title: Factors influencing psychosocial adjustment and quality of life in Parkinson patients and informal caregivers.
abstract: The influence that social conditions and personal attitudes may have on the quality of life (QoL) of Parkinson's disease (PD) patients and informal caregivers does not receive enough attention in health care, as a result of it not being clearly identified, especially in informal caregivers. The aim of this study was to provide a comprehensive analysis of psychosocial adjustment and QoL determinants in PD patients and informal caregivers.
  
  
  
  Ninety-one PD patients and 83 caregivers participated in the study. Multiple regression analyses were performed including benefit finding, coping, disease severity and socio-demographic factors, in order to determine how these aspects influence the psychosocial adjustment and QoL in PD patients and caregivers.
  
  
  
  Regression models showed that severity of PD was the main predictor of psychosocial adjustment and QoL in patients. Nevertheless, multiple regression analyses also revealed that coping was a significant predictor of psychosocial adjustment in patients and caregivers. Furthermore, psychosocial adjustment was significantly related to QoL in patients and caregivers. Also, coping and benefit finding were predictors of QoL in caregivers but not in patients.
  
  
  
  Multidisciplinary interventions aimed at improving PD patients' QoL may have more effective outcomes if education about coping skills, and how these can help towards a positive psychosocial adjustment to illness, were included, and targeted not only at patients, but also at informal caregivers.
authors.affiliation: Faculty of Nursing, University of Navarre, Navarre, Spain.
authors.forename: María Victoria
authors.initials: MV
authors.lastname: Navarta-Sánchez
authors.affiliation: Faculty of Nursing, University of Navarre, Navarre, Spain.
authors.forename: Juana M
authors.initials: JM
authors.lastname: Senosiain García
authors.affiliation: Department of Neurology, Clínica Universidad de Navarra, Navarre, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Riverol
authors.affiliation: Primary Health Care Center of San Juan, Navarre Service of Health-Osasunbidea, Navarre, Spain.
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Ursúa Sesma
authors.affiliation: Navarre Association of Parkinson's Patients, Navarre, Spain.
authors.forename: Sara
authors.initials: S
authors.lastname: Díaz de Cerio Ayesa
authors.affiliation: Department of Social Work, Public University of Navarre, Navarre, Spain.
authors.forename: Sagrario
authors.initials: S
authors.lastname: Anaut Bravo
authors.affiliation: Faculty of Law and Social Sciences, University of La Rioja, La Rioja, Spain.
authors.forename: Neus
authors.initials: N
authors.lastname: Caparrós Civera
authors.affiliation: Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO171BJ, UK. M.C.Portillo-Vega@soton.ac.uk.
authors.forename: Mari Carmen
authors.identifier: 0000-0003-1583-6612
authors.initials: MC
authors.lastname: Portillo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000523:psychology*; D018434:Sickness Impact Profile
keywords: Caregivers; Parkinson’s disease; Psychosocial variables; Quality of life