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      The Impact of Depression Symptoms in Patients with Parkinson’s Disease: A Novel Case-Control Investigation

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          Abstract

          Parkinson’s disease is a common neurodegenerative disease and it is known to cause motor disturbances associated with musculoskeletal problems of the locomotor apparatus, and non-motor symptoms, that are believed to have a harmful effect on health, social functioning and mobility. The aim of this study was to evaluate depression in patients with Parkinson’s Disease (PD) compared to subjects who do not have it. The sample consisted of 124 participants (mean age 69.18 ± 9.12). Patients with PD were recruited from a center of excellence for Parkinson’s disease (cases n = 62) and healthy subjects without PD from their relatives and caregivers (control n = 62). The Spanish version of Beck’s Depression Inventory (BDI) scores and categories were collected. A clear statistically significant difference ( p < 0.05) was evident in the BDI scores between both groups. Parkinson’s patients presented worse results on the BDI = 15.48 ± 7.24 points compared to healthy subjects with BDI = 7.03 ± 6.99 points. Regarding BDI categories, there were statistically significant differences ( p < 0.001) for the greater BDI categories in the Parkinson’s group compared with healthy subjects. The depression represents an important potential risk for increased symptoms and negative impact among patients with PD compared with healthy subjects.

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          Most cited references28

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          An inventory for measuring depression.

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            MDS research criteria for prodromal Parkinson's disease.

            This article describes research criteria and probability methodology for the diagnosis of prodromal PD. Prodromal disease refers to the stage wherein early symptoms or signs of PD neurodegeneration are present, but classic clinical diagnosis based on fully evolved motor parkinsonism is not yet possible. Given the lack of clear neuroprotective/disease-modifying therapy for prodromal PD, these criteria were developed for research purposes only. The criteria are based upon the likelihood of prodromal disease being present with probable prodromal PD defined as ≥80% certainty. Certainty estimates rely upon calculation of an individual's risk of having prodromal PD, using a Bayesian naïve classifier. In this methodology, a previous probability of prodromal disease is delineated based upon age. Then, the probability of prodromal PD is calculated by adding diagnostic information, expressed as likelihood ratios. This diagnostic information combines estimates of background risk (from environmental risk factors and genetic findings) and results of diagnostic marker testing. In order to be included, diagnostic markers had to have prospective evidence documenting ability to predict clinical PD. They include motor and nonmotor clinical symptoms, clinical signs, and ancillary diagnostic tests. These criteria represent a first step in the formal delineation of early stages of PD and will require constant updating as more information becomes available.
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              Past, present, and future of Parkinson's disease: A special essay on the 200th Anniversary of the Shaking Palsy.

              This article reviews and summarizes 200 years of Parkinson's disease. It comprises a relevant history of Dr. James Parkinson's himself and what he described accurately and what he missed from today's perspective. Parkinson's disease today is understood as a multietiological condition with uncertain etiopathogenesis. Many advances have occurred regarding pathophysiology and symptomatic treatments, but critically important issues are still pending resolution. Among the latter, the need to modify disease progression is undoubtedly a priority. In sum, this multiple-author article, prepared to commemorate the bicentenary of the shaking palsy, provides a historical state-of-the-art account of what has been achieved, the current situation, and how to progress toward resolving Parkinson's disease. © 2017 International Parkinson and Movement Disorder Society.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                01 March 2021
                March 2021
                : 18
                : 5
                : 2369
                Affiliations
                [1 ]Department Nursing and Podiatry, Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Ampliación de Campus de Teatinos, University of Malaga, Arquitecto Francisco Peñalosa 3, 29071 Málaga, Spain; amjimenezc@ 123456uma.es
                [2 ]Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain; ribebeva@ 123456ucm.es (R.B.-d.-B.-V.); cescalvo@ 123456ucm.es (C.C.-L.)
                [3 ]Faculty of Health Sciences, Universidad Rey Juan Carlos, 28933 Alcorcón, Spain; marta.losa@ 123456urjc.es
                [4 ]Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain; daniellopez@ 123456udc.es
                [5 ]University Center of Plasencia, Universidad de Extremadura, 10600 Plasencia, Spain; patibiom@ 123456unex.es
                [6 ]Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain
                [7 ]Frailty Research Organized Group, Department of Nursing, Faculty of Nursing and Podiatry, Universidad de Valencia, 46010 Valencia, Spain; manu.navarroflores@ 123456gmail.com
                Author notes
                Author information
                https://orcid.org/0000-0002-8634-7114
                https://orcid.org/0000-0003-1568-7602
                https://orcid.org/0000-0001-7588-2069
                https://orcid.org/0000-0002-9818-6290
                https://orcid.org/0000-0002-6569-1311
                https://orcid.org/0000-0003-3821-949X
                https://orcid.org/0000-0001-6598-829X
                https://orcid.org/0000-0002-6170-4779
                Article
                ijerph-18-02369
                10.3390/ijerph18052369
                7967746
                8987ba0a-91d8-4393-9d12-12048c9e3b62
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 02 February 2021
                : 25 February 2021
                Categories
                Article

                Public health
                beck depression inventory,depression,parkinson disease
                Public health
                beck depression inventory, depression, parkinson disease

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