Association of Stress-Health Factors among Parkinson's Disease Patient/Caregiving-Partner Dyads. Academic Article uri icon


  • OBJECTIVE: Few studies have explored the shared effects of Parkinson's disease (PD) within patient/caregiver dyads. To fill this gap, we compared stress-health outcomes of patients with those of caregiving-partners, examined individual stress-health associations, and explored stress-health associations within dyads. METHOD: A total of 18 PD patient/caregiving-partner dyads (N=36) reported on disease-specific distress, anxiety, quality of life (QOL), and provided saliva samples for cortisol assessment. This cross-sectional, secondary analysis of a prospective pilot study used Actor-Partner Interdependence Models to test aims. RESULTS: Patients reported greater anxiety, poorer QOL, and demonstrated flatter cortisol slopes and higher mean bedtime cortisol compared to caregiving-partners. Both patients and caregiving-partners with greater anxiety had elevated bedtime cortisol and poorer QOL. Greater disease-specific distress in an individual was associated with higher diurnal mean cortisol in their partner. CONCLUSIONS: Findings highlight the potential for psychosocial interventions at the dyadic level to reduce shared burden and promote coping among PD patient/caregiving-partner dyads.

published proceedings

  • Arch Clin Neuropsychol

altmetric score

  • 0.25

author list (cited authors)

  • Phillips, K. M., Siwik, C., Rodgers, A., Salmon, P., Litvan, I., Jablonski, M. E., ... Sephton, S. E.

citation count

  • 2

complete list of authors

  • Phillips, Kala M||Siwik, Chelsea||Rodgers, Allison||Salmon, Paul||Litvan, Irene||Jablonski, Megan E||Filoteo, J Vincent||Cash, Elizabeth||Sephton, Sandra E

publication date

  • January 2022