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1st April 2008 - New research
FATIGUE IN PARKINSON'S DISEASE
Journal of the Neurological Sciences 2008 Mar 25; [Epub ahead of print] 
(Havlikova E, van Dijk JP, Rosenberger J, Nagyova I, Middel B, Dubayova T, 
Gdovinova Z, Groothoff JW.) Complete abstract
                                                                             
                                                                   Many 
patients with Parkinson's disease suffer from non-motor symptoms such as 
sleep disturbances, excessive daytime sleepiness and fatigue. The aim of 
this research was to find out whether fatigue in Parkinson's Disease is 
caused by sleepiness and sleep problems, or depression, and how that is 
related to a person's functional status. Sleepiness did not show significant 
association with fatigue in any aspect of fatigue. Neither did the quality 
of a person's sleep. It was depression that was significantly associated 
with all aspects of fatigue, the strongest being the relationship with 
general fatigue, then reduced motivation, then mental fatigue, then physical 
fatigue, and finally with reduced activity. The worsening of functional 
status was significantly related most of all to reduced activity, then 
general fatigue, then physical fatigue, and then mental fatigue. So it is 
primarily depression that causes fatigue in Parkinson's Disease. Fatigue can 
in turn worsen symptoms.

Rayilyn Brown
Board Member AZNPF
Arizona Chapter National Parkinson's Foundation
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