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this may be old, but have we heard this yet????  A study in 2007 says 
depression maybe first symptom of PD.

Depressed People More Likely To Develop Parkinson's
ScienceDaily (May 28, 2002) - St. Paul, MN - People with depression are 
three times more likely to develop Parkinson's disease than people who are 
not depressed, according to a study published in the May 28 issue of 
Neurology, the scientific journal of the American Academy of Neurology.
"This raises the question of whether depression is the first symptom of 
Parkinson's disease -- that appears before patients have other symptoms and 
a diagnosis," said study author Agnes Schuurman, PhD, of Maastricht 
University in Maastricht, Netherlands.
While depression frequently affects people already diagnosed with 
Parkinson's disease, this is the first study to show that depression can 
precede the symptoms of Parkinson's. For the study, researchers identified 
all of the people from a health registry in the southern Netherlands who 
were diagnosed with depression over a 15-year period. Those 1,358 people 
were then matched with people in the registry born in the same year but 
never diagnosed with depression, which amounted to 67,570 people. Both 
groups were followed for up to 25 years to determine how many people 
developed Parkinson's over the years. Nineteen of the depressed people 
developed Parkinson's, compared to 259 of those with no depression.
The researchers say a current theory explaining why depression occurs in 
Parkinson's patients may also explain why depression precedes Parkinson's. 
Studies have shown that Parkinson's patients' brains have a lowered level of 
the neurotransmitter serotonin. Low levels of serotonin play a key role in 
depression. Serotonin also acts to modulate the release of the 
neurotransmitter dopamine in the brain. Because the level of dopamine 
activity is decreased in Parkinson's, researchers believe the amount of 
serotonin activity is also decreased in compensation. That reduction 
increases the risk of depression.
"Because the reduced serotonin activity already exists before any motor 
symptoms begin, the risk of depression is also increased long before any 
Parkinson's symptoms become apparent," Schuurman said.
The study was funded by the Netherlands Organisation for Scientific 
Research. Other studies have shown that people with depression are more 
likely to develop cancer, dementia or coronary heart disease or to later 
have a stroke.
The American Academy of Neurology, an association of more than 18,000 
neurologists and neuroscience professionals, is dedicated to improving 
patient care through education and research. For more information about the 
American Academy of Neurology, visit its web site at http://www.aan.com.
Adapted from materials provided by American Academy Of Neurology.
American Academy Of Neurology (2002, May 28). Depressed People
Rayilyn Brown
Board Member AZNPF
Arizona Chapter National Parkinson's Foundation
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