What is the evidence for a premorbid parkinsonian personality: A systematic review

Rigid and introverted personality type has been suggested as possibly associated with risk of Parkinson's disease (PD). However, to be a risk, the measurement of personality must precede the onset of PD, more than simply reported as personality in PD cases. Several reviews have been published e...

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Veröffentlicht in:	Movement disorders Jg. 21; H. 8; S. 1066 - 1072
Hauptverfasser:	Ishihara, Lianna, Brayne, Carol
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.08.2006 Wiley
Schlagworte:	Biological and medical sciences Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Humans Medical sciences MMPI Motor Activity Neurology Parkinson Disease - diagnosis Parkinson Disease - physiopathology Parkinson Disease - psychology Parkinson's Personality premorbid review systematic Tumors of the nervous system. Phacomatoses Parkinson's Nervous system diseases personality review Central nervous system disease Parkinson disease Degenerative disease Premorbid personality systematic premorbid Cerebral disorder Extrapyramidal syndrome
ISSN:	0885-3185, 1531-8257
Online-Zugang:	Volltext
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Zusammenfassung:	Rigid and introverted personality type has been suggested as possibly associated with risk of Parkinson's disease (PD). However, to be a risk, the measurement of personality must precede the onset of PD, more than simply reported as personality in PD cases. Several reviews have been published examining the literature base for this suggestion; however, the issue of “premorbid” personality measurement was not emphasized. MEDLINE, EMBASE, and PSYCHINFO databases were searched for existing systematic reviews or meta‐analyses, and none were found that fulfilled this criterion. The databases were searched systematically for primary research articles. Articles without robust methodology were excluded based on published quality scoring criteria. No articles met all selection criteria. Four articles met most selection criteria and three of them reported significant differences in personality features said to be present before PD onset and between PD cases and controls. PD cases were more introverted, cautious, socially alert, and tense than controls. Although the instruments used to characterize personality varied widely across studies, the general descriptions of PD patients included nervous, cautious, rigid, and conventional. There do appear to be parkinsonian characteristics, but these studies were all retrospective. To confirm that personality traits precede PD onset and are a risk for this condition, prospective research is required. Even then, the term “premorbid” is difficult to define due to the unknown latent period before onset of PD. Additional research would involve correlating personality characteristics to activities or changes in the brain. © 2006 Movement Disorder Society
Bibliographie:	ark:/67375/WNG-SZHR7BNJ-B istex:570EBBB3F96E2CC8B3DF9728C5F722A56375E3F5 Epidemiology Department of GlaxoSmithKline Pharmaceuticals ArticleID:MDS20980 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Review-3 ObjectType-Undefined-4
ISSN:	0885-3185 1531-8257
DOI:	10.1002/mds.20980