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Coping is therefore vitally important to effectively manage stressors. We thematically analyzed 17 semi-structured interviews regarding coping strategies. In cohort data (YOPD\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200974, late onset PD\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009214), we analyzed the frequency of coping styles. Most people with YOPD used a mixture of five styles: (1) taking action, (2) distancing, (3) mental solutions, (4) social support, and (5) coming to terms. Within these styles, we identified 28 different strategies, and described how participants apply these in a flexible manner. We found an association between a higher use of coping through distancing and psychological distress and used qualitative interview data to explore a possible bidirectional relationship. This study offers a first indication of how people cope with YOPD. The observed association between distancing and distress should be studied further. If found to be causal, coping flexibility might become a potential interventional target.\n                  <\/jats:p>","DOI":"10.1038\/s41531-026-01336-5","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T07:16:29Z","timestamp":1775286989000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From accepting to distancing as different coping strategies in persons with young onset Parkinson\u2019s disease"],"prefix":"10.1038","volume":"12","author":[{"given":"DHB","family":"Speelberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"TF","family":"Peerbolte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WM","family":"Kapelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"van der Heijden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BR","family":"Bloem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Post","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MJ","family":"Meinders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,4]]},"reference":[{"key":"1336_CR1","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/S1474-4422(24)00038-3","volume":"23","author":"GBDNSD Collaborators","year":"2024","unstructured":"Collaborators, G. 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Safra Foundation, Fred Foundation, Gatsby Foundation, Hersenstichting Nederland, Horizon 2020, IRLAB Therapeutics, Maag Lever Darm Stichting, Michael J Fox Foundation, Ministry of Agriculture, Ministry of Economic Affairs & Climate Policy, Ministry of Health, Welfare and Sport, Netherlands Organization for Scientific Research (ZonMw), Not Impossible, Parkinson Vereniging, Parkinson\u2019s Foundation, Parkinson\u2019s UK, Stichting Alkemade-Keuls, Stichting Parkinson NL, Stichting Woelse Waard, Health Holland\/Topsector Life Sciences and Health, UCB, Verily Life Sciences, Roche and Zambon. Prof. BR Bloem does not hold any stocks or stock options with any companies that are connected to Parkinson\u2019s disease or to any of his clinical or research activities. DHBS., TFP, WMK, CvdH, BP, and MJM declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"138"}}