Close relationships in Parkinson´s disease patients with device-aided therapy
Scharfenort, Monica LU ; Timpka, Jonathan LU ; Sahlström, Thomas ; Henriksen, Tove ; Nyholm, Dag LU and Odin, Per LU
(2021)
In Brain and Behavior
11(6).
- Abstract
Objectives: Deep brain stimulation, continuous subcutaneous apomorphine infusion, and levodopa–carbidopa intestinal gel infusion, together called device-aided therapies (DAT), are introduced when oral and transdermal pharmacotherapy are not enough for a satisfactory control of Parkinson's disease (PD) symptoms. Solid relationships are central to an individual's well-being, but the impact of close relationships in advanced PD remains underexplored. The aim of this study was to investigate the development of close relationships between PD patients and their partners following the initiation of DAT and to examine the relationship structures in these relationships. Materials and Methods: This was a retrospective quantitative multicenter... (More)
Objectives: Deep brain stimulation, continuous subcutaneous apomorphine infusion, and levodopa–carbidopa intestinal gel infusion, together called device-aided therapies (DAT), are introduced when oral and transdermal pharmacotherapy are not enough for a satisfactory control of Parkinson's disease (PD) symptoms. Solid relationships are central to an individual's well-being, but the impact of close relationships in advanced PD remains underexplored. The aim of this study was to investigate the development of close relationships between PD patients and their partners following the initiation of DAT and to examine the relationship structures in these relationships. Materials and Methods: This was a retrospective quantitative multicenter pilot study wherein 41 couples, patients with advanced PD and their partners, retrospectively rated their relationship satisfaction before the start of DAT, after one year of DAT and at the time of the interview. The couples also answered the Experiences in Close Relationships—Questionnaire of Relational Structures (ECR-RS). Results: Partners more often report changes in relationship satisfaction than patients between baseline and both 1 year after start of DAT (p =.049) and last evaluation (p =.041). The ECR-RS data reported significantly higher avoidance score for partners (p =.005) and significantly higher anxiety score for patients (p =.024). Conclusions: The close relationship wherein one part has PD and receives DAT has a high risk of being unequal. Prospective studies are needed for further clarification of the interplay between advanced PD, DAT, and close relationships, this in order to improve pre- and postinterventional support for PD patients receiving DAT, as well as their partners.
(Less)
- author
- Scharfenort, Monica
LU
; Timpka, Jonathan
LU
; Sahlström, Thomas
; Henriksen, Tove
; Nyholm, Dag
LU
and Odin, Per
LU
- organization
- publishing date
- 2021-06-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- advanced Parkinson´s disease, apomorphine infusion, attachment theory, deep brain stimulation, device-aided treatment, levodopa infusion, relationship satisfaction
- in
- Brain and Behavior
- volume
- 11
- issue
- 6
- article number
- e02102
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:33949144
- scopus:85105050948
- ISSN
- 2162-3279
- DOI
- 10.1002/brb3.2102
- language
- English
- LU publication?
- yes
- id
- 0bcdfe0f-7ca3-489a-91ba-bb2d3fbf3a5b
- date added to LUP
- 2021-05-31 14:12:22
- date last changed
- 2024-06-15 11:46:28
@article{0bcdfe0f-7ca3-489a-91ba-bb2d3fbf3a5b,
abstract = {{<p>Objectives: Deep brain stimulation, continuous subcutaneous apomorphine infusion, and levodopa–carbidopa intestinal gel infusion, together called device-aided therapies (DAT), are introduced when oral and transdermal pharmacotherapy are not enough for a satisfactory control of Parkinson's disease (PD) symptoms. Solid relationships are central to an individual's well-being, but the impact of close relationships in advanced PD remains underexplored. The aim of this study was to investigate the development of close relationships between PD patients and their partners following the initiation of DAT and to examine the relationship structures in these relationships. Materials and Methods: This was a retrospective quantitative multicenter pilot study wherein 41 couples, patients with advanced PD and their partners, retrospectively rated their relationship satisfaction before the start of DAT, after one year of DAT and at the time of the interview. The couples also answered the Experiences in Close Relationships—Questionnaire of Relational Structures (ECR-RS). Results: Partners more often report changes in relationship satisfaction than patients between baseline and both 1 year after start of DAT (p =.049) and last evaluation (p =.041). The ECR-RS data reported significantly higher avoidance score for partners (p =.005) and significantly higher anxiety score for patients (p =.024). Conclusions: The close relationship wherein one part has PD and receives DAT has a high risk of being unequal. Prospective studies are needed for further clarification of the interplay between advanced PD, DAT, and close relationships, this in order to improve pre- and postinterventional support for PD patients receiving DAT, as well as their partners.</p>}},
author = {{Scharfenort, Monica and Timpka, Jonathan and Sahlström, Thomas and Henriksen, Tove and Nyholm, Dag and Odin, Per}},
issn = {{2162-3279}},
keywords = {{advanced Parkinson´s disease; apomorphine infusion; attachment theory; deep brain stimulation; device-aided treatment; levodopa infusion; relationship satisfaction}},
language = {{eng}},
month = {{06}},
number = {{6}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Brain and Behavior}},
title = {{Close relationships in Parkinson´s disease patients with device-aided therapy}},
url = {{http://dx.doi.org/10.1002/brb3.2102}},
doi = {{10.1002/brb3.2102}},
volume = {{11}},
year = {{2021}},
}