Clinical Markers of 6 Pre-dominant Coping Behaviors in Living With Parkinson Disease: A Convergent Mixed Methods Study

Author:

Thomsen Trine Hørmann1ORCID,Jørgensen Lene Bastrup23,Kjær Troels Wesenberg45,Haahr Anita6,Vogel Asmus7,Larsen Ida Unmack8,Winge Kristian910

Affiliation:

1. Rigshospitalet Glostrup, Glostrup, Capital Region, Denmark

2. Knowledge Centre for Neurorehabilitation of Western Denmark, Regional Hospital Viborg, Denmark

3. Department of Clinical Medicine, University of Aarhus, Aarhus, Denmark

4. Zealand University Hospital, Roskilde, Denmark

5. University of Copenhagen, København, Denmark

6. VIA University College, Aarhus, Denmark

7. Copenhagen University Hospital, Rigshospitalet, Denmark

8. Bispebjerg and Frederiksberg Hospital, København, Denmark

9. Odense University Hospital, Odense, Denmark

10. University of Southern Denmark, Denmark

Abstract

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.

Funder

The Danish Parkinson Association

Aase og Ejnar Danielsens Fond

Publisher

SAGE Publications

Subject

Health Policy

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