Cargando…

Rumination and behavioural factors in Parkinson's disease depression

OBJECTIVE: Parkinson's disease is associated with high rates of depression. There is growing interest in non-pharmacological management including psychological approaches such as Cognitive Behaviour Therapy. To date, little research has investigated whether processes that underpin cognitive mod...

Descripción completa

Detalles Bibliográficos
Autores principales: Julien, Camille L., Rimes, Katharine A., Brown, Richard G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pergamon Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796022/
https://www.ncbi.nlm.nih.gov/pubmed/26944399
http://dx.doi.org/10.1016/j.jpsychores.2016.01.008
_version_ 1782421696498630656
author Julien, Camille L.
Rimes, Katharine A.
Brown, Richard G.
author_facet Julien, Camille L.
Rimes, Katharine A.
Brown, Richard G.
author_sort Julien, Camille L.
collection PubMed
description OBJECTIVE: Parkinson's disease is associated with high rates of depression. There is growing interest in non-pharmacological management including psychological approaches such as Cognitive Behaviour Therapy. To date, little research has investigated whether processes that underpin cognitive models of depression, on which such treatment is based, apply in patients with Parkinson's disease. The study aimed to investigate the contribution of core psychological factors to the presence and degree of depressive symptoms. METHODS: 104 participants completed questionnaires measuring mood, motor disability and core psychological variables, including maladaptive assumptions, rumination, cognitive-behavioural avoidance, illness representations and cognitive-behavioural responses to symptoms. RESULTS: Regression analyses revealed that a small number of psychological factors accounted for the majority of depression variance, over and above that explained by overall disability. Participants reporting high levels of rumination, avoidance and symptom focusing experienced more severe depressive symptoms. In contrast, pervasive negative dysfunctional beliefs did not independently contribute to depression variance. CONCLUSION: Specific cognitive (rumination and symptom focusing) and behavioural (avoidance) processes may be key psychological markers of depression in Parkinson's disease and therefore offer important targets for tailored psychological interventions.
format Online
Article
Text
id pubmed-4796022
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Pergamon Press
record_format MEDLINE/PubMed
spelling pubmed-47960222016-03-25 Rumination and behavioural factors in Parkinson's disease depression Julien, Camille L. Rimes, Katharine A. Brown, Richard G. J Psychosom Res Article OBJECTIVE: Parkinson's disease is associated with high rates of depression. There is growing interest in non-pharmacological management including psychological approaches such as Cognitive Behaviour Therapy. To date, little research has investigated whether processes that underpin cognitive models of depression, on which such treatment is based, apply in patients with Parkinson's disease. The study aimed to investigate the contribution of core psychological factors to the presence and degree of depressive symptoms. METHODS: 104 participants completed questionnaires measuring mood, motor disability and core psychological variables, including maladaptive assumptions, rumination, cognitive-behavioural avoidance, illness representations and cognitive-behavioural responses to symptoms. RESULTS: Regression analyses revealed that a small number of psychological factors accounted for the majority of depression variance, over and above that explained by overall disability. Participants reporting high levels of rumination, avoidance and symptom focusing experienced more severe depressive symptoms. In contrast, pervasive negative dysfunctional beliefs did not independently contribute to depression variance. CONCLUSION: Specific cognitive (rumination and symptom focusing) and behavioural (avoidance) processes may be key psychological markers of depression in Parkinson's disease and therefore offer important targets for tailored psychological interventions. Pergamon Press 2016-03 /pmc/articles/PMC4796022/ /pubmed/26944399 http://dx.doi.org/10.1016/j.jpsychores.2016.01.008 Text en © 2016 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Julien, Camille L.
Rimes, Katharine A.
Brown, Richard G.
Rumination and behavioural factors in Parkinson's disease depression
title Rumination and behavioural factors in Parkinson's disease depression
title_full Rumination and behavioural factors in Parkinson's disease depression
title_fullStr Rumination and behavioural factors in Parkinson's disease depression
title_full_unstemmed Rumination and behavioural factors in Parkinson's disease depression
title_short Rumination and behavioural factors in Parkinson's disease depression
title_sort rumination and behavioural factors in parkinson's disease depression
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796022/
https://www.ncbi.nlm.nih.gov/pubmed/26944399
http://dx.doi.org/10.1016/j.jpsychores.2016.01.008
work_keys_str_mv AT juliencamillel ruminationandbehaviouralfactorsinparkinsonsdiseasedepression
AT rimeskatharinea ruminationandbehaviouralfactorsinparkinsonsdiseasedepression
AT brownrichardg ruminationandbehaviouralfactorsinparkinsonsdiseasedepression