title: Neurosurgery in Parkinson's disease: Social adjustment, quality of life and coping strategies.
abstract: Subthalamic nucleus deep brain stimulation has become a standard neurosurgical therapy for advanced Parkinson's disease. Subthalamic nucleus deep brain stimulation can dramatically improve the motor symptoms of carefully selected patients with this disease. Surprisingly, some specific dimensions of quality of life, "psychological" aspects and social adjustment do not always improve, and they could sometimes be even worse. Patients and their families should fully understand that subthalamic nucleus deep brain stimulation can alter the motor status and time is needed to readapt to their new postoperative state and lifestyles. This paper reviews the literatures regarding effects of bilateral subthalamic nucleus deep brain stimulation on social adjustment, quality of life and coping strategies in patients with Parkinson's disease. The findings may help to understand the psychosocial maladjustment and poor improvement in quality of life in some Parkinson's disease patients.
authors.affiliation: Lorraine University, Metz 57000, France ; Department of Neurology, University Hospital, Nancy 54000, France ; INSERM, Clinical Investigation Center 9501, Vandoeuvre-les-Nancy 54500, France ; Department of Health Psychology EPSAM, EA 4360 APEMAC, Metz 57000, France.
authors.forename: Meyer
authors.initials: M
authors.lastname: Mylène
authors.affiliation: Lorraine University, Metz 57000, France ; Department of Health Psychology EPSAM, EA 4360 APEMAC, Metz 57000, France.
authors.forename: Montel
authors.initials: M
authors.lastname: Sébastien
authors.affiliation: Department of Neurosurgery, University Hospital, Nancy 54000, France.
authors.forename: Colnat-Coulbois
authors.initials: CC
authors.lastname: Sophie
authors.affiliation: Psychotherapic Center of Nancy, Laxou 54520, France.
authors.forename: Lerond
authors.initials: L
authors.lastname: Jérôme
authors.affiliation: INSERM 666 Unit, University Hospital, Strasbourg 67000, France.
authors.forename: Potheegadoo
authors.initials: P
authors.lastname: Jevita
authors.affiliation: INSERM 666 Unit, University Hospital, Strasbourg 67000, France.
authors.forename: Vidailhet
authors.initials: V
authors.lastname: Pierre
authors.affiliation: Department of Neurology, University Hospital, Nancy 54000, France.
authors.forename: Gospodaru
authors.initials: G
authors.lastname: Nicolaie
authors.affiliation: Lorraine University, Metz 57000, France ; Department of Neurology, University Hospital, Nancy 54000, France.
authors.forename: Vespignani
authors.initials: V
authors.lastname: Hervé
authors.affiliation: Department of Neurology, University Hospital, Nancy 54000, France.
authors.forename: Barroche
authors.initials: B
authors.lastname: Gérard
authors.affiliation: Lorraine University, Metz 57000, France ; Department of Health Psychology EPSAM, EA 4360 APEMAC, Metz 57000, France.
authors.forename: Spitz
authors.initials: S
authors.lastname: Elisabeth
authors.affiliation: Lorraine University, Metz 57000, France ; INSERM, Clinical Investigation Center 9501, Vandoeuvre-les-Nancy 54500, France ; Care, Support and Prevention Center in Addiction, University Hospital, Nancy 54000, France.
authors.forename: Schwan
authors.initials: S
authors.lastname: Raymund
keywords: Parkinson's disease; coping; deep brain stimulation; neural regeneration; neurodegenerative diseases; quality of life; reviews; social adjustment; subthalamic nucleus