Deterioration of people with Parkinson's symptoms during COVID-19 lockdown: results of a web-based survey in Northwestern Italy. in Aging & mental health / Aging Ment Health. 2025 Feb;29(2):299-306. doi: 10.1080/13607863.2024.2388770. Epub 2024 Aug 8.

2025
ASL Vercelli

Tipo pubblicazione

Journal Article

Autori/Collaboratori (7)Vedi tutti...

Cosentino M
Center for Research in Medical Pharmacology, University of Insubria, Varese, Italy.
Pinoli M
Center for Research in Medical Pharmacology, University of Insubria, Varese, Italy.
Uslenghi M
Associazione Parkinson Insubria-As.P.I, Varese, Italy.

et alii...

Abstract

OBJECTIVES: COVID-19 lockdowns were introduced to control the pandemic, however, they resulted in a global disruption of daily life and of individual and global health. Reduced accessibility of health services, unavailability of food and drugs, and mental health challenges had a huge impact on older people and on people living with disabling conditions such as Parkinson's disease (PD). We assessed whether and to what extent the more disabled and vulnerable people with Parkinson's (PwP) were affected by lockdowns. METHOD: We analysed responses collected through a web-based survey of PwP according to their self-sufficiency [self-sufficient (SS); nearly self-sufficient (nSS); non-self-sufficient, cared for by family (NSS/F); non-self-sufficient, needs professional care (NSS/PC)]. RESULTS: Fears due to COVID-19 and difficulties with food supply were highest in NSS/F PwP. Difficulties with the supply of Parkinson's medication or other drugs were apparently not an issue, while problems accessing primary care physicians and neurologists were similar across all patient groups. On the contrary, difficulties with daily and motor activities were higher in NSS/F and NSS/PC PwP. PwP symptoms worsened in all groups, with NSS/F and NSS/PC participants experiencing the worst deterioration. Notably, the deterioration of PwP symptoms was specifically related to changes in daily and motor activities, with participants who reported less engagement in daily and motor activities experiencing the worst deterioration. CONCLUSION: Findings strongly support the need for decision-makers and healthcare providers to carefully re-evaluate the risk-benefit ratio of limiting healthcare accessibility for PwP, since evidence shows that lockdown measures primarily impact the groups who are most fragile and vulnerable.

Accesso banca dati bibliografica

PMID : 39113597

DOI : 10.1080/13607863.2024.2388770

Keywords

Humans; COVID-19/epidemiology/psychology; Parkinson Disease/epidemiology/psychology; Italy/epidemiology; Aged; Male; Female; Middle Aged; Surveys and Questionnaires; Aged, 80 and over; SARS-CoV-2; Health Services Accessibility; Quarantine/psychology; Activities of Daily Living; Persons with Disabilities; COVID-19; Parkinson’s disease; deterioration of symptoms; lockdown; vulnerable participants;