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Mental Disorders Among Parkinson’s Family Members

mother and sonA new Mayo Clinic study suggests immediate relatives (brother, sister, mother, father, son or daughter) of people who have Parkinson’s disease are at increased risk for developing depression and anxiety disorders.

According to the authors, the risk is particularly increased in families of patients who develop Parkinson’s disease before age 75.

The report appears in the December 2007 issue of the journal Archives of General Psychiatry (http://archpsyc.ama-assn.org/).

“Studies by our group and others have shown that relatives of patients with Parkinson’s disease have an increased risk of Parkinson’s disease,” explains Walter Rocca, M.D., senior author of the study and a Mayo Clinic neurologist and epidemiologist.

“Recently, we showed they also have increased risk of essential tremor and of cognitive impairment or dementia. However, their risk of psychiatric disorders was unknown.

“Because many patients with Parkinson’s disease develop anxiety and depression after and even before the onset of the disease, we explored whether this tendency was present to a greater extent in family members of people with Parkinson’s disease compared with people without the disease. We found that, indeed, relatives of patients with Parkinson’s disease are at increased risk for anxiety and depressive disorders, which suggests a genetic or other relationship between those disorders and Parkinson’s disease.”

Dr. Rocca emphasizes that the familial susceptibility factors may be genetic, environmental or a combination of the two, and that further research is needed to determine their exact nature.

Significance of the Mayo Clinic Research
This is the first large population-based study to show that Parkinson’s disease and psychiatric disorders may share familial factors that make a person susceptible to developing one or both. An important methodological feature of the study is that researchers assessed each family member individually, rather than having one relative provide information for the entire family.

About the Study

The Mayo Clinic team studied:

    • 1,000 immediate relatives of 162 patients with Parkinson’s disease from Olmsted County, Minn., where Mayo Clinic’s Rochester campus is located
    • 850 first-degree relatives of 147 “matched controls” from the same Olmsted County population — the controls were similar in age and of the same gender as the patients in the first group, but did not have Parkinson’s disease

The investigators used the medical records-linkage system of the Rochester Epidemiology Project to identify subjects with Parkinson’s disease and the control subjects, and to obtain clinical information about psychiatric diseases for relatives in both groups who lived part or all of their lives in Olmsted County. Housed at Mayo Clinic, the Rochester Epidemiology Project is one of the largest long-term, integrated databases of patient records in the world.

Documentation of psychiatric disorders for relatives was obtained by a direct interview whenever possible (or by an interview with their proxy for those who had died prior to the study or were incapacitated), and through a review of their medical record.

Psychiatric disorders in the medical records were defined using published clinical criteria or physician diagnosis. Diagnoses were verified by a neurologist and a psychiatrist at Mayo Clinic who were not told whether the record was from a relative of a patient with Parkinson’s disease or from a relative of a control subject.

Source: Mayo Clinic

Mental Disorders Among Parkinson’s Family Members

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Mental Disorders Among Parkinson’s Family Members. Psych Central. Retrieved on December 12, 2018, from https://psychcentral.com/news/2007/12/04/mental-disorders-among-parkinsons-family-members/1609.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.