Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety

Early Onset Dystonia (EOD) is thought to result from basal ganglia dysfunction, structures also involved in non-motor functions, like regulation of behavior, mood and anxiety. Problems in these domains have been found in proxy-reports but not yet in self-reports of EOD patients. The main questions a...

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Main Authors: Maraike A. Coenen, Hendriekje Eggink, A. M. Madelein van der Stouwe, Jacoba M. Spikman, Marina A. J. Tijssen
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/2/236
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author Maraike A. Coenen
Hendriekje Eggink
A. M. Madelein van der Stouwe
Jacoba M. Spikman
Marina A. J. Tijssen
author_facet Maraike A. Coenen
Hendriekje Eggink
A. M. Madelein van der Stouwe
Jacoba M. Spikman
Marina A. J. Tijssen
author_sort Maraike A. Coenen
collection DOAJ
description Early Onset Dystonia (EOD) is thought to result from basal ganglia dysfunction, structures also involved in non-motor functions, like regulation of behavior, mood and anxiety. Problems in these domains have been found in proxy-reports but not yet in self-reports of EOD patients. The main questions are whether proxy-reports differ from those of patients and how problems relate to everyday social functioning. Subjective complaints about executive problems (BRIEF) and symptoms of depression and anxiety (CBCL) were obtained through a cross-sectional questionnaire study conducted on 45 EOD patients. Scores were in the normal range in patients and proxies. Proxy-rated behavior regulation was correlated with the estimated number of friends and quality of relations. Proxy-reported scores of depression correlated with the quality of relations and were higher than self-reports of adolescent/young adult patients. EOD patients and proxies do not seem to experience problematic regulation of behavior, mood and anxiety. Still, our study revealed two important aspects: (1) all measures were related to the estimated quality of relations with others, relating questionnaires to everyday social functioning; (2) proxies reported more symptoms of depression than patients. This may indicate overestimation by proxies or higher sensitivity of proxies to these symptoms, implying underestimation of problems by patients.
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spelling doaj.art-51ed88d72253465eb7e3b06fb620a21d2023-11-16T19:28:09ZengMDPI AGBrain Sciences2076-34252023-01-0113223610.3390/brainsci13020236Early Onset Dystonia: Complaints about Executive Functioning, Depression and AnxietyMaraike A. Coenen0Hendriekje Eggink1A. M. Madelein van der Stouwe2Jacoba M. Spikman3Marina A. J. Tijssen4Department of Neurology, University Medical Center Groningen, University of Groningen, 9700 GZ Groningen, The NetherlandsDepartment of Neurology, University Medical Center Groningen, University of Groningen, 9700 GZ Groningen, The NetherlandsDepartment of Neurology, University Medical Center Groningen, University of Groningen, 9700 GZ Groningen, The NetherlandsDepartment of Neurology, University Medical Center Groningen, University of Groningen, 9700 GZ Groningen, The NetherlandsDepartment of Neurology, University Medical Center Groningen, University of Groningen, 9700 GZ Groningen, The NetherlandsEarly Onset Dystonia (EOD) is thought to result from basal ganglia dysfunction, structures also involved in non-motor functions, like regulation of behavior, mood and anxiety. Problems in these domains have been found in proxy-reports but not yet in self-reports of EOD patients. The main questions are whether proxy-reports differ from those of patients and how problems relate to everyday social functioning. Subjective complaints about executive problems (BRIEF) and symptoms of depression and anxiety (CBCL) were obtained through a cross-sectional questionnaire study conducted on 45 EOD patients. Scores were in the normal range in patients and proxies. Proxy-rated behavior regulation was correlated with the estimated number of friends and quality of relations. Proxy-reported scores of depression correlated with the quality of relations and were higher than self-reports of adolescent/young adult patients. EOD patients and proxies do not seem to experience problematic regulation of behavior, mood and anxiety. Still, our study revealed two important aspects: (1) all measures were related to the estimated quality of relations with others, relating questionnaires to everyday social functioning; (2) proxies reported more symptoms of depression than patients. This may indicate overestimation by proxies or higher sensitivity of proxies to these symptoms, implying underestimation of problems by patients.https://www.mdpi.com/2076-3425/13/2/236early onset dystoniabehavior regulationanxietydepressionsocial functioning
spellingShingle Maraike A. Coenen
Hendriekje Eggink
A. M. Madelein van der Stouwe
Jacoba M. Spikman
Marina A. J. Tijssen
Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety
Brain Sciences
early onset dystonia
behavior regulation
anxiety
depression
social functioning
title Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety
title_full Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety
title_fullStr Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety
title_full_unstemmed Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety
title_short Early Onset Dystonia: Complaints about Executive Functioning, Depression and Anxiety
title_sort early onset dystonia complaints about executive functioning depression and anxiety
topic early onset dystonia
behavior regulation
anxiety
depression
social functioning
url https://www.mdpi.com/2076-3425/13/2/236
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