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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Parkinson’s disease (PD) is a debilitating neurodegenerative disease with a relentlessly progressive course of illness. This study aimed to assess the dyadic dynamics of benefit finding (BF), demoralization, and stigma on the depression severity of PD patients and their caregivers. This study used a cross-sectional design with purposive sampling. In total, 120 PD patients and 120 caregivers were recruited from the neurological ward or neurological outpatient clinic of a medical center in Taiwan from October 2021 to September 2022. PD patients and their caregivers were enrolled and assessed using the Mini International Neuropsychiatric Interview, the Benefit Finding scale, Demoralization Scale, Stigma Subscale of the Explanatory Model Interview Catalogue, and Taiwanese Depression Questionnaire. Among the 120 patients and 120 caregivers that successfully completed the study, 41.7% (N = 50) and 60% (N = 72) were female, respectively. The most common psychiatric diagnoses of both the PD patients (17.5%) and their caregivers (13.3%) were depressive disorders. Using structural equation modeling, we found that the stigma, BF, and demoralization of PD patients might contribute to their depression severity. Demoralization and stigma of PD patients’ caregivers might also contribute to the depression severity of PD patients. Caregivers’ BF and demoralization were significantly linked with their depression severity. PD patients’ BF degree and their caregivers’ BF degree had significant interactive effects. Both patients’ and their caregivers’ stigma levels had significant interactive effects. Clinicians should be aware of and manage these contributing factors between PD patients and their caregivers in order to prevent them from exacerbating each other’s depression.

Details

Title
The Interrelationship of Benefit Finding, Demoralization, and Stigma among Patients with Parkinson’s Disease and Their Caregivers
Author
Pei-Chien Chou 1   VIAFID ORCID Logo  ; Lee, Yu 1 ; Yung-Yee, Chang 2 ; Chi-Fa Hung 1 ; Chen, Ying-Fa 2 ; Tsu-Kung, Lin 2   VIAFID ORCID Logo  ; Fu-Yuan, Shih 3 ; Wu-Fu, Chen 3 ; Pao-Yen, Lin 1 ; Mian-Yoon, Chong 4 ; Liang-Jen, Wang 5   VIAFID ORCID Logo 

 Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan; [email protected] (P.-C.C.); [email protected] (Y.L.); [email protected] (C.-F.H.); [email protected] (P.-Y.L.) 
 Department of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan; [email protected] (Y.-Y.C.); [email protected] (Y.-F.C.); [email protected] (T.-K.L.) 
 Center for Parkinson’s Disease, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan; [email protected] (F.-Y.S.); [email protected] (W.-F.C.); Department of Neurosurgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan 
 Health Management International, Singapore 218108, Singapore; [email protected]; Regency Specialist Hospital, Johor 81750, Malaysia 
 Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan 
First page
878
Publication year
2024
Publication date
2024
Publisher
MDPI AG
e-ISSN
22279032
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3053162867
Copyright
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.