Changes in Principal Caregiver Mood Affects the Mood of the Parkinson's Disease Patient: The Vicious Cycle of Illness
Por:
Santos-García D., Fonticoba, TD, Bartolome, CC, Painceiras, MJF, Iniguez-Alvarado, MC, Diaz, IG, Jesús S., Buongiorno M.T., Planellas L., Cosgaya M., Caldentey, JG, Caballol N., Legarda I., Vara, JH, Cabo I., Manzanares, LL, Aramburu, IG, Rivera, MAA, Mayordomo, VG, Nogueira V., Puente V., Garcia-Soto, JD, Borrué C., Vila, BS, Sauco, MA, Vela L., Escalante S., Cubo E., Padilla, FC, Castrillo, JCM, Alonso, PS, Losada, MGA, Ariztegui, NL, Gastón I., Kulisevsky J., Gonzalez, MM, Seijo M., Martinez, JR, Valero C., Kurtis M., Ardura, JG, Redondo, RA, Ordás C., Diaz, LML, McAfee D., Martinez-Martin P., Mir P.
Publicada:
1 ene 2023
Resumen:
Background: Although many studies have analyzed what factors contribute to caregiver burden in Parkinson's disease (PD), there is currently no knowledge about how the status of the caregiver could impact the patient. Objective: The aim of this study was to analyze how the change in the caregiver's status influences PD patients. Methods: PD patients and their caregivers who were recruited from January/2016 to November/2017 from 35 centers in Spain from the COPPADIS cohort were included in the study (V0). They were evaluated again at 2-year follow-up (V2). Caregivers completed the Zarit Caregiver Burden Inventory (ZCBI), Caregiver Strain Index (CSI), Beck Depression Inventory-II (BDI-II), and EUROHIS-QOL 8-item index (EUROHIS-QOL8) at V0 and V2. Multivariate models were used to analyze the impact of the change from V0 to V2 ( similar to) on the caregiver's status over the change in the patient's status. Results: similar to BDI-II and similar to EUROHIS-QOL8 in the caregiver predicted similar to BDI-II (similar to = 0.32; p < 0.0001; R2 = 0.71) and similar to EUROHIS-QOL8 (similar to = 0.39; p < 0.0001; R2 = 0.68) in the patient, respectively. Variables related to the caregiver were not associated with changes in the patient ' s health-related QoL ( similar to PDQ-39 [39-item Parkinson's disease Questionnaire]) or autonomy for activities of daily-living ( similar to ADLS [Schwab & England Activities of Daily Living Scale]). Conclusion: The change in the caregiver's mood and global QoL was associated with the change in the patient's mood and global QoL, respectively, independently of other variables of the disease influencing both patient ' s aspects. Based on this finding, it could be of great importance to detect depression in the principal caregiver of a patient and act on it as earlier as possible.
Filiaciones:
Santos-García D.:
CHUAC, La Coruna, Spain
Fonticoba, TD:
CHUF, La Coruna, Spain
Bartolome, CC:
CHUAC, La Coruna, Spain
Painceiras, MJF:
CHUAC, La Coruna, Spain
Iniguez-Alvarado, MC:
CHUAC, La Coruna, Spain
Diaz, IG:
CHUAC, La Coruna, Spain
Jesús S.:
Univ Seville, Inst Biomed Sevilla, Serv Neurol & Neurofisiol Clin,CSIC, Unidad Trastornos Movimiento,Hosp Univ Virgen Roc, Seville, Spain
CIBERNED Ctr Invest Biomed Red Enfermedades Neuro, Madrid, Spain
Buongiorno M.T.:
Hosp Univ Mutua Terrassa, Barcelona, Spain
Planellas L.:
Clin Pilar, Barcelona, Spain
Cosgaya M.:
Hosp Clin Barcelona, Barcelona, Spain
Caldentey, JG:
Ctr Neurol Oms 42, Palma de Mallorca, Spain
Caballol N.:
Hosp Moises Broggi, Consorci Sanitari Integral, Barcelona, Spain
Legarda I.:
Hosp Univ Son Espases, Palma De Mallorca, Spain
Vara, JH:
CIBERNED Ctr Invest Biomed Red Enfermedades Neuro, Madrid, Spain
Hosp Univ Vall dHebron, Barcelona, Spain
Cabo I.:
Complejo Hosp Univ Pontevedra CHOP, Pontevedra, Spain
Manzanares, LL:
Hosp Univ La Princesa, Madrid, Spain
Aramburu, IG:
CIBERNED Ctr Invest Biomed Red Enfermedades Neuro, Madrid, Spain
Hosp Univ Marques Valdecilla, Santander, Spain
Rivera, MAA:
Hosp Gen LHosp, Consorci Sanitari Integral, Barcelona, Spain
Mayordomo, VG:
Hosp Univ Clin San Carlos, Madrid, Spain
Nogueira V.:
Hosp Costa, Lugo, Spain
Puente V.:
Hosp Mar, Barcelona, Spain
Garcia-Soto, JD:
Hosp Univ Virgen Macarena, Seville, Spain
Borrué C.:
Hosp Infanta Sofia, Madrid, Spain
Vila, BS:
Inst Assistencia Sanitaria IAS, Inst Catala Salut, Girona, Spain
Sauco, MA:
Hosp Gen Univ Elche, Elche, Spain
Vela L.:
Fdn Hosp Alcorcon, Madrid, Spain
Escalante S.:
Hosp Tortosa Verge Cinta HTVC, Tarragona, Spain
Cubo E.:
Complejo Asistencial Univ Burgos, Burgos, Spain
Padilla, FC:
Hosp Univ Canarias, San Cristobal De Laguna, Santa Cruz De T, Spain
Castrillo, JCM:
Hosp Univ Ramon y Cajal, IRYCIS, Madrid, Spain
Alonso, PS:
Hosp Univ Puerta Hierro, Madrid, Spain
Losada, MGA:
Complejo Hosp Univ Vigo CHUVI, Hosp Alvaro Cunqueiro, Vigo, Spain
Ariztegui, NL:
Complejo Hosp Toledo, Toledo, Spain
Gastón I.:
Complejo Hosp Navarra, Pamplona, Spain
Kulisevsky J.:
CIBERNED Ctr Invest Biomed Red Enfermedades Neuro, Madrid, Spain
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Gonzalez, MM:
Hosp Univ Cent Asturias, Oviedo, Spain
Seijo M.:
Complejo Hosp Univ Pontevedra CHOP, Pontevedra, Spain
Martinez, JR:
Hosp Univ Donostia, San Sebastian, Spain
Valero C.:
Hosp Arnau Vilanova, Valencia, Spain
Kurtis M.:
Hosp Ruber Int, Madrid, Spain
Ardura, JG:
Hosp Cabuenes, Gijon, Spain
Redondo, RA:
Univ Lucus Augusti HULA, Lugo, Spain
Ordás C.:
Hosp Rey Juan Carlos, Madrid, Spain
Diaz, LML:
Complejo Hosp Univ Vigo CHUVI, Hosp Alvaro Cunqueiro, Vigo, Spain
McAfee D.:
Univ Maryland, Sch Med, Baltimore, MD 21201 USA
Martinez-Martin P.:
CIBERNED Ctr Invest Biomed Red Enfermedades Neuro, Madrid, Spain
Mir P.:
Univ Seville, Inst Biomed Sevilla, Serv Neurol & Neurofisiol Clin,CSIC, Unidad Trastornos Movimiento,Hosp Univ Virgen Roc, Seville, Spain
CIBERNED Ctr Invest Biomed Red Enfermedades Neuro, Madrid, Spain
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