Anxiety Rating Scales in Parkinson's Disease: Critique and Recommendations
Anxiety Rating Scales in Parkinson's Disease: Critique and Recommendations
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DOI：
10.1002/mds.22233
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发表时间：
2008-10-30
影响因子：
8.6
通讯作者：
Goetz, Christopher G.
中科院分区：
文献类型：
--
作者：
Leentjens, Albert F. G.;Dujardin, Kathy;Goetz, Christopher G.
焦虑综合征在帕金森氏病(PD)患者中很常见，30%的患者患有惊恐障碍，11%的患者患有广泛性焦虑症(GAD)。焦虑与主观运动症状增加、更严重的步态问题、运动障碍、冰冻和开关波动有关。焦虑对与健康相关的生活质量有负面影响，并与抑郁综合征密切相关。由于各种焦虑量表已经用于帕金森病患者，运动障碍协会委托了一个特别工作组来评估这些量表在帕金森病患者中的临床特征。我们进行了一项系统的回顾，以确定已经在帕金森病患者中验证或使用的焦虑量表。确定了六种焦虑评定量表。它们是贝克焦虑量表、医院焦虑和抑郁量表、Zung焦虑自评量表和焦虑状态问卷、斯皮尔伯格状态特质焦虑量表和汉密尔顿焦虑量表。此外，神经精神病学清单的第5项(焦虑症)也被列入审查。没有一个量表符合“推荐”的标准，所有的量表都被归类为“建议的”。所有标尺都缺少必要的临床测量信息。由于在帕金森病中存在和使用了几种量表，特别工作组建议对这些工具进行进一步研究。如果这些研究表明现有量表的临床测量特性不充分，应该考虑开发一种新的量表来评估帕金森病患者的焦虑。(C)2008年流动无序社会
Anxiety syndromes are common in patients with Parkinson's disease (PD) with up to 30% suffering from panic disorder, and up to 11% from generalized anxiety disorder (GAD). Anxiety is associated with increased subjective motor symptoms, more severe gait problems, dyskinesias, freezing, and on/off fluctuations. Anxiety has a negative impact oil health related quality of life and is strongly associated with depressive syndromes. Since a variety of anxiety scales have been used in PD patients, the Movement Disorder Society commissioned a task force to assess the clinimetric properties of these scales in PD. A systematic review was conducted to identify anxiety scales that have either been validated or used in patients with PD. Six anxiety rating scales were identified. These were the Beck anxiety inventory, the hospital anxiety and depression scale, the Zung self-rating anxiety scale and anxiety status inventory, the Spielberger state trait anxiety inventory, and the Hamilton anxiety rating scale. In addition, Item 5 (anxiety) of the neuropsychiatric inventory wits included in the review. No scales met the criteria to be "recommended," and all scales were classified as "suggested." Essential clinimetric information is missing for all scales. Because several scales exist and have been used in PD, the task force recommends further Studies of these instruments. If these studies show that the clinimetric properties of existing scales are inadequate, development of a new scale to assess anxiety in PD should be considered. (C) 2008 Movement Disorder Society