Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease

This study examined whether activities of daily living (ADL) mediate the relationship between depression and health-related quality of life (HR-QOL) in people with Parkinson’s disease (PD). A cross-sectional, correlational research design examined data from 174 participants who completed the Geriatr...

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Main Authors: Lawrence, B., Gasson, Natalie, Kane, Robert, Bucks, R., Loftus, Andrea
Format: Journal Article
Published: Public Library of Science 2014
Online Access:http://hdl.handle.net/20.500.11937/14975
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author Lawrence, B.
Gasson, Natalie
Kane, Robert
Bucks, R.
Loftus, Andrea
author_facet Lawrence, B.
Gasson, Natalie
Kane, Robert
Bucks, R.
Loftus, Andrea
author_sort Lawrence, B.
building Curtin Institutional Repository
collection Online Access
description This study examined whether activities of daily living (ADL) mediate the relationship between depression and health-related quality of life (HR-QOL) in people with Parkinson’s disease (PD). A cross-sectional, correlational research design examined data from 174 participants who completed the Geriatric Depression Scale (GDS-15), Parkinson’s Disease Questionnaire-39 (PDQ-39), and Unified Parkinson’s Disease Rating Scale-section 2 (UPDRS-section 2 [ADL]). Multiple Regression Analysis (MRA) was used to examine the mediator model. Depression and ADL significantly (p<.001) predicted HR-QOL, and depression significantly (p<.001) predicted ADL. Whilst ADL did not impact on the relationship between depression and HRQOL, there was a significant (p<.001) indirect effect of depression on HR-QOL via ADL, suggesting both direct and indirect (via ADL) effects of depression on HR-QOL. The magnitude of this effect was moderate (R2 = .13). People with PD who report depression also experience greater difficulty completing ADL, which impacts upon their HR-QOL. It is recommended that clinicians adopt a multidisciplinary approach to care by combining pharmacological treatments with psycho/occupational therapy, thereby alleviating the heterogeneous impact of motor and non-motor symptoms on HR-QOL in people with PD.
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spelling curtin-20.500.11937-149752017-09-13T15:01:02Z Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease Lawrence, B. Gasson, Natalie Kane, Robert Bucks, R. Loftus, Andrea This study examined whether activities of daily living (ADL) mediate the relationship between depression and health-related quality of life (HR-QOL) in people with Parkinson’s disease (PD). A cross-sectional, correlational research design examined data from 174 participants who completed the Geriatric Depression Scale (GDS-15), Parkinson’s Disease Questionnaire-39 (PDQ-39), and Unified Parkinson’s Disease Rating Scale-section 2 (UPDRS-section 2 [ADL]). Multiple Regression Analysis (MRA) was used to examine the mediator model. Depression and ADL significantly (p<.001) predicted HR-QOL, and depression significantly (p<.001) predicted ADL. Whilst ADL did not impact on the relationship between depression and HRQOL, there was a significant (p<.001) indirect effect of depression on HR-QOL via ADL, suggesting both direct and indirect (via ADL) effects of depression on HR-QOL. The magnitude of this effect was moderate (R2 = .13). People with PD who report depression also experience greater difficulty completing ADL, which impacts upon their HR-QOL. It is recommended that clinicians adopt a multidisciplinary approach to care by combining pharmacological treatments with psycho/occupational therapy, thereby alleviating the heterogeneous impact of motor and non-motor symptoms on HR-QOL in people with PD. 2014 Journal Article http://hdl.handle.net/20.500.11937/14975 10.1371/journal.pone.0102294 Public Library of Science fulltext
spellingShingle Lawrence, B.
Gasson, Natalie
Kane, Robert
Bucks, R.
Loftus, Andrea
Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease
title Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease
title_full Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease
title_fullStr Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease
title_full_unstemmed Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease
title_short Activities of Daily Living, Depression, and Quality of Life in Parkinson’s Disease
title_sort activities of daily living, depression, and quality of life in parkinson’s disease
url http://hdl.handle.net/20.500.11937/14975