Illness representations and coping strategies in patients treated with deep brain stimulation for Parkinson&#039;s disease

Baertschi, Marc; Favez, Nicolas; Flores Alves Dos Santos, Joao; Radomska, Michalina; Herrmann, François; Burkhard, Pierre; Canuto, Alessandra; Weber, Kerstin Maud; Ghisletta, Paolo

doi:10.3390/jcm9041186

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Title		Illness representations and coping strategies in patients treated with deep brain stimulation for Parkinson's disease
Authors		Baertschi, Marc Favez, Nicolas Flores Alves Dos Santos, Joao Radomska, Michalina Herrmann, François Burkhard, Pierre Canuto, Alessandra Weber, Kerstin Maud Ghisletta, Paolo show all authors [1 - 9]
Published in		Journal of clinical medicine. 2020, vol. 9, no. 4, 1186
Abstract		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.
Keywords		Deep brain stimulation — Parkinson's disease — Illness representations — Illness perceptions — Coping strategies
Identifiers		DOI: 10.3390/jcm9041186 PMID: 32326245
Full text		Article (Published version) (266 Kb) - Free access Other version: https://www.mdpi.com/2077-0383/9/4/1186
Structures		Faculté de médecine / Section de médecine clinique / Département de psychiatrie Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie Faculté de psychologie et des sciences de l'éducation / Section de psychologie
Research groups		Centre LIVES Groupe Pierre Burkhard (neurologie) (154) Méthodologie et analyse des données (MAD) Unité de psychologie clinique des relations interpersonnelles (UPCRI)
Project		Swiss National Science Foundation: CR31I3_149578
Citation (ISO format)		BAERTSCHI, Marc et al. Illness representations and coping strategies in patients treated with deep brain stimulation for Parkinson's disease. In: Journal of Clinical Medicine, 2020, vol. 9, n° 4, p. 1186. doi: 10.3390/jcm9041186 https://archive-ouverte.unige.ch/unige:141911