Relationships among Depression, Anxiety, Sleep, and Quality of Life in Patients with Parkinson's Disease in Taiwan.
The aim of this study was to examine the relationships among depression, anxiety, sleep disturbances, Parkinson's disease (PD) symptoms, PD medications, and health-related quality of life (QOL) and to identify the predictors of health-related QOL in PD patients. To do this, we administered a battery of questionnaires and rating scales (validated Chinese versions), including the Unified Parkinson's Disease Rating Scale, 39-item Parkinson's Disease Questionnaire, Parkinson's Disease Sleep Scale-2, Beck Depression Inventory, and Beck Anxiety Inventory, to 134 patients with PD whose Minimental State Examination scores were ≥24. We found that patients who reported having poorer QOL had longer disease durations, more severe PD symptoms, higher Hoehn and Yahr stages, and higher levodopa dosages, as well as higher levels of anxiety and depression, more sleep disturbances, and poorer overall cognitive statuses. Among these variables, the cognitive status, dependency of activities of daily living, depression, and anxiety were identified as predictors of QOL in PD patients and were all significant and independent factors of poor QOL in PD patients. The clinicians should be aware of the effects of these factors on QOL and attempt to treat comorbid psychiatric conditions to improve the PD patients' QOL.
Department of Nursing, Chang Gung University of Science and Technology, No. 261, Wenhua 1st RD, Guishan District, Taoyuan 33303, Taiwan; Department of Nursing, Linkou Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Guishan District, Taoyuan 33303, Taiwan.
Jun-Yu
JY
Fan
Department of Neurology, Linkou Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fu-Hsing Street, Guishan District, Taoyuan 33303, Taiwan.
Bao-Luen
0000-0002-4547-6155
BL
Chang
Department of Neurology, Linkou Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fu-Hsing Street, Guishan District, Taoyuan 33303, Taiwan.
Yih-Ru
0000-0003-1191-2542
YR
Wu