Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender
The most frequently used instrument to assess health-related quality of life (HrQoL) in Parkinson’s disease (PD) is the Parkinson’s Disease Questionnaire 39 (PDQ-39). However, both the dimensionality of the eight PDQ-39 subscales and their summary score recently faced criticism. Furthermore, data on...
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| Language: | English |
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Wiley
2018-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2018/6532320 |
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| author | Anja Ophey Carsten Eggers Richard Dano Lars Timmermann Elke Kalbe |
| author_facet | Anja Ophey Carsten Eggers Richard Dano Lars Timmermann Elke Kalbe |
| author_sort | Anja Ophey |
| collection | DOAJ |
| description | The most frequently used instrument to assess health-related quality of life (HrQoL) in Parkinson’s disease (PD) is the Parkinson’s Disease Questionnaire 39 (PDQ-39). However, both the dimensionality of the eight PDQ-39 subscales and their summary score recently faced criticism. Furthermore, data on disease-related and neuropsychological determinants and the role of gender on HrQoL in PD are inconclusive yet. Therefore, our aim was to reevaluate the PDQ-39 structure and to further explore determinants of HrQoL in PD. 245 PD patients (age: M = 69.64, SD = 8.43; 62.9% male; H&Y: Md = 3.00; cognitive assessment with PANDA: M = 24.82, SD = 3.57) from the baseline database of the Cologne Parkinson Network were used to reevaluate the dimensionality of the PDQ-39 with a principal component analysis (PCA). Multiple regression analyses were conducted to clarify general and domain-specific relationships between clinical, (neuro)psychological, and sociodemographic variables, gender in particular, and HrQoL. The PCA identified three HrQoL domains: physical-functioning, cognition, and socioemotional HrQoL. Depressive symptoms were identified as the most important determinant of HrQoL across all models. Disease-related HrQoL determinants (UPDRS-III, H&Y stage, and LEDD) were less strong and consistent HrQoL determinants than nonmotor symptoms. Analyses did not reveal a global gender effect; however, female gender was a negative predictor for physical-functioning and socioemotional HrQoL, whereas male gender was a negative predictor for cognition HrQoL. Our analyses suggest the consideration of a reevaluation of the PDQ-39. Only the full understanding of HrQoL, its determinants, and their interrelationships will allow the development of PD intervention strategies focusing on what matters the most for patients’ HrQoL. Gender is one relevant variable that should be considered in this context. |
| format | Article |
| id | doaj-art-f89cad1722d6441da7fac1fce404f010 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-f89cad1722d6441da7fac1fce404f0102025-02-03T01:33:11ZengWileyParkinson's Disease2090-80832042-00802018-01-01201810.1155/2018/65323206532320Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of GenderAnja Ophey0Carsten Eggers1Richard Dano2Lars Timmermann3Elke Kalbe4Department of Medical Psychology | Neuropsychology and Gender Studies and Center for Neuropsychological Diagnostics and Intervention (CeNDI), University Hospital Cologne, Kerpener Str. 68, 50937 Cologne, GermanyDepartment of Neurology, University Hospital Cologne, Kerpener Str. 62, 50937 Cologne, GermanyDepartment of Medical Psychology | Neuropsychology and Gender Studies and Center for Neuropsychological Diagnostics and Intervention (CeNDI), University Hospital Cologne, Kerpener Str. 68, 50937 Cologne, GermanyDepartment of Neurology, University Hospital Cologne, Kerpener Str. 62, 50937 Cologne, GermanyDepartment of Medical Psychology | Neuropsychology and Gender Studies and Center for Neuropsychological Diagnostics and Intervention (CeNDI), University Hospital Cologne, Kerpener Str. 68, 50937 Cologne, GermanyThe most frequently used instrument to assess health-related quality of life (HrQoL) in Parkinson’s disease (PD) is the Parkinson’s Disease Questionnaire 39 (PDQ-39). However, both the dimensionality of the eight PDQ-39 subscales and their summary score recently faced criticism. Furthermore, data on disease-related and neuropsychological determinants and the role of gender on HrQoL in PD are inconclusive yet. Therefore, our aim was to reevaluate the PDQ-39 structure and to further explore determinants of HrQoL in PD. 245 PD patients (age: M = 69.64, SD = 8.43; 62.9% male; H&Y: Md = 3.00; cognitive assessment with PANDA: M = 24.82, SD = 3.57) from the baseline database of the Cologne Parkinson Network were used to reevaluate the dimensionality of the PDQ-39 with a principal component analysis (PCA). Multiple regression analyses were conducted to clarify general and domain-specific relationships between clinical, (neuro)psychological, and sociodemographic variables, gender in particular, and HrQoL. The PCA identified three HrQoL domains: physical-functioning, cognition, and socioemotional HrQoL. Depressive symptoms were identified as the most important determinant of HrQoL across all models. Disease-related HrQoL determinants (UPDRS-III, H&Y stage, and LEDD) were less strong and consistent HrQoL determinants than nonmotor symptoms. Analyses did not reveal a global gender effect; however, female gender was a negative predictor for physical-functioning and socioemotional HrQoL, whereas male gender was a negative predictor for cognition HrQoL. Our analyses suggest the consideration of a reevaluation of the PDQ-39. Only the full understanding of HrQoL, its determinants, and their interrelationships will allow the development of PD intervention strategies focusing on what matters the most for patients’ HrQoL. Gender is one relevant variable that should be considered in this context.http://dx.doi.org/10.1155/2018/6532320 |
| spellingShingle | Anja Ophey Carsten Eggers Richard Dano Lars Timmermann Elke Kalbe Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender Parkinson's Disease |
| title | Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender |
| title_full | Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender |
| title_fullStr | Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender |
| title_full_unstemmed | Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender |
| title_short | Health-Related Quality of Life Subdomains in Patients with Parkinson’s Disease: The Role of Gender |
| title_sort | health related quality of life subdomains in patients with parkinson s disease the role of gender |
| url | http://dx.doi.org/10.1155/2018/6532320 |
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