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Application of depression rating scales in patients with Parkinson's disease with and without co-Occurring anxiety.
J Parkinsons Dis. 2013; 3(4):603-8.JP

Abstract

BACKGROUND

In patients with Parkinson's disease (PD), depressive symptom rating scales facilitate identification of depressive disorders, which are common and disabling. Anxiety disturbances in PD, which lack valid assessment scales, frequently co-occur with PD-depression, are under-recognized, and require different interventions than depressive disorders. Whether high anxiety rates in PD confound depression scale performance or if any depression scales also predict anxiety disturbances is not known.

OBJECTIVE

To test the impact of co-occurring anxiety disorders on psychometric properties of depression rating scales in depressed PD patients and compare disability between PD patients with anxiety, depression, and comorbid anxiety and depressive disorders.

METHODS

PD subjects (n = 229) completed self-report and clinician-administered depression scales. Receiver operating characteristic curves were developed to estimate psychometric properties of each scale in those with depression alone, anxiety alone, and comorbid depression and anxiety. Between-group differences on all measures were examined.

RESULTS

Comorbid anxiety did not affect the psychometric properties of any scale when identifying depressive disorders, but is associated with greater symptom severity and disability. Depression-scale scores were not significantly different between subjects with anxiety disorders only and those without depressive or anxiety diagnoses.

CONCLUSIONS

Co-occurring anxiety disorders do not impact performance of depression rating scales in depressed PD patients. However, depression rating scales do not adequately identify anxiety disturbances alone or in patients with depression.

Authors+Show Affiliations

Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

24275604

Citation

Calleo, Jessica, et al. "Application of Depression Rating Scales in Patients With Parkinson's Disease With and Without co-Occurring Anxiety." Journal of Parkinson's Disease, vol. 3, no. 4, 2013, pp. 603-8.
Calleo J, Williams JR, Amspoker AB, et al. Application of depression rating scales in patients with Parkinson's disease with and without co-Occurring anxiety. J Parkinsons Dis. 2013;3(4):603-8.
Calleo, J., Williams, J. R., Amspoker, A. B., Swearingen, L., Hirsch, E. S., Anderson, K., Goldstein, S. R., Grill, S., Lehmann, S., Little, J. T., Margolis, R. L., Palanci, J., Pontone, G. M., Weiss, H., Rabins, P., & Marsh, L. (2013). Application of depression rating scales in patients with Parkinson's disease with and without co-Occurring anxiety. Journal of Parkinson's Disease, 3(4), 603-8. https://doi.org/10.3233/JPD-130264
Calleo J, et al. Application of Depression Rating Scales in Patients With Parkinson's Disease With and Without co-Occurring Anxiety. J Parkinsons Dis. 2013;3(4):603-8. PubMed PMID: 24275604.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application of depression rating scales in patients with Parkinson's disease with and without co-Occurring anxiety. AU - Calleo,Jessica, AU - Williams,James R, AU - Amspoker,Amber B, AU - Swearingen,Leah, AU - Hirsch,Elaina S, AU - Anderson,Karen, AU - Goldstein,Susanne R, AU - Grill,Stephen, AU - Lehmann,Susan, AU - Little,John T, AU - Margolis,Russell L, AU - Palanci,Justin, AU - Pontone,Gregory M, AU - Weiss,Howard, AU - Rabins,Peter, AU - Marsh,Laura, PY - 2013/11/27/entrez PY - 2013/11/28/pubmed PY - 2014/8/26/medline KW - Parkinson's disease KW - anxiety KW - depression KW - psychiatric disorder KW - rating scale SP - 603 EP - 8 JF - Journal of Parkinson's disease JO - J Parkinsons Dis VL - 3 IS - 4 N2 - BACKGROUND: In patients with Parkinson's disease (PD), depressive symptom rating scales facilitate identification of depressive disorders, which are common and disabling. Anxiety disturbances in PD, which lack valid assessment scales, frequently co-occur with PD-depression, are under-recognized, and require different interventions than depressive disorders. Whether high anxiety rates in PD confound depression scale performance or if any depression scales also predict anxiety disturbances is not known. OBJECTIVE: To test the impact of co-occurring anxiety disorders on psychometric properties of depression rating scales in depressed PD patients and compare disability between PD patients with anxiety, depression, and comorbid anxiety and depressive disorders. METHODS: PD subjects (n = 229) completed self-report and clinician-administered depression scales. Receiver operating characteristic curves were developed to estimate psychometric properties of each scale in those with depression alone, anxiety alone, and comorbid depression and anxiety. Between-group differences on all measures were examined. RESULTS: Comorbid anxiety did not affect the psychometric properties of any scale when identifying depressive disorders, but is associated with greater symptom severity and disability. Depression-scale scores were not significantly different between subjects with anxiety disorders only and those without depressive or anxiety diagnoses. CONCLUSIONS: Co-occurring anxiety disorders do not impact performance of depression rating scales in depressed PD patients. However, depression rating scales do not adequately identify anxiety disturbances alone or in patients with depression. SN - 1877-718X UR - https://www.unboundmedicine.com/medline/citation/24275604/Application_of_depression_rating_scales_in_patients_with_Parkinson's_disease_with_and_without_co_Occurring_anxiety_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/JPD-130264 DB - PRIME DP - Unbound Medicine ER -