Vol 10: Social phobia in Parkinsons disease: Prevalence and risk factors.Reportar como inadecuado



 Vol 10: Social phobia in Parkinsons disease: Prevalence and risk factors.


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This article is from Neuropsychiatric Disease and Treatment, volume 10.AbstractObjective: We aimed to investigate the frequency of social phobia in patients with Parkinson’s disease PD. In addition, we explored the relationship between social phobia and the clinical characteristics of PD, and the frequency of comorbid psychiatric disorders in PD patients. Methods: This study included 80 consecutive patients with PD admitted to the Parkinson’s disease and Movement Disorders Clinic at the Erenkoy Research and Training Hospital for Neurologic and Psychiatric Disorders, Istanbul, Turkey and used demographic and clinical data. The PD patients were evaluated during the -on state-, using the Hoehn and Yahr scale, the Unified Parkinson’s Disease Rating Scale, and the Schwab England Activities of Daily Living Scale. Psychiatric evaluations were conducted using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition structured clinical interview, the Liebowitz Social Anxiety Scale LSAS, and the Hamilton Depression Rating Scale. Results: Social phobia was diagnosed in 42.5% of PD patients. Social phobia was comorbid with depression in 20 patients 58.8%, generalized anxiety disorder in 18 patients 52.9%, and panic disorder in six patients 17.6%. Social phobia was more frequent in males, early-onset PD, patients with a long duration of disease, the presence of postural instability, and with the use of a high Levodopa equivalent daily dose. A logistic regression analysis revealed the predictive factors of social phobia to be the sex of the patient more frequent in males and the presence of postural instability. There was a statistically significantly negative correlation between the LSAS score and the age of disease onset r=−0.503; P=0.002 and a positive correlation between LSAS score and the duration of disease r=0.374; P=0.023. Conclusion: Social phobia is frequently observed in PD patients. Therefore, the assessment of PD patients should always include psychiatric evaluations, particularly for social phobia. The early detection and treatment of social phobia in PD patients is very important for the quality of life of patients as well as caregivers.



Autor: Gultekin, Bulent Kadri; Ozdilek, Betul; Bestepe, Engin Emrem

Fuente: https://archive.org/







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