Huntington Disease Health Related Quality of Life, Function and Well Being: The Patient's Perspective
- PMID: 39370480
- PMCID: PMC11762052
- DOI: 10.1007/s40120-024-00655-0
Huntington Disease Health Related Quality of Life, Function and Well Being: The Patient's Perspective
Erratum in
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Correction: Huntington Disease Health Related Quality of Life, Function and Well Being: The Patient's Perspective.Neurol Ther. 2025 Feb;14(1):117-118. doi: 10.1007/s40120-024-00683-w. Neurol Ther. 2025. PMID: 39570476 Free PMC article. No abstract available.
Abstract
Background: Limited information is available on patients' experience living with Huntington's disease (HD). The primary objective of this study was to assess the health-related quality of life and well being of patients with HD.
Methods: A non-interventional, cross-sectional study was conducted in 17 hospitals-based movement disorders units in Spain. Patients aged ≥ 18 years, genetically HD diagnosed [with a diagnostic confidence level score of 4, and an Independence Scale (IS) score ≥ 70] were included. The primary variables were the Huntington's Disease Health-related Quality of Life (HDQLIFE) scores and results of the Satisfaction with Life Scale (SWLS). Secondary outcomes include the Unified HD Rating Scale (UHDRS), Beck Hopelessness Scale (BHS), Stigma Scale for Chronic Illness (SSCI-8), Beck Depression Inventory-Fast Screen (BDI-FS) and Problem Behaviours Assessment for HD short Version (PBA-S).
Results: A total of 102 patients were included. The mean age (SD) was 53.1 (12.1) years and 56% were male. Most of the patients (99.0%) showed motor symptoms (87.3%), behavioural and psychiatric disturbances (59.8%), or cognitive impairment (20.6%). HDQLIFE domain score means (SD) includes concern with death and dying 45.97 (9.60) end-of-life planning 37.91 (8.84), and meaning and purpose 44.74 (9.05). SWLS score mean was 24.25 (7.33). Depressive symptoms were found in 37.4% of patients and moderate-to-severe feelings of hopelessness in 32.9%. The prevalence of stigma was 55.9% (n = 57).
Conclusion: HD impacted quality of life, with prevalent motor, psychiatric symptoms and cognitive impairment. Patient perspectives may provide complementary information to implement specific interventions.
Keywords: Depression; Health-related quality of life; Huntington disease; Patient-reported outcomes; Satisfaction with Life; Stigma.
© 2024. The Author(s).
Conflict of interest statement
Declarations. Conflict of Interest: Sofía García-López, Carmen Álvarez and Jorge Maurino are Roche employees. Jesús Pérez Pérez, Tamara Fernández Valle, Cèlia Painous, María Rosa Querol Pascual, Pedro García-Ruiz Espiga, Elena Bellosta Diago, Esther Cubo Delgado, Bárbara Vives Pastor, María Carmen Peiró Vilaplana, Idaira Martín Santana, Marta Blázquez Estrada, Matilde Calopa Garride, Pablo Mir, Anna de Prado and José Luis López-Sendón declare no conflict of interest. JLS has served as a consultant or as an advisory committee member, unrelated to this research, from: La Roche ltd, Novartis ltd and UCB. Ethical Approval: The study was approved by the independent ethics committee CEIM of Hospital La Fe in Valencia. Code: ROC-HUN-2020-01 for Clinical Research and all patients provided written informed consent according to the Declaration of Helsinki.
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