Just Accepted by International Journal of Neuroscience
Association of Restless Legs Syndrome, Pain, and
Mood Disorders in Parkinson’s Disease
Abdul Qayyum Rana, Abdul Rehman M. Qureshi, Labiba Rahman,
Ajantha Jesudasan, Kevin K. Hafez, Mohammad A. Rana
doi:10.3109/00207454.2014.994208
Abstract
PURPOSE/AIMS: The objectives of the study were to analyze the association
between Parkinson’s disease and restless legs syndrome, and to explore the
relationship between mood disorder comorbidity (anxiety and depression), pain, and
restless legs syndrome.
METHODS: This study included 123 Parkinson’s disease patients and 123
non-Parkinson’s disease patients matched for age and gender, and evaluated for
anxiety severity, depression severity, pain severity, pain interference, pain disability,
and restless legs syndrome prevalence. This was performed using semi-structured
interviews and a neurological examination through the restless legs syndrome
diagnostic criteria and the following inventories; Hospital Anxiety and Depression
Scale, Brief Pain Inventory, and Pain Disability Index.
RESULTS: Parkinson’s disease patients had significantly greater anxiety severity,
depression severity, pain severity, pain interference, pain disability, and restless legs
syndrome prevalence in comparison to controls. In addition, Parkinson’s disease
patients’ comorbid for anxiety and depression had significantly greater pain severity,
pain interference, and pain disability, but not RLS prevalence, in comparison to
Parkinson’s disease only, Parkinson’s disease anxiety, and Parkinson’s disease
depression patients.
CONCLUSIONS: Pain interference, pain severity, and pain disability is greater
among Parkinson’s disease patients with anxiety and depression, in comparison to
Parkinson’s disease patients without anxiety and depression. On the contrary, the
prevalence of restless legs syndrome was not found to be relevant.
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