The Effect of Balance Training on Anxiety, Depression, and Quality of Life in Elderly Patients with Parkinson’s Disease
Keywords:
Parkinson's, Anxiety, Depression, Quality of life, Balance exercisesAbstract
The aim of this study was to examine the effect of a 12-week balance training program on anxiety, depression, quality of life, and balance in elderly individuals with Parkinson’s disease. This was a quasi-experimental study with a pretest-posttest design involving experimental and control groups. The experimental group, in addition to receiving pharmacological treatment, participated in balance training sessions three times a week for 12 weeks. Data were collected using the Berg Balance Scale, the Beck Depression Inventory, and the Parkinson’s Disease Questionnaire (PDQ) for assessing quality of life. The results indicated that balance training had a significant effect on reducing depression, and improving quality of life and balance in the patients. The mean depression scores in the experimental group decreased, and their quality of life improved. Furthermore, the balance scores of the experimental group improved in comparison to the control group. This study suggests that balance training can serve as an effective intervention for managing Parkinson’s disease by reducing physical and psychological symptoms and enhancing patients’ quality of life.
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Abou Kassm, S., Naja, W., Haddad, R., & Pelissolo, A. (2021). The relationship between anxiety disorders and Parkinson's Disease: clinical and therapeutic issues. Current psychiatry reports, 23, 1-13. https://doi.org/10.1007/s11920-021-01229-9
Asif, S., Farooq, R., Jawad, U., Irfan, M. S., Fuaad, M., & Ullah, S. (2022). Depression and Anxiety among Parkinson's Disease Patients: Prevalence, Risk Factors, and Impact on Life Quality. Pakistan Journal of Medical & Health Sciences, 16(02), 843-843. https://doi.org/10.53350/pjmhs22162843
Buono, V. L., Palmeri, R., De Salvo, S., Berenati, M., Greco, A., Ciurleo, R., & Bonanno, L. (2021). Anxiety, depression, and quality of life in Parkinson's disease: the implications of multidisciplinary treatment. Neural Regeneration Research, 16(3), 587-590. https://doi.org/10.4103/1673-5374.293151
El Khiat, A., Ali, D. A., El-Mansoury, B., Hamdan, Y. A., Hakem, A., Tamegart, L., & Gamrani, H. (2025). Psychological assessment of patients with Parkinson's disease. In Essential Guide to Neurodegenerative Disorders (pp. 257-268). https://doi.org/10.1016/B978-0-443-15702-8.00016-6
Farajpour Khazaei, O., Pishyareh, E., Rasafiani, M., Bakhshi, E., & Pour Sadeghian, M. (2019). Investigating the relationship between occupational domains and the severity of depression, anxiety, and stress in patients with Parkinson's disease. Archives of Rehabilitation, 20(2), 190-201. https://doi.org/10.32598/rj.20.2.190
Fasczewski, K. S., Stevens, N. R., Michels, H. S., & Howard, J. S. (2022). Moving Beyond the Physical: Exploring the Holistic Benefits of a Therapy-Based Physical Activity Program for Individuals With Parkinson’s Disease. Exercise and Quality of Life, 14(2), 21-30. https://doi.org/10.31382/eqol.221203
Ghayami Rad, A., Zamani, H., & Rajabzadeh, E. (2023). Investigating the effect of physical, mental, and combined exercises on balance disorders and imagery ability in elderly men with Parkinson's disease. Journal of Mind, Movement, and Behavior, 2(1), 115-135. https://mmbj.tabrizu.ac.ir/article_16724.html
Ghielen, I., van Wegen, E. E. H., Rutten, S., de Goede, C. J. T., Houniet-de Gier, M., Collette, E. H., Burgers-Bots, I. A. L., Twisk, J. W. R., Kwakkel, G., Vermunt, K., van Vliet, B., Berendse, H. W., & van den Heuvel, O. A. (2017). Body awareness training in the treatment of wearing-off related anxiety in patients with Parkinson's disease: Results from a pilot randomized controlled trial. Journal of psychosomatic research, 103, 1-8. https://doi.org/10.1016/j.jpsychores.2017.09.008
Kazemi, R., Pouosti, S., & Didehroshani, S. (2015). Investigating the relationship between quality of life, anxiety, and depression with sleep quality in the elderly. Annual Conference of the Iranian Psychiatric Association. https://www.sid.ir/paper/828705/fa
Liu, Z. (2023). Long-Term Efficacy of Hydrotherapy on Balance Function in Patients With Parkinson’s Disease: A Systematic Review and Meta-Analysis. Frontiers in Aging Neuroscience, 15. https://doi.org/10.3389/fnagi.2023.1320240
Malaei, F. (2020). Investigating the factors affecting the quality of life of elderly patients with Parkinson's disease. First Annual Student Congress of Avan, Dezful. https://civilica.com/doc/1145872/
Nazeri Nasab, M., Neghban, S., Mansourzadeh Nikpour, M., & Shalil Ahmadi, D. (2021). Investigating the rate of depression in patients with Parkinson's disease and its relationship with demographic and clinical variables of patients referred to Golestan Hospital. Journal of Medical Sciences, Jundishapur, 20(1), 77-84. https://jsmj.ajums.ac.ir/jentashapir/index.php/jentashapir/article/view/article_131122.html
Saeidi Mehr, S., Geravandi, S., Izad Mehr, A., & Mohammadi, M. J. (2016). The relationship between quality of life and symptoms of depression in the elderly. Salmand, 11(1), 90-98. https://doi.org/10.21859/sija-110190
Su, W., Liu, H., Jiang, Y., Li, S., Jin, Y., Yan, C., & Chen, H. (2021). Correlation between depression and quality of life in patients with Parkinson's disease. Clinical Neurology and Neurosurgery, 202, 106523. https://doi.org/10.1016/j.clineuro.2021.106523
Wiesli, D., Meyer, A., Fuhr, P., & Gschwandtner, U. (2018). Influence of mild cognitive impairment, depression, and anxiety on the quality of life of patients with Parkinson disease. Dementia and geriatric cognitive disorders extra, 7(3), 297-308. https://doi.org/10.1159/000478849
Zarotti, N., Eccles, F. J. R., Foley, J. A., Paget, A., Gunn, S., Leroi, I., & Simpson, J. (2021). Psychological interventions for people with Parkinson’s disease in the early 2020s: Where do we stand? Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 760-797. https://doi.org/10.1111/papt.12321