TY - JOUR
T1 - Clinical Markers of 6 Pre-dominant Coping Behaviors in Living With Parkinson Disease
T2 - A Convergent Mixed Methods Study
AU - Thomsen, Trine Hørmann
AU - Jørgensen, Lene Bastrup
AU - Kjær, Troels Wesenberg
AU - Haahr, Anita
AU - Vogel, Asmus
AU - Larsen, Ida Unmack
AU - Winge, Kristian
PY - 2022/11/1
Y1 - 2022/11/1
N2 - People with Parkinson's disease (PwP) experience a variety of symptoms and fluctuations in these, which they have to cope with every day. In tailoring a person-centered treatment to PwP there is a lack of knowledge about the association between pre-dominant coping behaviors and clinical markers among PwP. To describe and compare specific clinical markers between 6 suggested coping behaviors. Thirty-four PwP, who previously had been classified into 6 different pre-dominant coping behaviors, were included in this mixed methods study. Six primary variables were included in the descriptive analysis; motor function (UPDRS-III), non-motor symptoms score (NMS-Quest), change in bradykinesia score, apathy score (LARS), personality traits (NEO-FFI), and cognitive status (evaluated by a neuropsychologist). The merged results of this mixed methods study indicate that clinical markers as apathy, burden of non-motor symptoms, cognitive impairments and personality traits, have the potential to impact the coping behavior in PwP. In a clinical setting the markers; NMS-burden, degree of apathy, cognition, and personality traits may indicate specific coping behavior. Three of the six suggested typologies of coping behaviors differed from the other groups when comparing descriptive data. In order to improve patient care and guide the development of person-centered therapies, each PwP should be approached based on those typologies.
AB - People with Parkinson's disease (PwP) experience a variety of symptoms and fluctuations in these, which they have to cope with every day. In tailoring a person-centered treatment to PwP there is a lack of knowledge about the association between pre-dominant coping behaviors and clinical markers among PwP. To describe and compare specific clinical markers between 6 suggested coping behaviors. Thirty-four PwP, who previously had been classified into 6 different pre-dominant coping behaviors, were included in this mixed methods study. Six primary variables were included in the descriptive analysis; motor function (UPDRS-III), non-motor symptoms score (NMS-Quest), change in bradykinesia score, apathy score (LARS), personality traits (NEO-FFI), and cognitive status (evaluated by a neuropsychologist). The merged results of this mixed methods study indicate that clinical markers as apathy, burden of non-motor symptoms, cognitive impairments and personality traits, have the potential to impact the coping behavior in PwP. In a clinical setting the markers; NMS-burden, degree of apathy, cognition, and personality traits may indicate specific coping behavior. Three of the six suggested typologies of coping behaviors differed from the other groups when comparing descriptive data. In order to improve patient care and guide the development of person-centered therapies, each PwP should be approached based on those typologies.
KW - Humans
KW - Parkinson Disease/diagnosis
KW - Apathy
KW - Cognitive Dysfunction
KW - Biomarkers
KW - Adaptation, Psychological
UR - http://www.scopus.com/inward/record.url?scp=85141004834&partnerID=8YFLogxK
U2 - 10.1177/00469580221129929
DO - 10.1177/00469580221129929
M3 - Journal article
C2 - 36314596
SN - 0046-9580
VL - 59
SP - 1
EP - 12
JO - INQUIRY: The Journal of Health Care Organization, Provision, and Financing
JF - INQUIRY: The Journal of Health Care Organization, Provision, and Financing
ER -