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...and I say who wouldn't be depressed??

Depression Often Untreated In Parkinson's Disease Patients
Science Daily - While depression appears to be common in early Parkinson's
disease (PD), it is often not treated or diagnosed, according to newly
released research. A contingent of researchers from across North America
found that just over 27 per cent of PD subjects screened positive for
depression, while 40 per cent of subjects' depression went untreated.

This study, authored by Bernard Ravina, MD at the University of Rochester
and funded by the National Institutes of Health in the USA, is the first to
systematically examine the impact of depressive symptoms in early, untreated
PD. Previous research has found that depression, in some form, affects up to
50 per cent of patients with PD and is associated with increased disability
and reduced quality of life.
"Our results show that depression in PD appears to be under diagnosed,
especially at the early stages of PD. That may be because symptoms of
depression, such as fatigue and insomnia, may be attributed to PD rather
than as symptoms of depression," said Dr. Richard Camicioli, assistant
neurology professor at the University of Alberta and a co-author of the
study. "As seen in this study, many treated patients remained depressed and
may require more intensive psychiatric treatment."
Depression was also found to be associated with impairment on daily life
activities, such as eating, bathing and dressing.
"Over time it appears that depression does not actually influence the
progression of motor signs, but increases the disability associated with a
given level of observational motor signs of PD," said Camicioli.
For this study, 413 early, untreated PD subjects were administered the
15-item Geriatric Depression Scale (GDS-15), a validated screening tool to
assess for depressive symptoms and the use of antidepressant or referral for
further psychiatric health evaluation as a marker for the treatment of
depression.
In another study based on data collected at the University of Alberta and
funded by the Canadian Institutes of Health Research, Dr. Richard Carmiciolo
has also found that depressive symptoms were the largest influence on
health-related quality of life in older people with Parkinson's disease.
"While we found that depression is common in early Parkinson's disease
diagnosis, we've also uncovered that depressive symptoms have the most
significant influence on health-related quality of life in older people with
Parkinson's disease," said Camicioli "That is why it is crucial for health
care professionals to make an effort to detect, diagnose, and properly treat
depression in Parkinson patients."
Note: This story has been adapted from a news release issued by University
of Alberta.
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Rayilyn Brown
Board Member AZNPF
Arizona Chapter National Parkinson's Foundation
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