Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease

Parkinson's disease (PD) presents with extensive heterogeneity in symptomatology, inviting examination of disease subtypes. One significant categorization is by whether patients present at onset with tremor as the dominant symptom (TD) or with nontremor symptoms (NTD). We examined differences i...

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Main Authors: Erica R. Appleman, Karina Stavitsky, Alice Cronin-Golomb
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.4061/2011/472830
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author Erica R. Appleman
Karina Stavitsky
Alice Cronin-Golomb
author_facet Erica R. Appleman
Karina Stavitsky
Alice Cronin-Golomb
author_sort Erica R. Appleman
collection DOAJ
description Parkinson's disease (PD) presents with extensive heterogeneity in symptomatology, inviting examination of disease subtypes. One significant categorization is by whether patients present at onset with tremor as the dominant symptom (TD) or with nontremor symptoms (NTD). We examined differences in quality of life between TD and NTD patients using the Parkinson's Disease Questionnaire-39 (PDQ-39), correlating performance with aspects of motor function as indexed by the Unified Parkinson's Disease Rating Scale (UPDRS). Participants included 35 nondemented individuals (19 TD, 16 NTD) matched on clinical and demographic characteristics. NTD had significantly lower overall PDQ-39 scores, particularly for the mobility subscale. Several UPDRS subscale scores significantly correlated with quality of life, especially for NTD. Further, the correlations were driven by nontremor type symptoms, even in TD patients. Determining reliable subtypes of PD may aid in prognosis and treatment optimization, thereby enhancing quality of life in afflicted individuals.
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spelling doaj-art-cf76b4ae20c241e5b6b64a46731789922025-02-03T01:24:11ZengWileyParkinson's Disease2042-00802011-01-01201110.4061/2011/472830472830Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's DiseaseErica R. Appleman0Karina Stavitsky1Alice Cronin-Golomb2Department of Psychology, Boston University, 648 Beacon Street, 2nd floor, Boston, MA 02215, USADepartment of Psychology, Boston University, 648 Beacon Street, 2nd floor, Boston, MA 02215, USADepartment of Psychology, Boston University, 648 Beacon Street, 2nd floor, Boston, MA 02215, USAParkinson's disease (PD) presents with extensive heterogeneity in symptomatology, inviting examination of disease subtypes. One significant categorization is by whether patients present at onset with tremor as the dominant symptom (TD) or with nontremor symptoms (NTD). We examined differences in quality of life between TD and NTD patients using the Parkinson's Disease Questionnaire-39 (PDQ-39), correlating performance with aspects of motor function as indexed by the Unified Parkinson's Disease Rating Scale (UPDRS). Participants included 35 nondemented individuals (19 TD, 16 NTD) matched on clinical and demographic characteristics. NTD had significantly lower overall PDQ-39 scores, particularly for the mobility subscale. Several UPDRS subscale scores significantly correlated with quality of life, especially for NTD. Further, the correlations were driven by nontremor type symptoms, even in TD patients. Determining reliable subtypes of PD may aid in prognosis and treatment optimization, thereby enhancing quality of life in afflicted individuals.http://dx.doi.org/10.4061/2011/472830
spellingShingle Erica R. Appleman
Karina Stavitsky
Alice Cronin-Golomb
Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease
Parkinson's Disease
title Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease
title_full Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease
title_fullStr Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease
title_full_unstemmed Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease
title_short Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease
title_sort relation of subjective quality of life to motor symptom profile in parkinson s disease
url http://dx.doi.org/10.4061/2011/472830
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