Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease
There is a debate on possible alterations of self-identity following deep brain stimulation for neurological disorders including Parkinson’s disease. Among the psychological variables likely to undergo changes throughout such a medical procedure, illness representations and coping strategies have no...
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doaj-7b032fd98a26465dad2a670972b0c1af2020-11-25T02:21:36ZengMDPI AGJournal of Clinical Medicine2077-03832020-04-0191186118610.3390/jcm9041186Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s DiseaseMarc Baertschi0Nicolas Favez1João Flores Alves Dos Santos2Michalina Radomska3François Herrmann4Pierre R. Burkhard5Alessandra Canuto6Kerstin Weber7Paolo Ghisletta8Faculty of Psychology and Educational Sciences, University of Geneva, Boulevard du Pont-d’Arve 40, 1205 Geneva, SwitzerlandFaculty of Psychology and Educational Sciences, University of Geneva, Boulevard du Pont-d’Arve 40, 1205 Geneva, SwitzerlandService of Liaison Psychiatry and Crisis Intervention, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, SwitzerlandFaculty of Psychology and Educational Sciences, University of Geneva, Boulevard du Pont-d’Arve 40, 1205 Geneva, SwitzerlandDivision of Geriatrics, Geneva University Hospitals, Chemin du Pont-Bochet 3, 1226 Thônex, SwitzerlandService of Neurology, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, SwitzerlandFaculty of Medicine, University of Geneva, Rue Michel Servet 1, 1206 Geneva, SwitzerlandFaculty of Medicine, University of Geneva, Rue Michel Servet 1, 1206 Geneva, SwitzerlandFaculty of Psychology and Educational Sciences, University of Geneva, Boulevard du Pont-d’Arve 40, 1205 Geneva, SwitzerlandThere is a debate on possible alterations of self-identity following deep brain stimulation for neurological disorders including Parkinson’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’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’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’s disease.https://www.mdpi.com/2077-0383/9/4/1186deep brain stimulationParkinson’s diseaseillness representationsillness perceptionscoping strategies |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marc Baertschi Nicolas Favez João Flores Alves Dos Santos Michalina Radomska François Herrmann Pierre R. Burkhard Alessandra Canuto Kerstin Weber Paolo Ghisletta |
spellingShingle |
Marc Baertschi Nicolas Favez João Flores Alves Dos Santos Michalina Radomska François Herrmann Pierre R. Burkhard Alessandra Canuto Kerstin Weber Paolo Ghisletta Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease Journal of Clinical Medicine deep brain stimulation Parkinson’s disease illness representations illness perceptions coping strategies |
author_facet |
Marc Baertschi Nicolas Favez João Flores Alves Dos Santos Michalina Radomska François Herrmann Pierre R. Burkhard Alessandra Canuto Kerstin Weber Paolo Ghisletta |
author_sort |
Marc Baertschi |
title |
Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease |
title_short |
Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease |
title_full |
Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease |
title_fullStr |
Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease |
title_full_unstemmed |
Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson’s Disease |
title_sort |
illness representations and coping strategies in patients treated with deep brain stimulation for parkinson’s disease |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-04-01 |
description |
There is a debate on possible alterations of self-identity following deep brain stimulation for neurological disorders including Parkinson’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’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’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’s disease. |
topic |
deep brain stimulation Parkinson’s disease illness representations illness perceptions coping strategies |
url |
https://www.mdpi.com/2077-0383/9/4/1186 |
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