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<title>Changes in Principal Caregiver Mood Affects the Mood of the Parkinson’s Disease Patient: The Vicious Cycle of Illness</title>
<creator>Santos García, Diego</creator>
<creator>Deus-Fonticoba, Teresa de</creator>
<creator>Cores Bartolomé, Carlos</creator>
<creator>Feal Painceiras, María</creator>
<creator>Íñiguez Alvarado, María Cristina</creator>
<creator>García Díaz, Iago</creator>
<creator>Jesús, Silvia</creator>
<creator>Buongiorno, María Teresa</creator>
<creator>Planellás, Lluis L.</creator>
<creator>Cosgaya, Marina</creator>
<creator>García Caldentey, Juan</creator>
<creator>Caballol, Núria</creator>
<creator>Legarda, Inés</creator>
<creator>Hernández Vara, Jorge</creator>
<creator>Cabo López, Iria</creator>
<creator>López Manzanares, Lydia</creator>
<creator>González Aramburu, Isabel</creator>
<creator>Ávila Rivera, María A.</creator>
<creator>Gómez Mayordomo, Víctor</creator>
<creator>Nogueira, Víctor</creator>
<creator>Puente, Víctor</creator>
<creator>Dotor, Julio</creator>
<creator>Borrue, Carmen</creator>
<creator>Solano Vila, Berta</creator>
<creator>Álvarez Saúco, María</creator>
<creator>Vela Desojo, Lydia</creator>
<creator>Escalante Arroyo, Sonia</creator>
<creator>Cubo Delgado, Esther</creator>
<creator>Carrillo Padilla, Francisco</creator>
<creator>Martínez Castrillo, Juan Carlos</creator>
<creator>Sánchez Alonso, Pilar</creator>
<creator>Alonso Losada, María Gema</creator>
<creator>López Ariztegui, Nuria</creator>
<creator>Gastón, Itziar</creator>
<creator>Kulisevsky Bojarsky, Jaume</creator>
<creator>Menéndez González, Manuel</creator>
<creator>Seijo, Manuel</creator>
<creator>Ruíz Martínez, Javier</creator>
<creator>Valero, Caridad</creator>
<creator>Kurtis, Mónica M.</creator>
<creator>González Ardura, Jessica</creator>
<creator>Alonso Redondo, Rubén</creator>
<creator>Ordás Bandera, Carlos Manuel</creator>
<creator>López Díaz, Luis M.</creator>
<creator>McAfee, Darrian</creator>
<creator>Martínez Martín, Pablo</creator>
<creator>Mir, Pablo</creator>
<creator>COPPADIS Study Group</creator>
<subject>Caregiver</subject>
<subject>Longitudinal</subject>
<subject>Mood</subject>
<subject>Parkinson’s disease</subject>
<subject>Quality of life</subject>
<description>Background: Although many studies have analyzed what factors contribute to caregiver burden in Parkinson’s disease (PD),&#xd;
there is currently no knowledge about how the status of the caregiver could impact the patient.&#xd;
Objective: The aim of this study was to analyze how the change in the caregiver’s status influences PD patients.&#xd;
Methods: PD patients and their caregivers who were recruited from January/2016 to November/2017 from 35 centers&#xd;
in Spain from the COPPADIS cohort were included in the study (V0). They were evaluated again at 2-year follow-up&#xd;
(V2). Caregivers completed the Zarit Caregiver Burden Inventory (ZCBI), Caregiver Strain Index (CSI), Beck Depression Inventory-II (BDI-II), and EUROHIS-QOL 8-item index (EUROHIS-QOL8) at V0 and V2. Multivariate models were&#xd;
used to analyze the impact of the change from V0 to V2 () on the caregiver’s status over the change in the patient’s&#xd;
status.&#xd;
Results: BDI-II and EUROHIS-QOL8 in the caregiver predicted BDI-II ( = 0.32; p &lt; 0.0001; R2 = 0.71) and&#xd;
EUROHIS-QOL8 ( = 0.39; p &lt; 0.0001; R2 = 0.68) in the patient, respectively. Variables related to the caregiver were&#xd;
not associated with changes in the patient´s health-related QoL (PDQ-39 [39-item Parkinson’s disease Questionnaire]) or&#xd;
autonomy for activities of daily-living (ADLS [Schwab &amp; England Activities of Daily Living Scale]).&#xd;
Conclusion: The change in the caregiver’s mood and global QoL was associated with the change in the patient’s mood and&#xd;
global QoL, respectively, independently of other variables of the disease influencing both patient´s aspects. Based on this&#xd;
finding, it could be of great importance to detect depression in the principal caregiver of a patient and act on it as earlier as&#xd;
possible.</description>
<date>2024-03-20</date>
<date>2024-03-20</date>
<date>2023-03</date>
<type>info:eu-repo/semantics/article</type>
<identifier>1877-7171</identifier>
<identifier>http://hdl.handle.net/10259/8856</identifier>
<identifier>10.3233/JPD-225014</identifier>
<identifier>1877-718X</identifier>
<language>eng</language>
<relation>Journal of Parkinson's Disease. 2023, V. 13, n. 2, p. 219-231</relation>
<relation>https://content.iospress.com/articles/journal-of-parkinsons-disease/jpd225014</relation>
<rights>http://creativecommons.org/licenses/by-nc/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución-NoComercial 4.0 Internacional</rights>
<publisher>IOS Press</publisher>
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