Huntington study group's neuropsychology working group position on best practice recommendations for the clinical neuropsychological evaluation of patients with Huntington disease.

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-05-01 Epub Date: 2023-10-18 DOI:10.1080/13854046.2023.2267789
Ciaran M Considine, M Agustina Rossetti, Kendra Anderson, Victor A Del Bene, Sharlet A Anderson, Andrea S Celka, Mary C Edmondson, Amelia L Nelson Sheese, Adam Piccolino, Antonio L Teixeira, Julie C Stout
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Abstract

Objective: Neuropsychological evaluation is critical to detection and management of cognitive and neuropsychiatric changes associated with Huntington disease (HD). Accurate assessment of non-motor complications of HD is critical given the prominent impact on functional disability, frequently commensurate with or exceeding that of motor symptoms. The increasing emphasis on developing disease-modifying therapies targeting cognitive decline in HD requires consensus on clinical neuropsychological assessment methods. The Neuropsychology Working Group (NPWG) of the Huntington Study Group (HSG) sought to provide evidence and consensus-based, practical guidelines for the evaluation of cognitive and neuropsychiatric symptoms associated with HD. Method: The NPWG recruited a multi-disciplinary group of neuropsychologists, neurologists, and psychiatrists to inform best practices in assessing, diagnosing, and treating the non-motor symptoms in HD. A review was circulated among the NPWG, and in an iterative process informed by reviewed literature, best practices in neuropsychological evaluation of patients with HD were identified. Results: A brief review of the available literature and rational for a clinical consensus battery is offered. Conclusion: Clinical neuropsychologists are uniquely positioned to both detect and characterize the non-motor symptoms in HD, and further, provide neurologists and allied health professions with clinically meaningful information that impacts functional outcomes and quality of life. The NPWG provides guidance on best practices to clinical neuropsychologists in this statement. A companion paper operationalizing clinical application of previous research-based non-motor diagnostic criteria for HD is forthcoming, which also advises on non-motor symptom screening methods for the non-neuropsychologist working with HD.

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亨廷顿舞蹈症研究小组的神经心理学工作小组对亨廷顿病患者临床神经心理学评估的最佳实践建议的立场。
目的:神经心理学评估对于检测和处理与亨廷顿舞蹈症(HD)相关的认知和神经精神变化至关重要。鉴于HD对功能性残疾的显著影响,准确评估HD的非运动并发症至关重要,这些影响通常与运动症状相当或超过运动症状。越来越重视开发针对HD认知能力下降的疾病改良疗法,需要在临床神经心理评估方法上达成共识。亨廷顿舞蹈症研究小组(HSG)的神经心理学工作组(NPWG)试图为评估HD相关的认知和神经精神症状提供证据和基于共识的实用指南。方法:NPWG招募了一个由神经心理学家、神经学家和精神病学家组成的多学科小组,为评估、诊断和治疗HD非运动症状的最佳实践提供信息。在NPWG中传阅了一份综述,并根据综述的文献,在迭代过程中确定了HD患者神经心理评估的最佳实践。结果:对现有文献进行了简要回顾,并提出了临床共识电池的合理性。结论:临床神经心理学家在检测和表征HD的非运动症状方面具有独特的地位,并进一步为神经学家和相关健康专业人员提供影响功能结果和生活质量的有临床意义的信息。NPWG在本声明中为临床神经心理学家提供了最佳实践指南。即将发表一篇配套论文,介绍先前基于研究的HD非运动诊断标准的临床应用,该论文还就HD非神经心理学家的非运动症状筛查方法提出了建议。
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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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