Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease
- Resource Type
- Authors
- François Herrmann; Kerstin Weber; Nicolas Favez; Pierre R. Burkhard; Michalina Radomska; Paolo Ghisletta; Marc Baertschi; Alessandra Canuto; Joao Flores Alves Dos Santos
- Source
- Journal of Clinical Medicine, Vol 9, Iss 1186, p 1186 (2020)
Journal of Clinical Medicine
Volume 9
Issue 4
Journal of Clinical Medicine, Vol. 9, No 4 (2020) P. 1186
- Subject
- Illness representations
Longitudinal study
Deep brain stimulation
Parkinson's disease
medicine.medical_treatment
media_common.quotation_subject
lcsh:Medicine
Disease
0603 philosophy, ethics and religion
coping strategies
Article
ddc:616.89
03 medical and health sciences
0302 clinical medicine
ddc:150
Perception
Medicine
media_common
Coping strategies
illness perceptions
business.industry
lcsh:R
Repeated measures design
06 humanities and the arts
General Medicine
medicine.disease
ddc:616.8
deep brain stimulation
Institutional repository
illness representations
ddc:618.97
Parkinson’s disease
060301 applied ethics
Analysis of variance
Illness perceptions
business
030217 neurology & neurosurgery
Clinical psychology
- Language
- English
- ISSN
- 2077-0383
There is a debate on possible alterations of self-identity following deep brain stimulation for neurological disorders including Parkinson&rsquo
s disease. Among the psychological variables likely to undergo changes throughout such a medical procedure, illness representations and coping strategies have not been the target of much research to this day. In order to remedy this, we investigated the dynamics of illness representations and coping strategies in an 18-month longitudinal study involving 45 patients undergoing deep brain stimulation for idiopathic Parkinson&rsquo
s disease. Two research hypotheses were formulated and investigated through repeated measures of ANOVAs and structural equation modelling with full information maximum likelihood and Bayesian estimations. Representations of Parkinson&rsquo
s disease as a cyclical condition and perception of control over the disease diminished after surgery. Use of instrumental coping strategies was not modified after deep brain stimulation. These changes were identified by SEM but not ANOVAs
their magnitude was nevertheless relatively small, implying general stability in representations. These findings suggest that psychological variables do not undergo major changes after deep brain stimulation for Parkinson&rsquo
s disease.