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The Effect of Cognitive Impairments in Parkinson’s Disease on Caregiver Burden

Yıl 2025, Sayı: 19, 57 - 71

Sena Kıcıklar

https://doi.org/10.21733/ibad.1700404

Öz

Parkinson’s disease (PD) has motor symptoms such as tremor, rigidity, bradykinesia/akinesis, postural instability and nonmotor symptoms including cognitive impairment. Many PD patients struggle in a variety of cognitive domains, including as language, executive functioning, memory, attention, and visuospatial abilities. These deficits may be at a level that causes difficulty in performing activities of daily living and occasionally self-care. For this reason, PD patients may need caregivers. As has been demonstrated in all other chronic diseases, caregiving is a demanding process, both mentally and physically. As the cognitive deficit deepens, the burden on caregivers increases. The aim of this study was to examine cognitive impairment in PD patients and its impact on caregiver burden. As studies have shown, cognitive decline impairs the ability of the patient to participate in activities of daily living and self-care and thus makes them dependent on the caregiver. This leads to the caregiver taking on more duties and consequently increasing their burden. Since PD is a disease with a high potential need for caregivers, factors that negatively affect caregivers have to be considered more.

Anahtar Kelimeler

Parkinson’s disease cognitive impairment caregiver burden

Kaynakça

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Parkinson Hastalığında Bilişsel Bozukluğun Bakım Veren Yükü Üzerindeki Etkisi

Yıl 2025, Sayı: 19, 57 - 71

Sena Kıcıklar

https://doi.org/10.21733/ibad.1700404

Öz

Parkinson hastalığı (PH) tremor, rijidite, bradikinezi/akinezi, postural instabilite gibi motor semptomların yanı sıra bilişsel bozukluğu da içeren motor olmayan semptomlara sahiptir. Birçok hasta dil, yürütücü işlevler, bellek, dikkat ve görsel-uzamsal yetenekler gibi çeşitli bilişsel alanlarda zorluk çekmektedir. Bu eksiklikler günlük yaşam aktivitelerini yerine getirmede ve zaman zaman öz bakımda zorluğa neden olacak düzeyde olabilir. Bu nedenle hasta bir bakım verene ihtiyaç duyabilir. Diğer tüm kronik hastalıklarda gösterildiği gibi, bakım verme hem zihinsel hem de fiziksel olarak zorlu bir süreçtir. Bilişsel eksiklik derinleştikçe bakım verenler üzerindeki yük de artmaktadır. Bu çalışmanın amacı, PH’nda bilişsel bozukluğu ve bunun bakım veren yükü üzerindeki etkisini incelemektir. Çalışmaların gösterdiği gibi, bilişsel düşüş hastanın günlük yaşam aktivitelerine katılma ve öz bakım becerilerini bozmakta ve dolayısıyla hastayı bakım verene bağımlı hale getirmektedir. Bu da bakım verenin daha fazla görev üstlenmesine ve dolayısıyla yükünün artmasına neden olur. PH, bakım verenlere ihtiyaç duyma potansiyeli yüksek bir hastalık olduğundan, bakım verenleri olumsuz etkileyen faktörler daha fazla dikkate alınmalıdır.

