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(Neuro)Psychological Interventions for Non-Motor Symptoms in the Treatment of Patients with Parkinson's Disease: a Systematic Umbrella Review.
Neuropsychology Review ( IF 5.4 ) Pub Date : 2019-06-05 , DOI: 10.1007/s11065-019-09409-4
Hanna Kampling 1 , Lisa K Brendel 1 , Oskar Mittag 1
Affiliation  

Conducted in a multidisciplinary and multimodal setting, the main objectives of neuropsychological treatment are to improve cognition, alleviate affective disorders, and to promote activities and participation. This article reviews the evidence on therapeutic or educative interventions based on psychological principles for patients with Parkinson’s disease. The electronic bibliographic databases MEDLINE, PsycINFO, PSYNDEX, and CINAHL were systematically searched for meta-analyses on psychological interventions for patients with Parkinson’s disease, published from January 2000 to June 2018. We extracted psychological interventions, non-motor outcomes, effect sizes, confidence intervals, and I2 heterogeneity statistics. In addition, we rated the level of evidence on an intervention’s effectiveness regarding a specific outcome. We identified 15 meta-analyses out of 1084 search results and identified a broad variety of psychological interventions for non-motor symptoms in patients with Parkinson’s disease. In total, 48 outcome-intervention-pairs were extracted. Psychotherapy, mind and body interventions, and cognitive training are promising treatment approaches when addressing cognition, depression, and QoL in patients with Parkinson’s disease. The available evidence on the effectiveness of psychological interventions in the treatment of symptoms in patients with Parkinson’s disease is very heterogeneous. Still, our review reveals that some interventions are appropriate and effective for a variety of symptoms. Primary studies are not considered in this review, resulting in the omission of potentially relevant findings. Further high-quality research is needed to confirm the existing evidence and to explore the potential of psychological interventions for patients with Parkinson’s disease.

中文翻译:

(神经)对非运动型症状的帕金森氏病患者的心理干预:系统性伞研究。

在多学科和多模式的环境中进行,神经心理学治疗的主要目标是提高认知度,减轻情感障碍并促进活动和参与。本文根据帕金森氏病患者的心理原理,回顾了有关治疗或教育干预措施的证据。系统检索了2000年1月至2018年6月发布的电子书目数据库MEDLINE,PsycINFO,PSYNDEX和CINAHL,以进行针对帕金森氏病患者的心理干预措施的荟萃分析。我们提取了心理干预措施,非运动结果,效应量,置信度间隔,我2异质性统计。此外,我们对有关特定结果的干预效果的证据等级进行了评定。我们从1084个搜索结果中识别出15个荟萃分析,并确定了针对帕金森氏病患者非运动症状的多种心理干预措施。总共提取了48个结果干预对。当解决帕金森氏病患者的认知,抑郁和生活质量时,心理治疗,身心干预和认知训练是很有前途的治疗方法。心理干预治疗帕金森氏病患者症状的有效性的现有证据非常不同。尽管如此,我们的审查显示,某些干预措施对于多种症状是适当且有效的。该评价未考虑基础研究,因此省略了可能相关的发现。需要进一步的高质量研究来确认现有证据,并探索对帕金森氏病患者进行心理干预的潜力。
更新日期:2019-06-05
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