*Article* **Illness Representations and Coping Strategies in Patients Treated with Deep Brain Stimulation for Parkinson's Disease**

**Marc Baertschi 1,2,\*, Nicolas Favez 1, João Flores Alves Dos Santos 3, Michalina Radomska 1, François Herrmann 4, Pierre R. Burkhard 5, Alessandra Canuto 6, Kerstin Weber 6 and Paolo Ghisletta 1,7,8**


Received: 26 March 2020; Accepted: 16 April 2020; Published: 21 April 2020

**Abstract:** There is a debate on possible alterations of self-identity following deep brain stimulation for neurological disorders including Parkinson's disease. Among the psychological variables likely to undergo changes throughout such a medical procedure, illness representations and coping strategies have not been the target of much research to this day. In order to remedy this, we investigated the dynamics of illness representations and coping strategies in an 18-month longitudinal study involving 45 patients undergoing deep brain stimulation for idiopathic Parkinson's disease. Two research hypotheses were formulated and investigated through repeated measures of ANOVAs and structural equation modelling with full information maximum likelihood and Bayesian estimations. Representations of Parkinson's disease as a cyclical condition and perception of control over the disease diminished after surgery. Use of instrumental coping strategies was not modified after deep brain stimulation. These changes were identified by SEM but not ANOVAs; their magnitude was nevertheless relatively small, implying general stability in representations. These findings sugges<sup>t</sup> that psychological variables do not undergo major changes after deep brain stimulation for Parkinson's disease.

**Keywords:** deep brain stimulation; Parkinson's disease; illness representations; illness perceptions; coping strategies
