Diagnostic overshadowing of anxiety in Parkinson Disease: psychosocial factors and a cognitive-behavioral model

Stephens, Emma-Jane, Dysch, Leon and Gregory, James 2018. Diagnostic overshadowing of anxiety in Parkinson Disease: psychosocial factors and a cognitive-behavioral model. Cognitive And Behavioral Neurology 31 (3) , pp. 123-132. 10.1097/wnn.0000000000000161

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Abstract

Anxiety in Parkinson disease (PD) is highly prevalent yet frequently underdiagnosed and undertreated, and historically overshadowed in research by a focus on depression. Recently, interest in anxiety has been building with the recognition of its significant impact on quality of life in PD. Anxiety is typically conceptualized as one of many “nonmotor” manifestations of neurologic change, with minimal consideration of potentially important psychosocial factors. This narrative review used a systematic search strategy to identify and synthesize the available evidence for psychosocial risk factors for anxiety. Thirty relevant articles were located and reviewed, and demographic, disease/pharmacologic, and psychosocial risk factors for anxiety in PD were identified. A prominent finding was that individuals with motor fluctuation appeared to be more vulnerable to anxiety. A cognitive-behavioral model of anxiety in PD is proposed and illustrated with a clinical example.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Publisher:	Wolters Kluwer Health, Inc.
ISSN:	1543-3641
Date of Acceptance:	1 January 2018
Last Modified:	28 Nov 2024 10:46
URI:	https://orca.cardiff.ac.uk/id/eprint/172237

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