Fear of Progression is Determined by Anxiety and Self-Efficacy but not Disease-Specific Parameters in Patients with Parkinson's Disease: Preliminary Data from a Multicenter Cross-Sectional Study.

BACKGROUND: Fear of progression (FoP) is a reactive, conscious concern about chronic disease progression and its consequences which may limit quality of life substantially. Only one study has examined FoP in Parkinson's disease (PD), showing the second highest FoP scores among chronic diseases. OBJECTIVE: To examine FoP prevalence and to exploratorily analyze determinants of FoP in PD. METHODS: Within a multicenter cross-sectional study, 120 PD inpatients (age: 64.45±9.20; 60.8% male; UPDRS-III: 28.86±16.12) were examined with the FoP questionnaire (FoP-Q; max. 20 points). Stepwise multiple linear regression analysis examined sociodemographic, clinical, and (neuro-) psychological determinants of FoP. RESULTS: With a mean FoP-Q score of 8.08±2.17, 63.0% of the patients were classified with moderate FoP and 17.6% with dysfunctional (i.e., severe) FoP. The highest scores were shown for the subscale 'loss of autonomy'. Increased levels of anxiety, less self-efficacy, female gender, current employment, and lower health literacy were identified as significant determinants associated with FoP. CONCLUSION: With more than 80% of patients showing moderate to dysfunctional FoP, it must be regarded as a frequent symptom in PD, which needs to be further understood and addressed in clinical practice. Clinical parameters like PD duration and severity were no determinants for FoP, indicating that FoP awareness must be considered by professionals at all disease stages.

Cross-Sectional and Longitudinal Effects of PCB Exposure on Human Stress Hormones in the German HELPcB Surveillance Program.

Multiple pathological associations are attributed to PCBs (polychlorinated biphenyls). Research shows a positive association of PCBs with dehydroepiandrosterone sulfate (DHEAS) concentration but the results on the stress hormone cortisol have been inconsistent so far. This study is the first to examine not only the cross-sectional but also the longitudinal effects of PCB exposure on the stress hormones DHEAS and cortisol. Over a period of three years, 112 former employees occupationally exposed to PCBs were tested for their body burden with different types of PCBs (lower and higher chlorinated, dioxin-like and hydroxylated) and for their stress hormone concentration. Highly exposed employees showed a significantly higher risk for higher DHEAS values. Multiple linear regression analysis revealed a positive relationship between the exposure to lower chlorinated PCBs and DHEAS. Mixed models also revealed a significantly positive correlation between lower chlorinated PCBs with DHEAS when controlled for a cross-section. However, an effect for cortisol was not found. These results suggest a causal pathophysiological relationship between PCB exposure and DHEAS concentration, but not with cortisol. The health consequences of high DHEAS concentrations are discussed.

How does dominance rank status affect individual and social learning performance in the dog (Canis familiaris)?

Dogs can learn effectively to detour around a V-shaped fence after observing a demonstration from either an unfamiliar human or dog demonstrator. We found earlier that there is substantial individual variation between the dogs' performance, even when using the same experimental conditions. Here, we investigate if the subjects' relative dominance rank with other dogs had an effect on their social learning performance. On the basis of the owners' answers to a questionnaire, subjects from multi-dog homes were sorted into groups of dominant and subordinate dogs. In Experiment 1, dominant and subordinate dogs were tested without demonstration and we did not find any difference between the groups--they had similarly low detour performances on their own. In Experiment 2 and 3, dogs from single dog and multi-dog households were tested in the detour task with demonstration by an unfamiliar dog, or human, respectively. The results showed that social learning performance of the single dogs fell between the dominant and subordinate multi-dogs with both dog and human demonstration. Subordinate dogs displayed significantly better performance after having observed a dog demonstrator in comparison to dominant dogs. In contrast, the performance of dominant and subordinate dogs was almost similar, when they observed a human demonstrator. These results suggest that perceived dominance rank in its own group has a strong effect on social learning in dogs, but this effect seems to depend also on the demonstrator species. This finding reveals an intricate organization of the social structure in multi-dog households, which can contribute to individual differences existing among dogs.