional activities (Part 4).
- Worse depressive symptoms and higher medication dosage were correlated with lower CSE in individuals with PD.
Conclusions:
- Individuals with Parkinson's disease often experience diminished cognitive self-efficacy.
- Low CSE in PD may contribute to limitations in participation and reduced adherence to treatment.
- Occupational therapists should proactively assess and address cognitive self-efficacy in clients with Parkinson's disease to optimize rehabilitation outcomes.
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