Semin Speech Lang 2023; 44(05): 254-266
DOI: 10.1055/s-0043-1773804
Research Article Adult

The Impact of Parkinson's Disease on Social Communication: An Exploratory Questionnaire Study

1   Department of Communication Sciences and Disorders, College of Health, Idaho State University, Pocatello, Idaho
,
Kimberly Fleck
2   Department of Communication Sciences and Disorders, College of Allied Health Sciences, East Carolina University, Greenville, North Carolina
,
Sherri Winslow
2   Department of Communication Sciences and Disorders, College of Allied Health Sciences, East Carolina University, Greenville, North Carolina
,
Kathrin Rothermich
2   Department of Communication Sciences and Disorders, College of Allied Health Sciences, East Carolina University, Greenville, North Carolina
› Author Affiliations

Abstract

Individuals with Parkinson's disease (PD) often show breakdown in the production and interpretation of aspects of social communication. However, there is no current method of assessment for evaluating social communication dysfunction in individuals with PD. The aim of this study was to develop a self-report questionnaire for individuals with PD to identify their social communication skills, and further recognize the impact of PD on social communication. Fifty-one individuals with Parkinson's disease answered 28 survey questions. These questions pertained to emotional expression and perception, social communication, sarcasm/humor, and pragmatic skills. Exploratory factor analysis and reliability analysis were conducted to identify items loading onto the factors and to check the internal consistency of the items. Individuals with PD reported changes in emotional expression and perception, social communication, sarcasm and humor, and pragmatic skill domains post-PD diagnosis. No correlations were found between age or time since diagnosis and emotional expression, social communication, sarcasm, and humor. This study provides self-reported evidence that individuals with PD experience social communication challenges. Future research should further quantify these challenges, study their impact on daily communicative functioning, and use the results to develop social communication interventions that improve the quality of life for persons with PD.



