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Related Experiment Videos

Parkinson's disease symptoms--patients' perceptions

S Abudi1, Y Bar-Tal, L Ziv

  • 1Department of Nursing, School of Health Professions, Tel-Aviv University, Israel.

Journal of Advanced Nursing
|January 1, 1997
PubMed
Summary

Parkinson's disease patients report mental and psychosocial symptoms more frequently and severely than motor issues. This contrasts with expert opinions on characteristic Parkinson's symptoms.

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Area of Science:

  • Neurology
  • Psychology
  • Rehabilitation Medicine

Background:

  • Accurate patient needs assessment is crucial in healthcare.
  • Self-assessment provides valuable insights into patient experiences.
  • Parkinson's disease (PD) presents a complex array of motor, mental, and psychosocial challenges.

Purpose of the Study:

  • To investigate the frequency and severity of symptoms experienced by Parkinson's disease patients.
  • To compare patient-reported symptoms with those identified by literature and specialists.
  • To analyze symptom perception across motor, mental, psychosocial, and nonspecific categories.

Main Methods:

  • A study involving 39 patients with Parkinson's disease.
  • Symptom data collected through patient self-assessment.

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  • Comparison of patient-reported symptoms against expert-identified characteristic PD symptoms.
  • Categorization of symptoms into motor disability, mental change, psychosocial difficulties, and nonspecific symptoms.

    • Main Results:

    • Good agreement between patient reports and expert judgments for motor symptoms like dyskinesia, tremor, gait freezing, and positional changes.
    • Patients reported lower bother from symptoms like dressing, bed mobility, morning stiffness, and cognitive sequencing deficits, despite expert identification.
    • Mental and psychosocial symptoms were generally reported with higher frequency and perceived severity than activities of daily living impairments.

    Conclusions:

    • Patient self-assessment highlights the significant impact of mental and psychosocial symptoms in Parkinson's disease.
    • Discrepancies exist between patient-perceived symptom burden and expert-defined characteristic symptoms.
    • Understanding patient-reported symptom profiles is essential for tailored Parkinson's disease management and care.