{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T20:10:04Z","timestamp":1775333404278,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,5,27]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe overlapping coping strategies in people with Parkinson\u2019s disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional, cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Monocentric, inpatient and outpatient, university hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Two-hundred participants enrolled, 162 patients with Parkinson\u2019s disease (without dementia) analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Prevalence of different coping styles according to the German Essen Coping Questionnaire. Association between coping, sociodemographic and clinical parameters (Movement Disorder Society (MDS)-sponsored revision of the Unified Parkinson\u2019s Disease Rating Scale (UPDRS), non-motor symptoms questionnaire (NMS-Quest), Montreal cognitive assessment (MoCA), Beck depression inventory (BDI) and health-related quality of life (Short Form Health Survey 36 (SF-36))).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In comparison with patients who employed a passive coping style, patients using an active form of coping were characterised by a shorter disease duration (p=0.017), fewer motor impairments (MDS-UPDRS II p=0.040, MDS-UPDRS III p=0.003), a lower non-motor burden (NMS-Quest p=0.048), better cognitive function (MoCA p=0.036) and fewer depressive symptoms (BDI p&lt;0.001). From the 162 participants, 24% showed an overlap of active and passive coping strategies. The most common combination was acting\/problem-oriented coping and distance and self-promotion. In comparison with patients who employed passive coping, the group with an overlapping coping style was characterised by a shorter disease duration (p=0.023) and lower depressive burden (p=0.001). In comparison with patients who employed active coping, the overlap group was characterised by poorer cognitive function (p=0.045). The SF-36 values of the overlap group were between those of the active and passive coping groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Knowledge about overlapping coping strategies is relevant to the implementation of strategies to promote active and healthy coping.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-036870","type":"journal-article","created":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T02:33:09Z","timestamp":1594780389000},"page":"e036870","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Association between different coping styles and health-related quality of life in people with Parkinson\u2019s disease: a cross-sectional study"],"prefix":"10.1136","volume":"10","author":[{"given":"Jenny Doris","family":"Liebermann","sequence":"first","affiliation":[{"name":"Department of Neurology, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otto W.","family":"Witte","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jena University Hospital, Jena, Germany"},{"name":"Center for Healthy Ageing, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6423-3108","authenticated-orcid":false,"given":"Tino","family":"Prell","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jena University Hospital, Jena, Germany"},{"name":"Center for Healthy Ageing, Jena University Hospital, Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,7,14]]},"reference":[{"key":"2025121511074192000_10.7.e036870.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05459.x"},{"key":"2025121511074192000_10.7.e036870.2","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1017\/S1041610212001330","article-title":"The \"Sense of Coherence\" and the coping capacity of patients with Parkinson disease","volume":"24","author":"Pusswald","year":"2012","journal-title":"Int Psychogeriatr"},{"key":"2025121511074192000_10.7.e036870.3","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.1017\/S1041610212000749","article-title":"Cognition, coping, and outcome in Parkinson's disease","volume":"24","author":"Hurt","year":"2012","journal-title":"Int Psychogeriatr"},{"key":"2025121511074192000_10.7.e036870.4","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3233\/JPD-120149","article-title":"Personality affects aspects of health-related quality of life in Parkinson's disease via psychological coping strategies","volume":"3","author":"Whitworth","year":"2013","journal-title":"J Parkinsons Dis"},{"key":"2025121511074192000_10.7.e036870.5","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199305000-00002"},{"key":"2025121511074192000_10.7.e036870.6","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-507"},{"key":"2025121511074192000_10.7.e036870.7","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1002\/gps.2520","article-title":"Coping processes and health-related quality of life in Parkinson's disease","volume":"26","author":"Bucks","year":"2011","journal-title":"Int J Geriatr Psychiatry"},{"key":"2025121511074192000_10.7.e036870.8","doi-asserted-by":"publisher","DOI":"10.3200\/BMED.33.1.29-38"},{"key":"2025121511074192000_10.7.e036870.9","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/40.1.53"},{"key":"2025121511074192000_10.7.e036870.10","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3928\/0098-9134-20001101-05","article-title":"Stressors, social support, coping, and health dysfunction in individuals with Parkinson's disease","volume":"26","author":"Backer","year":"2000","journal-title":"J Gerontol Nurs"},{"key":"2025121511074192000_10.7.e036870.11","doi-asserted-by":"publisher","DOI":"10.1177\/0891988708328219"},{"key":"2025121511074192000_10.7.e036870.12","doi-asserted-by":"publisher","DOI":"10.1080\/08870440008400292"},{"key":"2025121511074192000_10.7.e036870.13","doi-asserted-by":"publisher","DOI":"10.2190\/UA78-79LB-4GCF-8MJT"},{"key":"2025121511074192000_10.7.e036870.14","doi-asserted-by":"publisher","DOI":"10.1080\/096382800416788"},{"key":"2025121511074192000_10.7.e036870.15","doi-asserted-by":"publisher","DOI":"10.1037\/0090-5550.46.4.363"},{"key":"2025121511074192000_10.7.e036870.16","unstructured":"Jagla M , Franke G . 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