The Importance of Connection to Others in QoL in MSA and PSP

Louise Wiblin, Rory Durcan, Mark Lee, Katie Brittain, Louise Wiblin, Rory Durcan, Mark Lee, Katie Brittain

Abstract

Multiple System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP) are atypical Parkinsonian disorders with extended morbidity and reduced lifespan, known to have marked and early impact upon quality of life (QoL). This study aimed to address the lack of studies in the literature regarding personal perspectives on QoL in MSA and PSP in both patients and carers. Participants took part in qualitative, in-depth interviews in the North East of England, exploring what impacts their QoL and their experiences of living with these complex conditions. Connection to others was found to be a prevailing theme, encompassing difficulty communicating, social isolation, impact on personal relationships, and stigma. This work is helpful in that it emphasises the personal experiences of these patients and carers, which can provide insights into important areas for clinical service planning and best clinical management of individual patients as well as considerations for future research into QoL in these rare disorders.

Figures

Figure 1
Figure 1
Stages of thematic analysis from Braun and Clarke 2006.
Figure 2
Figure 2
All prevailing themes from this project and their relationships to one another shown on the left. The theme “connection to others” and its associated subthemes are discussed in this article and are expanded on the right.

References

    1. Bükki J., Nübling G., Lorenzl S. Managing Advanced Progressive Supranuclear Palsy and Corticobasal Degeneration in a Palliative Care Unit: Admission Triggers and Outcomes. American Journal of Hospice and Palliative Medicine. 2014;33(5):477–482. doi: 10.1177/1049909114565110.
    1. Ben-Shlomo Y., Wenning G. K., Tison F., Quinn N. P. Survival of patients with pathologically proven multiple system atrophy: A meta-analysis. Neurology. 1997;48(2):384–393. doi: 10.1212/WNL.48.2.384.
    1. O'Sullivan S. S., Massey L. A., Williams D. R., et al. Clinical outcomes of progressive supranuclear palsy and multiple system atrophy. Brain. 2008;131(5):1362–1372. doi: 10.1093/brain/awn065.
    1. Martinez-Martin P., Jeukens-Visser M., Lyons K. E., et al. Health-related quality-of-life scales in Parkinson's disease: critique and recommendations. Movement Disorders. 2011;26(13):2371–2380. doi: 10.1002/mds.23834.
    1. Kuopio A. M., Marttila R. J., Helenius H., Toivonen M., Rinne U. K. The quality of life in Parkinson's disease. Movement Disorder. 2000;15(2):216–223.
    1. Higginson I. J., Gao W., Saleem T. Z., et al. Symptoms and Quality of Life in Late Stage Parkinson Syndromes: A Longitudinal Community Study of Predictive Factors. PLoS ONE. 2012;7(11) doi: 10.1371/journal.pone.0046327.e46327
    1. Rees J., O'Boyle C., MacDonagh R. Quality of life: Impact of chronic illness on the partner. Journal of the Royal Society of Medicine. 2001;94(11):563–566.
    1. Schrag A., Geser F., Stampfer-Kountchev M., et al. Health-related quality of life in multiple system atrophy. Movement Disorders. 2006;21(6):809–815.
    1. Schrag A., Selai C., Quinn N., et al. Measuring quality of life in PSP: The PSP-QoL. Neurology. 2006;67(1):39–44. doi: 10.1212/01.wnl.0000223826.84080.97.
    1. Pope C., Mays N. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. British Medical Journal. 1995;311(6996):42–45. doi: 10.1136/bmj.311.6996.42.
    1. Schrag A., Selai C., Davis J., Lees A. J., Jahanshahi M., Quinn N. Health-related quality of life in patients with progressive supranuclear palsy. Movement Disorders. 2003;18(12):1464–1469. doi: 10.1002/mds.10583.
    1. Klassen A. C., Creswell J., Plano Clark V. L., Smith K. C., Meissner H. I. Best practices in mixed methods for quality of life research. Quality of Life Research. 2012;21(3):377–380. doi: 10.1007/s11136-012-0122-x.
    1. Veronese S., Gallo G., Valle A., et al. The palliative care needs of people severely affected by neurodegenerative disorders: A qualitative study. Progress in Palliative Care. 2015;23(6):331–342. doi: 10.1179/1743291X15Y.0000000007.
    1. Walshe M., Miller N. Living with acquired dysarthria: the speaker's perspective. Disability and Rehabilitation. 2011;33(3):195–203. doi: 10.3109/09638288.2010.511685.
    1. Hudson P. L., Toye C., Kristjanson L. J. Would people with Parkinson's disease benefit form palliative care? Palliative Medicine. 2006;20(2):87–94. doi: 10.1191/0269216306pm1108oa.
    1. Hasson F., Kernohan W. G., McLaughlin M., et al. An exploration into the palliative and end-of-life experiences of carers of people with Parkinson's disease. Palliative Medicine. 2010;24(7):731–736. doi: 10.1177/0269216310371414.
    1. Fox S., Cashell A., Kernohan W. G., et al. Palliative care for Parkinson's disease: Patient and carer's perspectives explored through qualitative interview. Palliative Medicine. 2017;31(7) doi: 10.1177/0269216316669922.
