Understanding the Relationship Between Perseveration, Comorbid Behavioral Symptoms, Motor Decline, Functional Decline, and Self-report Accuracy in Huntington Disease Can Help Inform Clinical Practice.

IF 1.3 4区 医学 Q4 BEHAVIORAL SCIENCES Cognitive and Behavioral Neurology Pub Date : 2023-06-01 DOI:10.1097/WNN.0000000000000331
Andy M Liu, Erin Koppel, Karen E Anderson
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引用次数: 1

Abstract

Background: Perseveration is one of the most debilitating symptoms of Huntington disease (HD).

Objective: To study perseveration and its relationship to comorbid behavioral symptoms, motor decline, functional decline, and subject self-report accuracy by analyzing cross-sectional data tracking individuals who have or are at risk for HD and healthy controls (HC).

Method: We studied 96 individuals from HD families and 35 HC who were either family controls or gene negative. We used χ 2 tests to compare patient demographic and survey outcomes data and to analyze the presence of obsessions and compulsions (OC), depression, and apathy relative to the presence of perseveration.

Results: Individuals with HD and perseveration had a higher presence of OC, depression, and apathy compared with individuals with HD of the same stages without perseveration (19%, 47.6%, and 47.6% vs 15%, 40%, and 25%, respectively). In addition, individuals in HD Stages 1-3 with higher motor scores (showing a later stage of disease) displayed a significantly higher rate of perseveration than the HC ( P = 0.0476; P = 0.0499, respectively). The presence of an informant resulted in a significantly higher rate of perseveration reporting for individuals in HD Stages 1 and 2 (41.2% and 53.8% with informant vs 23.5% and 11.1% without informant, respectively).

Conclusion: Perseveration was seen across all motor and functional stages for the individuals with HD, without significant differences between the different stages. Additionally, informants were beneficial to obtaining accurate patient reports of perseveration. These findings should prove useful for physician evaluation and treatment considerations.

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了解亨廷顿舞蹈症患者的毅力、共病行为症状、运动能力下降、功能下降和自我报告准确性之间的关系有助于为临床实践提供信息。
背景:毅力是亨廷顿舞蹈症(HD)最令人衰弱的症状之一。目的:通过分析追踪患有或有HD风险的个体和健康对照(HC)的横断面数据,研究持续性及其与共病行为症状、运动能力下降、功能下降和受试者自我报告准确性的关系。方法:我们研究了来自HD家族的96名个体和35名HC,他们要么是家族对照,要么是基因阴性。我们使用χ2检验来比较患者的人口统计和调查结果数据,并分析强迫症(OC)、抑郁和冷漠的存在与坚持的存在之间的关系。结果:与未坚持的同阶段HD患者相比,患有HD并坚持的患者OC、抑郁和冷漠的存在率更高(分别为19%、47.6%和47.6%,而非15%、40%和25%)。此外,HD 1-3期运动评分较高(显示疾病后期)的个体表现出明显高于HC的坚持率(分别为P=0.0476和P=0.0499)。对于HD第1和第2阶段的个体,有线人的存在导致了显著更高的坚持报告率(有线人时分别为41.2%和53.8%,而没有线人时则分别为23.5%和11.1%)。结论:HD患者在所有运动和功能阶段都表现出毅力,不同阶段之间没有显著差异。此外,知情者有利于获得准确的患者坚持报告。这些发现应该被证明对医生的评估和治疗考虑是有用的。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
68
审稿时长
>12 weeks
期刊介绍: Cognitive and Behavioral Neurology (CBN) is a forum for advances in the neurologic understanding and possible treatment of human disorders that affect thinking, learning, memory, communication, and behavior. As an incubator for innovations in these fields, CBN helps transform theory into practice. The journal serves clinical research, patient care, education, and professional advancement. The journal welcomes contributions from neurology, cognitive neuroscience, neuropsychology, neuropsychiatry, and other relevant fields. The editors particularly encourage review articles (including reviews of clinical practice), experimental and observational case reports, instructional articles for interested students and professionals in other fields, and innovative articles that do not fit neatly into any category. Also welcome are therapeutic trials and other experimental and observational studies, brief reports, first-person accounts of neurologic experiences, position papers, hypotheses, opinion papers, commentaries, historical perspectives, and book reviews.
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