Depresyon ve bilişsel işlev bozukluğu ile komplike olmuş Parkinson hastalığı hastalarında pozitif psikolojik müdahalenin etkileri
Amaç: Biz depresyon ve bilişsel işlev bozukluğu ile komplike olmuş Parkinson hastalığı (PH) hastalarında pozitif psikolojik müdahalenin etkilerini değerlendirmeyi amaçladık. Yöntem: Araştırmaya hastanemizde tedavi edilen, depresyon ve bilişsel işlev bozukluğu ile komplike olmuş 232 PH hastası alındı ve rastgele iki gruba ayrıldı (s=116). Kontrol grubuna rutin tedavi uygulandı, çalışma grubuna ek olarak ardışık sekiz hafta pozitif psikolojik müdahale yapıldı. Depresyon ve bilişsel işlev bozukluğu Hamilton Depresyon Değerlendirme Ölçeği (HAMD) ve Montreal Biliş- sel Değerlendirme Ölçeği ile değerlendirildi. Gruplar arasındaki sayısal veriler χ 2 testi ile, kategorik veriler t testi ile karşılaştırıldı. Müdahaleden önce ve sonra depresyon ve bilişsel işlev puanlarındaki değişmeler yineleyen ölçümle- rin varyans analizi ile karşılaştırıldı. P
Effects of positive psychological intervention on Parkinson's disease patients complicated with depression and cognitive dysfunction
Objective: We aimed to evaluate the effects of positive psychological intervention on Parkinson's disease (PD)patients complicated with depression and cognitive dysfunction. Methods: Two hundred and thirty-two PD patientscomplicated with depression and cognitive dysfunction treated in our hospital were selected and randomly dividedinto two groups (n=116). The control group was treated routinely and the observation group was additionally sub-jected to positive psychological intervention for eight consecutive weeks. They were evaluated by the HamiltonDepression Rating Scale (HAMD) and the Montreal Cognitive Assessment Scale in terms of depression and cogni-tive dysfunction. The numerical data between groups were compared by the χ 2 test, and the categorical data werecompared by the t test. Changes in the depression and cognitive function scores before and after intervention werecompared by analysis of variance for repeated measures. P
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- Ulm G. Differential therapy of advanced Parkin-son's disease with special reference to comple-mentary therapeutic approaches. Praxis (Bern 1994) 2004; 93:1869-1872.
- Tunc S, Graf J, Tadic V, Brüggemann N, Schmidt 8. Westheimer O, McRae C, Henchcliffe C, Fesha-raki A, Glazman S, Ene H, et al. Dance for PD: a preliminary investigation of effects on motor function and quality of life among persons with Parkinson's disease (PD). J Neural Transm 2015; 122:1263-1270.
- Boller JK, Barbe MT, Pauls KA, Reck C, Brand M, Maier F, et al. Decision-making under risk is improved by both dopaminergic medication and subthalamic stimulation in Parkinson's disease. Exp Neurol 2014; 254:70-77.
- Kobza S, Ferrea S, Schnitzler A, Pollok B, Sudmeyer M, Bellebaum C. Dissociation between active and observational learning from positive and negative feedback in Parkinsonism. PLoS One 2012; 7:e50250.
- Stiasny-Kolster K, Sixel-Döring F, Trenkwalder C, Heinzel-Gutenbrunner M, Seppi K, Poewe W, et al. Diagnostic value of the REM sleep behavior disorder screening questionnaire in Parkinson's disease. Sleep Med 2015; 16:186-189.
- Zach H, Gerrits WL, van de Warrenburg BP, Bloem BR. A positive 'Pointing Test' in a Parkin-son's disease patient. J Parkinsons Dis 2015; 5:727-729.
- Fava GA, Ruini C. Development and characteris-tics of a well-being enhancing psychotherapeutic strategy: well-being therapy. J Behav Ther Exp Psychiatry 2003; 34:45-63.
- Seligman MEP, Rashid T, Parks AC. Positive psychotherapy. Am Psychol 2006; 61:774-788.
- Eryılmaz A. Pozitif Psikoterapiler. Psikiyatr Guncel Yaklasimlar 2017; 9:346-362.A, Al-Khaled M, et al. A population-based study on combined markers for early Parkinson's disease. Mov Disord 2015; 30:531-537.
- Sage MD, Almeida QJ. A positive influence of vision on motor symptoms during sensory atten-tion focused exercise for Parkinson's disease. Mov Disord 2010; 25:64-69.
- Mirelman A, Herman T, Nicolai S, Zijlstra A, Zijlstra W, Becker C, et al. Audio-biofeedback training for posture and balance in patients with Parkinson's disease. J Neuroeng Rehabil 2011; 8:35.
- Hochstrasser T, Hohsfield LA, Sperner-Unter-weger B, Humpel C. Beta-Amyloid induced effects on cholinergic, serotonergic, and dopaminergic neurons is differentially counteracted by anti-in-flammatory drugs. J Neurosci Res 2013; 91:83-94.