Publication History

Article published online:
14 September 2023

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  • References

  • Aarsland D, Påhlhagen S, Ballard CG, Ehrt U. , & Svenningsson P. 2011; Depression in Parkinson disease – epidemiology, mechanisms and management. Nature Reviews Neurology 8 (01) 35-47
  • Adolphs R. 2009; The social brain: neural basis of social knowledge. Annual Review of Psychology 60: 693-716
  • Alonso-Recio L, Carvajal F, Merino C. , & Serrano JM. 2021; Social cognition and cognitive decline in patients with Parkinson's disease. Journal of the International Neuropsychological Society 27 (07) 744-755
  • Antonini A, Barone P, Marconi R, Morgante L, Zappulla S, Pontieri FE, Ramat S, Ceravolo MG, Meco G, Cicarelli G, Pederzoli M, Manfredi M, Ceravolo R, Mucchiut M, Volpe G, Abbruzzese G, Bottacchi E, Bartolomei L, Ciacci G, Colosimo C. 2012; The progression of non-motor symptoms in Parkinson's disease and their contribution to motor disability and quality of life. Journal of Neurology 259 (12) 2621-2631
  • Ariatti A, Benuzzi F. , & Nichelli P. 2008; Recognition of emotions from visual and prosodic cues in Parkinson's disease. Neurological Sciences 29 (04) 219-227
  • Bara BG. 2011; Cognitive pragmatics: the mental processes of communication. Intercultural Pragmatics 8 (03) DOI: 10.1515/iprg.2011.020.
  • Baraldi MA, Avanzino L, Pelosin E, Domaneschi F, Di Paola S. , & Lagravinese G. 2021; Pragmatic abilities in early Parkinson's disease. Brain and Cognition 150: 105706
  • Baron-Cohen S. 2001. Autism-Spectrum Quotient-Adult (AQ) [Database Record]. APA PsycTests
  • Baylor C, McAuliffe MJ, Hughes LE, Yorkston K, Anderson T, Kim J. , & Amtmann D. 2014; A differential item functioning (DIF) analysis of the Communicative Participation Item Bank (CPIB): comparing individuals with Parkinson's disease from the United States and New Zealand. Journal of Speech, Language, and Hearing Research 57 (01) 90-95
  • Belliveau J, Soucy KI. , & Yakovenko I. 2022; The validity of Qualtrics Panel data for research on video gaming and gaming disorder. Experimental and Clinical Psychopharmacology 30 (04) 424-431
  • Bodden ME, Dodel R. , & Kalbe E. 2010; Theory of mind in Parkinson's disease and related basal ganglia disorders: a systematic review. Movement Disorders 25 (01) 13-27
  • Bora E, Walterfang M. , & Velakoulis D. 2015; Theory of mind in Parkinson's disease: a meta-analysis. Behavioural Brain Research 292: 515-520
  • Christidi F, Migliaccio R, Santamaría-García H, Santangelo G. , & Trojsi F. 2018; Social cognition dysfunctions in neurodegenerative diseases: neuroanatomical correlates and clinical implications. Behavioural Neurology 1849794
  • Coundouris SP, Adams AG, Grainger SA. , & Henry JD. 2019; Social perceptual function in Parkinson's disease: a meta-analysis. Neuroscience and Biobehavioral Reviews 104: 255-267
  • Constantino JN. , & Gruber CP. 2012. Social responsiveness scale: SRS-2 (p. 106). Torrance, CA: Western Psychological Services;
  • Costello AB. , & Osborne JW. 2005; Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation 10: 1-9
  • Czernecki V, Benchetrit E, Houot M, Pineau F, Mangone G, Corvol JC, Vidailhet M. , & Levy R. 2021; Social cognitive impairment in early Parkinson's disease: a novel “mild impairment”?. Parkinsonism & Related Disorders 85: 117-121
  • Dara C, Monetta L. , & Pell MD. 2008; Vocal emotion processing in Parkinson's disease: reduced sensitivity to negative emotions. Brain Research 1188: 100-111
  • Dodge Y. 2008. The Concise Encyclopedia of Statistics. Springer
  • Fahn S. , & Elton RL. 1987. UPDRS Development Committee. The Unified Parkinson's Disease Rating Scale. In: S. Fahn, C. D. Marsden, D. B. Calne, & M. Goldstein (Eds), Recent Developments in Parkinson's Disease. 2nd edn. (pp. 153–163, pp. 293–304) Macmillan Healthcare Information; Florham Park, NJ
  • Funkiewiez A, Bertoux M, de Souza LC, Lévy R. , & Dubois B. 2012; The SEA (Social cognition and Emotional Assessment): a clinical neuropsychological tool for early diagnosis of frontal variant of frontotemporal lobar degeneration. Neuropsychology 26 (01) 81-90
  • Griffiths S, Barnes R, Britten N. , & Wilkinson R. 2011; Investigating interactional competencies in Parkinson's disease: the potential benefits of a conversation analytic approach. International Journal of Language & Communication Disorders 46 (05) 497-509
  • Griffiths S, Barnes R, Britten N. , & Wilkinson R. 2012; Potential causes and consequences of overlap in talk between speakers with Parkinson's disease and their familiar conversation partners. Seminars in Speech and Language 33 (01) 27-43
  • Hall D, Ouyang B, Lonnquist E. , & Newcombe J. 2011; Pragmatic communication is impaired in Parkinson disease. The International Journal of Neuroscience 121 (05) 254-256
  • Hayton JC, Allen DG. , & Scarpello V. 2004; Factor retention decisions in exploratory factor analysis: a tutorial on parallel analysis. Organizational Research Methods 7: 191-205
  • Hermanowicz N, Jones SA. , & Hauser RA. 2019; Impact of non-motor symptoms in Parkinson's disease: a PMDAlliance survey. Neuropsychiatric Disease and Treatment 15: 2205-2212
  • Holtgraves T. 1997; Styles of language use: Individual and cultural variability in conversational indirectness. Journal of Personality and Social Psychology 73 (03) 624-637
  • Holtgraves T. , & Cadle C. 2016; Communication impairment in patients with Parkinson's disease: Challenges and solutions. Journal of Parkinsonism and Restless Leg Syndrome 6: 45-55
  • IBM SPSS Statistics. 2017. ; Armonk, NY, USA
