Kate Perepezko1,2, Jared T Hinkle1,3, Melissa D Shepard1, Nicole Fischer1, Martinus P G Broen4, Albert F G Leentjens5, Joseph J Gallo2, Gregory M Pontone1. 1. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. 2. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. 3. Johns Hopkins School of Medicine, Medical Scientist Training Program, Baltimore, Maryland. 4. Department of Neurology, Maastricht University Medical Center, Maastricht, the Netherlands. 5. Department of Psychiatry, Maastricht University Medical Center, Maastricht, the Netherlands.
Abstract
OBJECTIVES: Parkinson's disease (PD) is a progressive neurodegenerative disease that often impedes activities of daily living (ADL) and social functioning. Impairment in these areas can alter social roles by interfering with employment status, household management, friendships, and other relationships. Understanding how PD affects social functioning can help clinicians choose management strategies that mitigate these changes. METHODS: We conducted a mixed-methods systematic review of existing literature on social roles and social functioning in PD. A tailored search strategy in five databases identified 51 full-text reports that fulfilled the inclusion criteria and passed the quality appraisal. We aggregated and analyzed the results from these studies and then created a narrative summary. RESULTS: Our review demonstrates how PD causes many people to withdraw from their accustomed social roles and experience deficits in corresponding activities. We describe how PD symptoms (eg, tremor, facial masking, and neuropsychiatric symptoms) interfere with relationships (eg, couple, friends, and family) and precipitate earlier departure from the workforce. Additionally, several studies demonstrated that conventional PD therapy has little positive effect on social role functioning. CONCLUSIONS: Our report presents critical insight into how PD affects social functioning and gives direction to future studies and interventions (eg, couple counseling and recreational activities).
OBJECTIVES:Parkinson's disease (PD) is a progressive neurodegenerative disease that often impedes activities of daily living (ADL) and social functioning. Impairment in these areas can alter social roles by interfering with employment status, household management, friendships, and other relationships. Understanding how PD affects social functioning can help clinicians choose management strategies that mitigate these changes. METHODS: We conducted a mixed-methods systematic review of existing literature on social roles and social functioning in PD. A tailored search strategy in five databases identified 51 full-text reports that fulfilled the inclusion criteria and passed the quality appraisal. We aggregated and analyzed the results from these studies and then created a narrative summary. RESULTS: Our review demonstrates how PD causes many people to withdraw from their accustomed social roles and experience deficits in corresponding activities. We describe how PD symptoms (eg, tremor, facial masking, and neuropsychiatric symptoms) interfere with relationships (eg, couple, friends, and family) and precipitate earlier departure from the workforce. Additionally, several studies demonstrated that conventional PD therapy has little positive effect on social role functioning. CONCLUSIONS: Our report presents critical insight into how PD affects social functioning and gives direction to future studies and interventions (eg, couple counseling and recreational activities).
Authors: Sue Berger; Tiffany Chen; Jenna Eldridge; Cathi A Thomas; Barbara Habermann; Linda Tickle-Degnen Journal: Disabil Rehabil Date: 2017-12-12 Impact factor: 3.033
Authors: María Victoria Navarta-Sánchez; Juana M Senosiain García; Mario Riverol; María Eugenia Ursúa Sesma; Sara Díaz de Cerio Ayesa; Sagrario Anaut Bravo; Neus Caparrós Civera; Mari Carmen Portillo Journal: Qual Life Res Date: 2016-01-08 Impact factor: 4.147
Authors: Barbara Colombo; Alison Rigby; Martina Gnerre; Federica Biassoni Journal: Int J Environ Res Public Health Date: 2022-06-20 Impact factor: 4.614
Authors: Zachary A Macchi; Roman Ayele; Megan Dini; Jensine Lamira; Maya Katz; Steven Z Pantilat; Jacqueline Jones; Benzi M Kluger Journal: Palliat Med Date: 2021-05-18 Impact factor: 5.713
Authors: Neal Hermanowicz; Maria Cristina Ospina; Yasar Torres-Yaghi; Sherrie Gould; Kelly Papesh; Jason A Rivera; Susan Miller; Sarah Jones; Kelli Musick; Damian May Journal: Neuropsychiatr Dis Treat Date: 2022-03-23 Impact factor: 2.570
Authors: Christina Nielsen; Volkert Siersma; Emma Ghaziani; Nina Beyer; S Peter Magnusson; Christian Couppé Journal: Int J Environ Res Public Health Date: 2020-10-21 Impact factor: 3.390