- Riedel O, Klotsche J, Förstl H, Wittchen HU. Clock drawing test: is it useful for dementia screening in patients having Parkinson disease with and without depression? J Geriatr Psychiatry Neurol 2013; 26:151-157.
- Byl N, Zhang W, Coo S, Tomizuka M. Clinical impact of gait training enhanced with visual kinematic biofeedback: Patients with Parkinson's disease and patients stable post stroke. Neuro-psychologia 2015; 79:332-343.
- Westheimer O, McRae C, Henchcliffe C, Fesha-raki A, Glazman S, Ene H, et al. Dance for PD: a preliminary investigation of effects on motor function and quality of life among persons with Parkinson's disease (PD). J Neural Transm 2015; 122:1263-1270.
- Boller JK, Barbe MT, Pauls KA, Reck C, Brand M, Maier F, et al. Decision-making under risk is improved by both dopaminergic medication and subthalamic stimulation in Parkinson's disease. Exp Neurol 2014; 254:70-77.
- Kobza S, Ferrea S, Schnitzler A, Pollok B, Sudmeyer M, Bellebaum C. Dissociation between active and observational learning from positive and negative feedback in Parkinsonism. PLoS One 2012; 7:e50250.
- Stiasny-Kolster K, Sixel-Döring F, Trenkwalder C, Heinzel-Gutenbrunner M, Seppi K, Poewe W, et al. Diagnostic value of the REM sleep behavior disorder screening questionnaire in Parkinson's disease. Sleep Med 2015; 16:186-189.
- Zach H, Gerrits WL, van de Warrenburg BP, Bloem BR. A positive 'Pointing Test' in a Parkin-son's disease patient. J Parkinsons Dis 2015; 5:727-729.
- Fava GA, Ruini C. Development and characteris-tics of a well-being enhancing psychotherapeutic strategy: well-being therapy. J Behav Ther Exp Psychiatry 2003; 34:45-63.
- Seligman MEP, Rashid T, Parks AC. Positive psychotherapy. Am Psychol 2006; 61:774-788.
- Eryılmaz A. Pozitif Psikoterapiler. Psikiyatr Guncel Yaklasimlar 2017; 9:346-362.
- Eryılmaz A. The effectiveness of the comprehen-sive subjective well-being program. Iran J Positive Psychol 2017; 3:23-35.
- Eryılmaz A. The effectiveness of a peer-helping programme that increases subjective well-being. Br J Guid Counc 2017; 45:225-237.
- Hinson VK, Haren WB. Psychogenic movement disorders. Lancet Neurol 2006; 5:695-700.
- Nützel A, Dahlhaus A, Fuchs A, Gensichen J, König HH, Riedel-Heller S, et al. Self-rated health in multimorbid older general practice patients: a cross-sectional study in Germany. BMC Fam Pract 2014; 15:1.
- Vernaleken I, Buchholz HG, Kumakura Y, Siess-meier T, Stoeter P, Bartenstein P, et al. 'Prefrontal' cognitive performance of healthy subjects posi-tively correlates with cerebral FDOPA influx: an exploratory [18F]-fluoro-L-DOPA-PET investiga-tion. Hum Brain Mapp 2007; 28:931-939.
- Sproesser E, Viana MA, Quagliato EM, de Souza EA. The effect of psychotherapy in patients with PD: a controlled study. Parkinsonism Relat Disord 2010; 16:298-300.
- Advocat J, Enticott J, Vandenberg B, Hassed C, Hester J, Russell G. The effects of a mindfulness-based lifestyle program for adults with Parkinson's disease: a mixed methods, wait list controlled randomised control study. BMC Neurol 2016; 16:166.
- Sandoval-Rincón M, Sáenz-Farret M, Miguel-Puga A, Micheli F, Arias-Carrión O. Rational pharmacological approaches for cognitive dys-function and depression in Parkinson's disease. Front Neurol 2015; 6:71.
- Radder DLM, Sturkenboom IH, van Nimwegen M, Keus SH, Bloem BR, de Vries NM. Physical therapy and occupational therapy in Parkinson's disease. Int J Neurosci 2017; 127:930-943.
- Hurt CS, Burn DJ, Hindle J, Samuel M, Wilson K, Brown RG. Thinking positively about chronic illness: An exploration of optimism, illness percep-tions and well-being in patients with Parkinson's disease. Br J Health Psychol 2014; 19:363-379.
- Troeung L, Egan SJ, Gasson N. A waitlist-con-trolled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson's disease. BMC Psychiatry 2014; 14:19.
- Xie CL, Wang XD, Chen J, Lin HZ, Chen YH, Pan JL, et al. A systematic review and meta-analysis of cognitive behavioral and psychodynamic ther-apy for depression in Parkinson's disease pa-tients. Neurol Sci 2015; 36:833-843.
- Lai ST, Lim KS, Low WY, Tang V. Positive psychological interventions for neurological disor-ders: a systematic review. Clin Neuropsychol 2018; 24:1-29.
- Fredrickson BL. Positive emotions broaden and build. Advances in Experimental Social Psycho-logy. Academic Press, 2013, Vol. 47, p.1-53.