  • Johansson IL, Samuelsson C. , & Müller N. 2020; Patients' and communication partners' experiences of communicative changes in Parkinson's disease. Disability and Rehabilitation 42 (13) 1835-1843
  • Jenkinson C, Fitzpatrick R, Peto V, Greenhall R. , & Hyman N. 1997; The Parkinson's Disease Questionnaire (PDQ-39): development and validation of a Parkinson's disease summary index score. Age and Ageing 26 (05) 353-357
  • Kleiner-Fisman G, Gryfe P. , & Naglie G. 2013; A patient-based needs assessment for living well with Parkinson disease: implementation via nominal group technique. Parkinson's Disease 974964
  • Kwok JY, Auyeung M, , & Chan HYL. 2020; Examining factors related to health-related quality of life in people with Parkinson's disease. Rehabilitation Nursing 45 (03) 122-130
  • Litvan I, Goldman JG, Tröster AI, Schmand BA, Weintraub D, Petersen RC, Mollenhauer B, Adler CH, Marder K, Williams-Gray CH, Aarsland D, Kulisevsky J, Rodriguez-Oroz MC, Burn DJ, Barker RA. , & Emre M. 2012; Diagnostic criteria for mild cognitive impairment in Parkinson's disease: Movement Disorder Society Task Force guidelines. Movement Disorders 27 (03) 349-356
  • Maffoni M, Giardini A, Pierobon A, Ferrazzoli D. , & Frazzitta G. 2017; Stigma experienced by Parkinson's disease patients: a descriptive review of qualitative studies. Parkinson's Disease 7203259
  • Maresca G, Maggio MG, Latella D, Naro A, Portaro S. , & Calabrò RS. 2020; Understanding the role of social cognition in neurodegenerative Disease: a scoping review on an overlooked problem. Journal of Clinical Neuroscience 77: 17-24
  • Martin I. , & McDonald S. 2003; Weak coherence, no theory of mind, or executive dysfunction? Solving the puzzle of pragmatic language disorders. Brain and Language 85 (03) 451-466
  • McAuliffe MJ, Baylor CR. , & Yorkston KM. 2017; Variables associated with communicative participation in Parkinson's disease and its relationship to measures of health-related quality-of-life. International Journal of Speech-Language Pathology 19 (04) 407-417
  • McDonald S, Flanagan S, Rollins J. , & Kinch J. 2003; TASIT: a new clinical tool for assessing social perception after traumatic brain injury. The Journal of Head Trauma Rehabilitation 18 (03) 219-238
  • McNamara P. , & Durso R. 2003; Pragmatic communication skills in patients with Parkinson's disease. Brain and Language 84 (03) 414-423
  • Miller N. 2017; Communication changes in Parkinson's disease. Practical Neurology 17 (04) 266-274
  • Miller N, Andrew S, Noble E. , & Walshe M. 2011; Changing perceptions of self as a communicator in Parkinson's disease: a longitudinal follow-up study. Disability and Rehabilitation 33 (03) 204-210
  • Miller N, Noble E, Jones D, Allcock L. , & Burn DJ. 2008; How do I sound to me? Perceived changes in communication in Parkinson's disease. Clinical Rehabilitation 22 (01) 14-22
  • Monetta L, Grindrod CM. , & Pell MD. 2009; Irony comprehension and theory of mind deficits in patients with Parkinson's disease. Cortex 45 (08) 972-981
  • Montemurro S, Mondini S, Signorini M, Marchetto A, Bambini V. , & Arcara G. 2019; Pragmatic language disorder in Parkinson's disease and the potential effect of cognitive reserve. Frontiers in Psychology 10: 1220
  • Orbelo DM, Testa JA. , & Ross ED. 2003; Age-related impairments in comprehending affective prosody with comparison to brain-damaged subjects. Journal of Geriatric Psychiatry and Neurology 16: 44-52
  • Orbelo DM, Grim MA, Talbott RE. , & Ross ED. 2005; Impaired comprehension of affective prosody in elderly subjects is not predicted by age-related hearing loss or age-related cognitive decline. Journal of Geriatric Psychiatry and Neurology 18: 25-32
  • Pell MD, Monetta L, Rothermich K, Kotz SA, Cheang HS. , & McDonald S. 2014; Social perception in adults with Parkinson's disease. Neuropsychology 28 (06) 905-916
  • Phillips LH, Allen R, Bull R, Hering A, Kliegel M. , & Channon S. 2015; Older adults have difficulty in decoding sarcasm. Developmental Psychology 51 (12) 1840-1852
  • Prenger MT. M, Madray R, Van Hedger K, Anello M. , & MacDonald PA. 2020; Social symptoms of Parkinson's disease. Parkinson's Disease 8846544 Qualtrics www.qualtrics.com
  • Roberts A. , & Post D. 2018; Information content and efficiency in the spoken discourse of individuals with Parkinson's disease. Journal of Speech, Language, and Hearing Research 61 (09) 2259-2274
  • Rothermich K, Giorio C, Falkins S, Leonard L. , & Roberts A. 2021; Nonliteral language processing across the lifespan. Acta Psychologica 212: 103213
  • Schiavolin S, Raggi A, Quintas R, Cerniauskaite M, Giovannetti AM, Covelli V, Romito L, Elia AE, Carella F, Soliveri P. , & Leonardi M. 2017; Psychosocial difficulties in patients with Parkinson's disease. International Journal of Rehabilitation Research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue Internationale de Recherches de Readaptation 40 (02) 112-118
  • Seubert-Ravelo AN, Yáñez-Téllez MG, Lazo-Barriga ML, Calderón Vallejo A, Martínez-Cortés CE. , & Hernández-Galván A. 2021; Social cognition in patients with early-onset Parkinson's disease. Parkinson's Disease 2021: 8852087 (advanced online publication). DOI: 10.1155/2021/8852087.
  • Statistics. (n.d.) Parkinson's Foundation. Accessed August 16, 2023 at: https://www.parkinson.org/understanding-parkinsons/statistics
  • Velicer WF. 1976; Determining the number of components from the matrix of partial correlations. Psychometrika 41 (03) 321-327
  • Yu RL. , & Wu RM. 2013; Social brain dysfunctions in patients with Parkinson's disease: a review of theory of mind studies. Translational Neurodegeneration 2 (01) 7