Psychological interventions for patients with Parkinson’s disease: a systematic meta-review
AbstractBackground: Main objectives of (neuro)psychological treatment are improvement of cognition and affective disorders, as well as promotion of activities and participation. They are conducted in a multidisciplinary and multimodal setting. We aimed to review the evidence on therapeutic or educative interventions based on psychological principles for patients with Parkinson’s disease (PD). Methods: Electronic bibliographic databases (MEDLINE, PsycINFO, PSYNDEX, CINAHL) were systematically searched for systematic reviews and meta-analyses on psychological interventions for patients with PD (published January 2000-2016). Psychological interventions for non-motor outcomes were extracted, and the corresponding grade of evidence was assigned. Findings: We identified 12 meta-analyses and 23 narrative reviews out of 812 search results. In total, 13 different types of psychological (plus multidisciplinary) interventions (eg, psychotherapy, cueing, mind and body interventions) were applied to 9 different non-motor outcomes (eg, depression, quality of life, cognitive symptoms). Discussion: The available evidence on the effectiveness of psychological interventions for the treatment of symptoms in patients with PD is heterogeneous. Still, this meta-review shows that some interventions are effective for a variety of symptoms. Even though, statistically significant results are reported in many reviews present, these often lack clinical relevance. Further high-quality research is needed to confirm existing evidence, and to explore the potential of psychological interventions for patients with PD. The results of this meta-review will guide the development of practice guidelines for psychological interventions in the rehabilitation of patients with PD (this project is funded by the German Statutory Pension Insurance).
Copyright (c) 2017 H. Kampling, L.K. Brendel, J. Bengel, J. Küst, O. Mittag
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