Factors associated with life satisfaction in Parkinson's disease. (10th October 2016)

• Record Type: Journal Article
• Authors: Rosqvist, K.; Hagell, P.; Odin, P.; Ekström, H.; Iwarsson, S.; Nilsson, M. H.
• Is Part Of: Acta neurologica Scandinavica. Volume 136:Number 1(2017:Jul.)
• Page Start: 64
• Page End: 71
• Publication Date: 2016-10-10
• Subjects: associated factors -- depressive symptoms -- general self‐efficacy -- late‐stage -- life satisfaction -- LiSat‐11 -- Parkinson's disease; Neurology -- Periodicals; 616.8
• DOI: 10.1111/ane.12695
• Languages: English
• ISSNs: 0001-6314

Abstract

Abstract : Objectives: To identify factors associated with life satisfaction (LS) in people with Parkinson's disease (PD), including a specific focus on those with late‐stage PD. Material and methods: The study included 251 persons with PD (median age 70 years; PD duration 8 years). Analyses involved the total sample and a subsample with late‐stage PD, that is Hoehn and Yahr stages IV and V (n=62). LS was assessed with item 1 of the Life Satisfaction Questionnaire (LiSat‐11). Simple logistic regression analyses were performed for both the total sample and for the subsample with late‐stage PD. For the total sample, a multivariable logistic regression analysis was also performed. Results: In the total sample, 12 of the 20 independent variables were significantly associated with LS: need of help with ADL; walking difficulties; number of non‐motor symptoms (NMS); fatigue; depressive symptoms; general self‐efficacy; motor symptoms; pain; PD severity; freezing episodes; gender (woman); and fluctuations. When controlling for age and gender in the multivariable logistic regression model, depressive symptoms were negatively associated with high LS and general self‐efficacy was positively associated with high LS. In late‐stage PD, simple logistic regression analyses (controlling for age and gender) identified the following factors as associated with LS: number of NMS, general self‐efficacy, walking difficulties and fatigue. Conclusions: This study provides new knowledge on factors associated with LS in a PD sample, including those with late‐stage PD. As the ultimate goal for PD care should be improvement in LS, the results have direct clinical implication.