(Neuro)Psychological Interventions for Non-Motor Symptoms in the Treatment of Patients with Parkinson ’s Disease: a Systematic Umbrella Review

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-m otor 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. Psychotherap y, 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 Pa rkinson’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 ...
Source: Neuropsychology Review - Category: Neuroscience Source Type: research