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Self-Stigma in Parkinson's Disease: A 3-Year Prospective Cohort Study.


ABSTRACT:

Purpose

Self-stigma is common in patients with Parkinson's disease (PD) and may lead to social isolation and delayed search for medical help. We conducted a 3-year prospective longitudinal study to investigate the development and evolution of self-stigma in patients with early stage PD and to explore the associated and predictive factors of self-stigma in PD.

Method

A total of 224 patients with early stage PD (disease duration <3 years) were enrolled at baseline and followed up annually for 3 consecutive years. Self-stigma was assessed by the stigma subscale of the Parkinson's Disease Questionnaire (items 23-26). The generalized estimating equation model was used to investigate the associated factors of self-stigma over 3 years, and the binary logistic model was used to explore the predictors of self-stigma in patients with PD without self-stigma at baseline.

Results

The prevalence of self-stigma decreased from 58.0% at baseline to 49.2% after 3 years. The Hamilton Depression Rating Scale (HDRS) score was the only associated factor [B: 0.160 (1.106-0.214), P < 0.001] of self-stigma over 3 years and the only predictor [OR: 1.252 (1.044-1.502), P = 0.015] of the onset of self-stigma.

Conclusion

Self-stigma is very common in PD, but its prevalence tends to decrease as the disease progresses. Depression was the only associated and predictive factor of self-stigma in PD and could be an effective target of alleviating self-stigma.

SUBMITTER: Lin J 

PROVIDER: S-EPMC8877567 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

Self-Stigma in Parkinson's Disease: A 3-Year Prospective Cohort Study.

Lin Junyu J   Ou Ruwei R   Wei Qianqian Q   Cao Bei B   Li Chunyu C   Hou Yanbing Y   Zhang Lingyu L   Liu Kuncheng K   Shang Huifang H  

Frontiers in aging neuroscience 20220211


<h4>Purpose</h4>Self-stigma is common in patients with Parkinson's disease (PD) and may lead to social isolation and delayed search for medical help. We conducted a 3-year prospective longitudinal study to investigate the development and evolution of self-stigma in patients with early stage PD and to explore the associated and predictive factors of self-stigma in PD.<h4>Method</h4>A total of 224 patients with early stage PD (disease duration <3 years) were enrolled at baseline and followed up an  ...[more]

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