Depression in Parkinson's disease: Health risks, etiology, and treatment options

Pasquale G. Frisina, Joan C. Borod, Nancy S. Foldi, Harriet R. Tenenbaum

Research output: Contribution to journalReview articlepeer-review

71 Scopus citations

Abstract

Depression is found in about 30%-40% of all patients with Parkinson's disease (PD), but only a small percentage (about 20%) receive treatment. As a consequence, many PD patients suffer with reduced health-related quality of life. To address quality of life in depressed PD patients, we reviewed the literature on the health correlates of depression in PD (eg, cognitive function), etiology of depression in PD, and treatment options (ie, antidepressants, electroconvulsive therapy, and psychotherapy). The current review is unique in its focus on psychosocial aspects, as well as neuropathological factors, of depression in PD. Overall, we conclude that neurochemical (eg, serotonin) and psychosocial factors (eg, coping style, self-esteem, and social support) contribute to the affective disturbances found in this neuropsychiatric population. Therefore, we recommend that a multidisciplinary (eg, pharmacotherapeutic, psychoeducational, and/or psychotherapeutic) approach to treatment be taken with depressed PD patients.

Original languageEnglish
Pages (from-to)81-91
Number of pages11
JournalNeuropsychiatric Disease and Treatment
Volume4
Issue number1 A
StatePublished - 2008

Keywords

  • Depression
  • Health outcomes
  • Parkinson's disease
  • Treatment options

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