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Research Article| Volume 15, ISSUE 9, P665-669, November 05, 2009

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Effects of optimism/pessimism and locus of control on disability and quality of life in Parkinson's disease

  • Ann L. Gruber-Baldini
    Correspondence
    Correspondence to: Division of Gerontology, Department of Epidemiology & Preventive Medicine, University of Maryland School of Medicine, 660 W. Redwood Street, Suite 200 Howard Hall, Baltimore, MD 21201, USA. Tel.: +1 410 706 2444; fax: +1 410 706 4434.
    Affiliations
    Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
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  • Jian Ye
    Affiliations
    Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
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  • Karen E. Anderson
    Affiliations
    Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA

    Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
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  • Lisa M. Shulman
    Affiliations
    Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA
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      Abstract

      Purpose

      To assess optimism/pessimism and locus of control in a sample of Parkinson's disease patients and to evaluate their impact on disability and health-related quality of life.

      Methods

      99 patients with Parkinson's disease completed the Life Orientation Test, Multidimensional Health Locus of Control, Older Americans Resource and Services Activities of Daily Living Subscale, and Short Form-12 Health Status Survey. Disease stage and severity measures were completed by movement disorder specialists. Correlations and multivariate regressions compared optimism/pessimism and locus of control with disability and health-related quality of life.

      Results

      Higher optimism and less pessimism were associated with better mental health quality of life. Greater internal locus of control was associated with less disability. These results remained significant when controlling for disease severity.

      Conclusions

      Low optimism or high pessimism is associated with reduced quality of life in Parkinson's disease. Patients with less internal locus of control have greater disability. Interventions that promote personal control and positive attitudes may assist in reducing disability and improving quality of life in Parkinson's disease.

      Keywords

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