Anahtar Kelimeler

Parkinson hastalığı bilişsel bozukluk bakım veren yükü

Kaynakça

  • Aarsland, D., Brønnick, K., Larsen, J. P., Tysnes, O. B., & Alves, G. (2009). Cognitive impairment in incident, untreated Parkinson disease: the Norwegian ParkWest study. Neurology, 72(13), 1121-1126.
  • Aarsland, D., Brønnick, K., & Fladby, T. (2011). Mild cognitive impairment in Parkinson’s disease. Current Neurology and Neuroscience Reports, 11, 371-378.
  • Aarsland, D., Creese, B., Politis, M., Chaudhuri, K. R., Ffytche, D. H., Weintraub, D., & Ballard, C. (2017). Cognitive decline in Parkinson disease. Nature Reviews Neurology, 13(4), 217-231.
  • Aarsland, D., Batzu, L., Halliday, G. M., Geurtsen, G. J., Ballard, C., Ray Chaudhuri, K., & Weintraub, D. (2021). Parkinson disease-associated cognitive impairment. Nature Reviews Disease Primers, 7(1), 47.
  • Altmann, L. J., & Troche, M. S. (2011). High‐level language production in parkinson′ s disease: a review. Parkinson’s Disease, 2011(1), 238956.
  • Baiano, C., Barone, P., Trojano, L., & Santangelo, G. (2020). Prevalence and clinical aspects of mild cognitive impairment in Parkinson's disease: A meta‐analysis. Movement Disorders, 35(1), 45-54.
  • Balestrino, R., & Martinez-Martin, P. (2017). Reprint of Neuropsychiatric symptoms, behavioural disorders, and quality of life in Parkinson's disease. Journal of the Neurological Sciences, 374, 3-8.
  • Balestrino, R., & Schapira, A. H. (2020). Parkinson disease. European Journal of Neurology, 27(1), 27-42.
  • Barone, P., Antonini, A., Colosimo, C., Marconi, R., Morgante, L., Avarello, T. P., ... & Dotto, P. D. (2009). The PRIAMO study: a multicenter assessment of nonmotor symptoms and their impact on quality of life in Parkinson's disease. Movement Disorders: Official Journal of the Movement Disorder Society, 24(11), 1641-1649.
  • Becker, S., Bäumer, A., Maetzler, W., Nussbaum, S., Timmers, M., Van Nueten, L., ... & Liepelt‐Scarfone, I. (2020). Assessment of cognitive‐driven activity of daily living impairment in non‐demented Parkinson's patients. Journal of Neuropsychology, 14(1), 69-84.
  • Becker, S., Bode, M., Brockmann, K., Gasser, T., Michaelis, K., Solbrig, S., ... & Liepelt-Scarfone, I. (2022). Cognitive-driven activities of daily living impairment as a predictor for dementia in Parkinson disease: a longitudinal cohort study. Neurology, 99(23), e2548-e2560.
  • Bek, J., Humphries, S., Poliakoff, E., & Brady, N. (2022). Mental rotation of hands and objects in ageing and Parkinson’s disease: Differentiating motor imagery and visuospatial ability. Experimental Brain Research, 240(7), 1991-2004.
  • Bode, M., Kalbe, E., & Liepelt-Scarfone, I. (2024). Cognition and Activity of Daily Living Function in people with Parkinson’s disease. Journal of Neural Transmission, 131(10), 1159-1186.
  • Cameron, I. G., Watanabe, M., Pari, G., & Munoz, D. P. (2010). Executive impairment in Parkinson's disease: response automaticity and task switching. Neuropsychologia, 48(7), 1948-1957.
  • Cao, F., Vogel, A. P., Gharahkhani, P., & Renteria, M. E. (2025). Speech and language biomarkers for Parkinson’s disease prediction, early diagnosis and progression. Npj Parkinson's Disease, 11(1), 57.
  • Carter, J. H., Stewart, B. J., Archbold, P. G., Inoue, I., Jaglin, J., Lannon, M., ... & Zoog, K. (1998). Living with a person who has Parkinson's disease: the spouse's perspective by stage of disease. Movement Disorders: Official Journal of the Movement Disorder Society, 13(1), 20-28.
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  • Leroi, I., McDonald, K., Pantula, H., & Harbishettar, V. (2012). Cognitive impairment in Parkinson disease: impact on quality of life, disability, and caregiver burden. Journal of Geriatric Psychiatry and Neurology, 25(4), 208-214.
  • Litvan, I., Goldman, J. G., Tröster, A. I., Schmand, B. A., Weintraub, D., Petersen, R. C., ... & Emre, M. (2012). Diagnostic criteria for mild cognitive impairment in Parkinson's disease: Movement Disorder Society Task Force guidelines. Movement Disorders, 27(3), 349-356.
  • Lord, S., Rochester, L., Hetherington, V., Allcock, L. M., & Burn, D. (2010). Executive dysfunction and attention contribute to gait interference in ‘off’state Parkinson's Disease. Gait & Posture, 31(2), 169-174.
  • Machado, L., Devine, A., & Wyatt, N. (2009). Distractibility with advancing age and Parkinson's disease. Neuropsychologia, 47(7), 1756-1764.
  • Malapani, C., Pillon, B., Dubois, B., & Agid, Y. (1994). Impaired simultaneous cognitive task performance in Parkinson's disease: a dopamine‐related dysfunction. Neurology, 44(2), 319-319.
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  • Naismith, S. L., Pereira, M., Shine, J. M., & Lewis, S. J. (2011). How well do caregivers detect mild cognitive change in Parkinson's disease? Movement Disorders, 26(1), 161-164.
  • Nieto-Escamez, F., Obrero-Gaitán, E., & Cortés-Pérez, I. (2023). Visual dysfunction in Parkinson’s disease. Brain Sciences, 13(8), 1173.
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  • Xia, R., & Mao, Z. H. (2012). Progression of motor symptoms in Parkinson’s disease. Neuroscience Bulletin, 28, 39-48.
  • Wang, H. Y., Ren, L., Li, T., Pu, L., Huang, X., Wang, S., ... & Liang, Z. (2022). The impact of anxiety on the cognitive function of informal Parkinson’s disease caregiver: evidence from task-based and resting-state fNIRS. Frontiers in Psychiatry, 13, 960953.
  • Watson, G. S., & Leverenz, J. B. (2010). Profile of cognitive impairment in Parkinson's disease. Brain Pathology, 20(3), 640-645.
  • Williams-Gray, C. H., Evans, J. R., Goris, A., Foltynie, T., Ban, M., Robbins, T. W., ... & Barker, R. A. (2009). The distinct cognitive syndromes of Parkinson's disease: 5 year follow-up of the CamPaIGN cohort. Brain, 132(11), 2958-2969.
  • Woollacott, M., & Shumway-Cook, A. (2002). Attention and the control of posture and gait: a review of an emerging area of research. Gait & Posture, 16(1), 1-14.
  • Yang, Y., Tang, B. S., & Guo, J. F. (2016). Parkinson’s disease and cognitive impairment. Parkinson’s Disease, 2016(1), 6734678.
  • Yilmaz, F. T., Celik, S., Anataca, G., & Sakar, E. M. (2023). Associations of nonmotor symptom burden, activities of daily living, and fear of falling in Parkinson disease. Journal of Neuroscience Nursing, 55(4), 137-142.
  • Zaman, V., Shields, D. C., Shams, R., Drasites, K. P., Matzelle, D., Haque, A., & Banik, N. L. (2021). Cellular and molecular pathophysiology in the progression of Parkinson’s disease. Metabolic Brain Disease, 36, 815-827.
Toplam 86 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Sosyolojisi
Bölüm Derleme Makaleler
Yazarlar

Sena Kıcıklar 0009-0003-3780-1514

Yayımlanma Tarihi
Gönderilme Tarihi 15 Mayıs 2025
Kabul Tarihi 28 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Sayı: 19

Kaynak Göster

APA Kıcıklar, S. (t.y.). The Effect of Cognitive Impairments in Parkinson’s Disease on Caregiver Burden. IBAD Sosyal Bilimler Dergisi(19), 57-71. https://doi.org/10.21733/ibad.1700404
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