{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:02:33Z","timestamp":1740171753151,"version":"3.37.3"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T00:00:00Z","timestamp":1540684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Georg & J\u00fcrgen Rickertsen Stiftung Hamburg"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Parkinson's Disease"],"published-print":{"date-parts":[[2018,10,28]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Stress reduction and relaxation exercises are therapeutically suggested to patients with Parkinson\u2019s disease (PD) and tremor, but data regarding efficacy or preferential methods are missing.<jats:italic>Objective<\/jats:italic>. To investigate the effect of a standardized stress management training (SMT) according to Kaluza on coping with tremor-boosting psychosocial stress factors.<jats:italic>Methods<\/jats:italic>. 8-week SMT was applied to 82 PD patients with tremor and 30 controls. Changes in stress-associated factors were measured applying four scales: Kaluza\u2019s \u201cwarning signs for stress\u201d and \u201cstress-amplifying thoughts\u201d and Beck Depression Inventory (BDI) and quality of life (PDQ-8). Short-term outcome (8 weeks) was evaluated in both groups, and long-term outcome (3\u20136 months) was evaluated only in PD patients.<jats:italic>Results<\/jats:italic>. At baseline, PDQ-8 was worse in PD patients compared to controls. PD patients improved significantly regarding short- and long-term outcome scores of \u201cwarning signs for stress,\u201d \u201cstress-amplifying thoughts,\u201d and BDI scores, independently of disease severity or duration. Younger and male PD patients showed the best benefit. Controls improved comparably to PD patients but significantly only with respect to \u201cstress-amplifying thoughts.\u201d Retrospectively, 88% (29\/33) of PD patients were rated SMT as helpful 12\u201318 months later. Self-practicing SMT exercises correlated significantly with subjectively better coping with tremor-related daily impairment and subjective short-term and long-term tremor reduction.<jats:italic>Conclusion<\/jats:italic>. SMT should be a part of therapy of PD patients with tremor.<\/jats:p>","DOI":"10.1155\/2018\/4240178","type":"journal-article","created":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T23:30:56Z","timestamp":1540769456000},"page":"1-12","source":"Crossref","is-referenced-by-count":4,"title":["Stress Management Training (SMT) Improves Coping of Tremor-Boosting Psychosocial Stressors and Depression in Patients with Parkinson\u2019s Disease: A Controlled Prospective Study"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8540-3789","authenticated-orcid":true,"given":"C.","family":"Buhmann","sequence":"first","affiliation":[{"name":"Department of Neurology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Jungnickel","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, University of Hamburg, Allende-Platz 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