The influence of tremor hyperkinesis on the development of depression in Parkinson's disease and essential tremor (analytical review)

 

Authors

 

V.A. Bogacheva

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

D.V. Zakharov

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

V.A. Mikhailov

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

 

https://doi.org/10.26617/1810-3111-2025-1(126)-98-106

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2025; 1 (126):  98-106.

 

Abstract

Background. The study of the relationship between tremor in Parkinson's disease and the level of depression is dictated by the high prevalence of these conditions in the population as a whole, especially among the elderly. Currently, depression is considered not only as a psychiatric, but also as an important general medical problem, which is determined by its high incidence in the population and association with a number of somatic disorders. Objective: to analyze domestic and foreign literature sources on the effect of tremor hyperkinesis on the development of depression in Parkinson's disease and essential tremor. Results and Discussion. The article shows that depression is a common non-motor symptom among patients with Parkinson's disease and essential tremor. Data are provided on the ability of tremor accompanying these diseases to worsen the quality of life. Tremor causes physical and psychological discomfort, stressful situations when performing simple tasks, negatively affects family relationships, which can potentially lead to depressive states. Data on depression as a premotor manifestation of the disease are presented. The results of a study on the prevalence of reactive depression in patients with resting tremor and a combination of resting tremor and postural/kinetic tremor are discussed. The combination of resting tremor and postural/kinetic tremor in Parkinson's disease worsens clinical indicators, with the prevalence of depression increasing to 28% over 5 years. Higher patient-rated tremor severity, but not physician-rated severity, predicts higher rates of depression. Physician understanding of different types of tremors and their impact on the development of depressive symptoms will help to find effective tools to improve the quality of life of patients with Parkinson's disease.

 

Keywords: Parkinson's disease, depression, essential tremor, tremor hyperkinesis.

 

Article (pdf)

 

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Materials  

For citation: Bogacheva V.A., Zakharov D.V., Mikhailov V.A. The influence of tremor hyperkinesis on the development of depression in Parkinson's disease and essential tremor (analytical review). Siberian Herald of Psychiatry and Addiction Psychiatry.2025; 1 (126): 98-106. https://doi.org/10.26617/1810-3111-2025-1(126)-98-106

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