    1. Moore T., Guttman M. Challenges Faced by Patients With Progressive Supranuclear Palsy and their Families. Movement Disorders Clinical Practice. 2014;1(3):188–193. doi: 10.1002/mdc3.12037.
    1. Braun V., Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77–101. doi: 10.1191/1478088706qp063oa.
    1. Boyatzis R. E. Transforming Qualitative Information: Theamtic Analysis and Code Development. 1st. London, UK: Sage Publications Ltd.; 1998.
    1. Clarke V., Braun V. Teaching thematic analysis. The Psychologist. 2013;26(2):120–123.
    1. Tong A., Sainsbury P., Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349–357. doi: 10.1093/intqhc/mzm042.
    1. Yardley L. Dilemmas in qualitative health research. Psychology and Health. 2000;15(2):215–228. doi: 10.1080/08870440008400302.
    1. Oxford English Dictionary. Oxford English Dictionary: 'Relationship', in Oxford English Dictionary. 2017, .
    1. Miller N. Speech, voice and language in Parkinson's disease: changes and interventions. Neurodegenerative Disease Management. 2012;2(3):279–289. doi: 10.2217/nmt.12.15.
    1. Kwan L. C., Whitehill T. L. Perception of speech by individuals with Parkinson's disease: a review. Parkinson's Disease. 2011;2011:11. doi: 10.4061/2011/389767.389767
    1. Goldsworthy B., Knowles S. Caregiving for Parkinson's disease patients: an exploration of a stress-appraisal model for quality of life and burden. Journals of Gerontology—Series B Psychological Sciences and Social Sciences. 2008;63(6):P372–P376. doi: 10.1093/geronb/63.6.p372.
    1. Greenwell K., Gray W. K., van Wersch A., van Schaik P., Walker R. Predictors of the psychosocial impact of being a carer of people living with Parkinson's disease: a systematic review. Parkinsonism and Related Disorders. 2015;21(1):1–11. doi: 10.1016/j.parkreldis.2014.10.013.
    1. Patton M. Q. Qualitative Interviewing, in Qualitiative Research & Evaluation Methods. Thousand Oaks, Calif, USA: Sage Publications Inc.; 2015. Qualitative interviewing; pp. 423–444.
    1. Dhand A., Luke D. A., Lang C. E., Lee J.-M. Social networks and neurological illness. Nature Reviews Neurology. 2016;12(10):605–612. doi: 10.1038/nrneurol.2016.119.
    1. Boden-Albala B., Litwak E., Elkind M. S. V., Rundek T., Sacco R. L. Social isolation and outcomes post stroke. Neurology. 2005;64(11):1888–1892. doi: 10.1212/.
    1. Lynch E. B., Butt Z., Heinemann A., et al. A qualitative study of quality of life after stroke: The importance of social relationships. Journal of Rehabilitation Medicine. 2008;40(7):518–523. doi: 10.2340/16501977-0203.
    1. Northcott S., Hilari K. Why do people lose their friends after a stroke? International Journal of Language and Communication Disorders. 2011;46(5):524–534. doi: 10.1111/j.1460-6984.2011.00079.x.
    1. Miller N., Noble E., Jones D., Burn D. Life with communication changes in Parkinson's disease. Age and Ageing. 2006;35(3):235–239. doi: 10.1093/ageing/afj053.
    1. Miller N., Noble E., Jones D., Allcock L., Burn D. J. How do I sound to me? Perceived changes in communication in Parkinson's disease. Clinical Rehabilitation. 2008;22(1):14–22. doi: 10.1177/0269215507079096.
    1. Körner S., Siniawski M., Kollewe K., et al. Speech therapy and communication device: Impact on quality of life and mood in patients with amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration. 2013;14(1):20–25. doi: 10.3109/17482968.2012.692382.
    1. Corallo F., De Cola M. C., Lo Buono V., Di Lorenzo G., Bramanti P., Marino S. Observational study of quality of life of Parkinson's patients and their caregivers. Psychogeriatrics. 2017;17(2):97–102. doi: 10.1111/psyg.12196.
    1. Maffoni M., Giardini A., Pierobon A., Ferrazzoli D., Frazzitta G. Stigma Experienced by Parkinson's Disease Patients: A Descriptive Review of Qualitative Studies. Parkinson's Disease. 2017;2017 doi: 10.1155/2017/7203259.7203259
    1. Ma H.-I., Saint-Hilaire M., Thomas C. A., Tickle-Degnen L. Stigma as a key determinant of health-related quality of life in Parkinson’s disease. Quality of Life Research. 2016;25(12):3037–3045. doi: 10.1007/s11136-016-1329-z.
    1. Rusz J., Bonnet C., Klempíř J., et al. Speech disorders reflect differing pathophysiology in Parkinson’s disease, progressive supranuclear palsy and multiple system atrophy. Journal of Neurology. 2015;262(4):992–1001. doi: 10.1007/s00415-015-7671-1.
    1. McLaughlin D., Hasson F., Kernohan W. G., et al. Living and coping with Parkinson's disease: perceptions of informal carers. Palliative Medicine. 2011;25(2):177–182. doi: 10.1177/0269216310385604.
    1. Schrag A., Hovris A., Morley D., Quinn N., Jahanshahi M. Caregiver-burden in parkinson's disease is closely associated with psychiatric symptoms, falls, and disability. Parkinsonism & Related Disorders. 2006;12(1):35–41. doi: 10.1016/j.parkreldis.2005.06.011.

Source: PubMed

3
구독하다