Document Detail

Philadelphia Geriatric Morale Scale in essential tremor: a population-based study in three Spanish communities.
MedLine Citation:
PMID:  18512746     Owner:  NLM     Status:  MEDLINE    
Essential tremor (ET) is associated with both functional disability and depression. Each could contribute to a poor sense of well-being and low morale. We hypothesized that morale would be lower in ET cases than controls. Using a population-based, cross-sectional design, morale was assessed in 187 ET cases and 561 matched controls living in three communities in central Spain using the Philadelphia Geriatric Center Morale Scale (PGCMS) (range = 0 [low morale]-17), which included three-dimensions of psychological well-being: agitation, lonely dissatisfaction, and attitude toward own aging. The PGCMS score was lower in ET cases than controls (9.41 +/- 3.21 vs. 10.39 +/- 2.92, P < 0.001), as were the Agitation subscore (3.17 +/- 1.71 vs. 3.78 +/- 1.67, P< 0.001) and Lonely Dissatisfaction subscore (3.75 +/- 1.34 vs. 4.02 +/- 1.24, P < 0.05). Nearly one-half of the ET cases were classified as having low morale compared with only one-third of controls (P = 0.006). In a linear regression analysis adjusting for demographic factors and multiple comorbid conditions, ET cases had a lower log PGCMS score than controls (P < 0.001). Exclusion of participants on antidepressant medication did not change the results. Our results indicate that morale is significantly lower in community-dwelling ET cases than in matched controls. This lower morale could in part be a proxy for mild, untreated depression. It therefore seems important to detect and then possibly treat this problem to improve the psychological well-being of patients with this disease.
Elan D Louis; Julián Benito-León; Félix Bermejo-Pareja;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Movement disorders : official journal of the Movement Disorder Society     Volume:  23     ISSN:  1531-8257     ISO Abbreviation:  Mov. Disord.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-08-05     Completed Date:  2008-11-18     Revised Date:  2014-09-20    
Medline Journal Info:
Nlm Unique ID:  8610688     Medline TA:  Mov Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1435-40     Citation Subset:  IM    
Copyright Information:
Copyright 2008 Movement Disorder Society.
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MeSH Terms
Aged, 80 and over
Aging / psychology
Antidepressive Agents / therapeutic use
Arthritis / epidemiology
Attitude to Health
Depression / drug therapy,  etiology,  psychology
Essential Tremor / psychology*
Predictive Value of Tests
Severity of Illness Index*
Smoking / epidemiology
Spain / epidemiology
Grant Support
ES P03 09089/ES/NIEHS NIH HHS; R01 NS039422/NS/NINDS NIH HHS; R01 NS039422/NS/NINDS NIH HHS; R01 NS039422-05A1/NS/NINDS NIH HHS; R01 NS039422-06/NS/NINDS NIH HHS; R01 NS039422-07/NS/NINDS NIH HHS; R01 NS039422-08/NS/NINDS NIH HHS; R01 NS042859/NS/NINDS NIH HHS
Reg. No./Substance:
0/Antidepressive Agents
S Vega / ; J M Morales / ; R Gabriel / ; A Portera-Sánchez / ; A Berbel / ; A Martínez-Salio / ; J Díaz-Guzmán / ; J Olazarán / ; J Pardo / ; J Porta-Etessam / ; F Pérez del Molino / ; J Rivera-Navarro / ; M Alonso / ; C Gómez / ; C Saiz / ; G Fernández / ; P Rodríguez / ; F Sánchez-Sánchez /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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