Gison, Annalisa and Rizza, Federica and Bonassi, Stefano and Donati, Valentina and Giaquinto, Salvatore (2015) Effects of dispositional optimism on quality of life, emotional distress and disability in Parkinson’s disease outpatients under rehabilitation. Functional Neurology, 30 (2). pp. 105-111. ISSN 1971-3274
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Abstract
This study was performed with the aim of assessing dispositional optimism (DO) in a sample of Parkinson’s disease (PD) patients, in order to evaluate its association with clinical outcomes and its impact on rehabilitation. Before entering an outpatient rehabilitation program, 58 participants suffering from idiopathic PD completed the Life Orientation Test-Revised (LOT-R) to evaluate their level of DO, the WHO-5 scale to evaluate their health-related quality of life (HR-QoL), the Hospital Anxiety and Depression Scale (HADS) to identify emotional distress, and the Barthel Index to evaluate their level of disability. All the measures were repeated four months later, at their discharge from the program. Disease stage and severity measures (Unified Parkinson’s Disease Rating Scale) were also taken into consideration. Correlations and multivariate regression analyses compared DO with the health-related variables. On admission a high level of DO was found to be associated with less severe disease, a better quality of life (QoL) and lower emotional distress, but not with level of disability (Barthel Index). Consistent results were found at discharge. The level of DO did not change after rehabilitation, while anxiety was significantly reduced, especially in subjects with low LOT-R and high HADS scores. The Barthel Index values significantly improved. At discharge, participants with high DO showed the best improvements in disability and in QoL. In conclusion, a high level of DO was associated with QoL, HADS and UPDRS both on admission and at discharge. The level of DO remained stable after rehabilitation, while disability and anxiety were reduced. Participants with high DO generally had better QoL, and better clinical and psychological performances.
| Item Type: | Article |
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| Uncontrolled Keywords: | Disability, dispositional optimism, mood, Parkinson’s disease, quality of life, rehabilitation |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 23 Sep 2019 12:48 |
| Last Modified: | 23 Sep 2019 12:48 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/12552 |
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