Social phobia in Parkinson’s disease: Prevalence and risk factors

Social phobia in Parkinson’s disease: Prevalence and risk factors

Bulent Kadri Gultekin,1 Betul Ozdilek,2 Engin Emrem Bestepe1 1Department of Psychiatry, 2Department of Neurology, Erenkoy Research and Training Hospital for Neurologic and Psychiatric Disorders, Istanbul, Turkey Objective: We aimed to investigate the frequency of social phobia in patients with Par...

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Autores principales: Gultekin BK, Ozdilek B, Bestepe EE
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
Materias:
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/cb8942df3edd4e3ca7a34f64be119edf
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spelling oai:doaj.org-article:cb8942df3edd4e3ca7a34f64be119edf2021-12-02T00:48:12ZSocial phobia in Parkinson’s disease: Prevalence and risk factors1178-2021https://doaj.org/article/cb8942df3edd4e3ca7a34f64be119edf2014-05-01T00:00:00Zhttp://www.dovepress.com/social-phobia-in-parkinsonrsquos-disease-prevalence-and-risk-factors-a16983https://doaj.org/toc/1178-2021 Bulent Kadri Gultekin,1 Betul Ozdilek,2 Engin Emrem Bestepe1 1Department of Psychiatry, 2Department of Neurology, Erenkoy Research and Training Hospital for Neurologic and Psychiatric Disorders, Istanbul, Turkey Objective: We aimed to investigate the frequency of social phobia in patients with Parkinson’s disease (PD). In addition, we explored the relationship between social phobia and the clinical characteristics of PD, and the frequency of comorbid psychiatric disorders in PD patients. Methods: This study included 80 consecutive patients with PD admitted to the Parkinson’s disease and Movement Disorders Clinic at the Erenkoy Research and Training Hospital for Neurologic and Psychiatric Disorders, Istanbul, Turkey and used demographic and clinical data. The PD patients were evaluated during the “on state”, using the Hoehn and Yahr scale, the Unified Parkinson’s Disease Rating Scale, and the Schwab England Activities of Daily Living Scale. Psychiatric evaluations were conducted using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition structured clinical interview, the Liebowitz Social Anxiety Scale (LSAS), and the Hamilton Depression Rating Scale. Results: Social phobia was diagnosed in 42.5% of PD patients. Social phobia was comorbid with depression in 20 patients (58.8%), generalized anxiety disorder in 18 patients (52.9%), and panic disorder in six patients (17.6%). Social phobia was more frequent in males, early-onset PD, patients with a long duration of disease, the presence of postural instability, and with the use of a high Levodopa equivalent daily dose. A logistic regression analysis revealed the predictive factors of social phobia to be the sex of the patient (more frequent in males) and the presence of postural instability. There was a statistically significantly negative correlation between the LSAS score and the age of disease onset (r=–0.503; P=0.002) and a positive correlation between LSAS score and the duration of disease (r=0.374; P=0.023). Conclusion: Social phobia is frequently observed in PD patients. Therefore, the assessment of PD patients should always include psychiatric evaluations, particularly for social phobia. The early detection and treatment of social phobia in PD patients is very important for the quality of life of patients as well as caregivers.Keywords: Parkinson’s disease, social phobia, psychiatric disordersGultekin BKOzdilek BBestepe EEDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 829-834 (2014)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Gultekin BK
Ozdilek B
Bestepe EE
Social phobia in Parkinson’s disease: Prevalence and risk factors
description Bulent Kadri Gultekin,1 Betul Ozdilek,2 Engin Emrem Bestepe1 1Department of Psychiatry, 2Department of Neurology, Erenkoy Research and Training Hospital for Neurologic and Psychiatric Disorders, Istanbul, Turkey Objective: We aimed to investigate the frequency of social phobia in patients with Parkinson’s disease (PD). In addition, we explored the relationship between social phobia and the clinical characteristics of PD, and the frequency of comorbid psychiatric disorders in PD patients. Methods: This study included 80 consecutive patients with PD admitted to the Parkinson’s disease and Movement Disorders Clinic at the Erenkoy Research and Training Hospital for Neurologic and Psychiatric Disorders, Istanbul, Turkey and used demographic and clinical data. The PD patients were evaluated during the “on state”, using the Hoehn and Yahr scale, the Unified Parkinson’s Disease Rating Scale, and the Schwab England Activities of Daily Living Scale. Psychiatric evaluations were conducted using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition structured clinical interview, the Liebowitz Social Anxiety Scale (LSAS), and the Hamilton Depression Rating Scale. Results: Social phobia was diagnosed in 42.5% of PD patients. Social phobia was comorbid with depression in 20 patients (58.8%), generalized anxiety disorder in 18 patients (52.9%), and panic disorder in six patients (17.6%). Social phobia was more frequent in males, early-onset PD, patients with a long duration of disease, the presence of postural instability, and with the use of a high Levodopa equivalent daily dose. A logistic regression analysis revealed the predictive factors of social phobia to be the sex of the patient (more frequent in males) and the presence of postural instability. There was a statistically significantly negative correlation between the LSAS score and the age of disease onset (r=–0.503; P=0.002) and a positive correlation between LSAS score and the duration of disease (r=0.374; P=0.023). Conclusion: Social phobia is frequently observed in PD patients. Therefore, the assessment of PD patients should always include psychiatric evaluations, particularly for social phobia. The early detection and treatment of social phobia in PD patients is very important for the quality of life of patients as well as caregivers.Keywords: Parkinson’s disease, social phobia, psychiatric disorders
format article
author Gultekin BK
Ozdilek B
Bestepe EE
author_facet Gultekin BK
Ozdilek B
Bestepe EE
author_sort Gultekin BK
title Social phobia in Parkinson’s disease: Prevalence and risk factors
title_short Social phobia in Parkinson’s disease: Prevalence and risk factors
title_full Social phobia in Parkinson’s disease: Prevalence and risk factors
title_fullStr Social phobia in Parkinson’s disease: Prevalence and risk factors
title_full_unstemmed Social phobia in Parkinson’s disease: Prevalence and risk factors
title_sort social phobia in parkinson’s disease: prevalence and risk factors
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/cb8942df3edd4e3ca7a34f64be119edf
work_keys_str_mv AT gultekinbk socialphobiainparkinsonrsquosdiseaseprevalenceandriskfactors
AT ozdilekb socialphobiainparkinsonrsquosdiseaseprevalenceandriskfactors
AT bestepeee socialphobiainparkinsonrsquosdiseaseprevalenceandriskfactors
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