title: Distress in Parkinson's disease: contributions of disease factors and metacognitive style.
abstract: Research has suggested that the high levels of depression and anxiety observed in Parkinson's disease are a primary consequence of its pathophysiology. This study aimed to test the hypothesis that a psychological factor, metacognitive style, is significantly associated with distress, independent of previously identified disease-related risk factors. Distress, metacognitive style and disease factors were assessed in 44 people with a diagnosis of Parkinson's disease. People with a specific metacognitive style had an increased vulnerability to distress over and above previously identified disease factors; this suggests future directions for the development of psychological interventions.
authors.affiliation: Academic Division of Clinical Psychology, University of Manchester, 2nd Floor ERC, Wythenshaw Hospital, Southmoor Road, Manchester, UK. rallott@fsl.with.man.ac.uk
authors.forename: Rory
authors.initials: R
authors.lastname: Allott
authors.forename: Adrian
authors.initials: A
authors.lastname: Wells
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Morrison
authors.forename: Richard
authors.initials: R
authors.lastname: Walker
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D003071:Cognition; D003863:Depression / Q000209:etiology / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D010300:Parkinson Disease / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D013315:Stress, Psychological / Q000209:etiology; D011795:Surveys and Questionnaires