Theory of mind impairment in Huntington's disease patients and their relatives

ABSTRACT Huntington disease (HD) is an autosomal dominant genetic disorder characterized by movement disorders, cognitive impairment, and psychiatric symptoms. Relatives of HD patients experience a great burden as the latter suffer from altered social conduct and deterioration of interpersonal relat...

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Main Authors: Leo Bayliss, Víctor Galvez, Adriana Ochoa-Morales, Mireya Chávez-Oliveros, Yaneth Rodríguez-Agudelo, Guillermo Delgado-García, Marie Catherine Boll
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO)
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000800574&lng=en&tlng=en
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author Leo Bayliss
Víctor Galvez
Adriana Ochoa-Morales
Mireya Chávez-Oliveros
Yaneth Rodríguez-Agudelo
Guillermo Delgado-García
Marie Catherine Boll
author_facet Leo Bayliss
Víctor Galvez
Adriana Ochoa-Morales
Mireya Chávez-Oliveros
Yaneth Rodríguez-Agudelo
Guillermo Delgado-García
Marie Catherine Boll
author_sort Leo Bayliss
collection DOAJ
description ABSTRACT Huntington disease (HD) is an autosomal dominant genetic disorder characterized by movement disorders, cognitive impairment, and psychiatric symptoms. Relatives of HD patients experience a great burden as the latter suffer from altered social conduct and deterioration of interpersonal relationships. Theory of mind (ToM) is the ability to attribute mental states (to oneself and others). Deficits in ToM are thought to have a role in the changes in empathy and interpersonal difficulties that HD patients face. Methods: We conducted a cross sectional study to compare ToM task scores of patients with mild to moderate HD, their relatives (spouse or at-risk first-degree relative with a negative gene test) and controls.Individuals with dementia or depression were excluded. The ToM test battery included Spanish versions of the Reading Mind in the Eyes Test (RMET), Happé's Strange Stories (Social and Physical Stories subtests) and the Hinting Task. Results: The series comprised 12 HD patients, 12 relatives and 12 controls. The HD patients showed lower affective ToM scores than controls (RMET 19 [3.5] vs 23.9 [2.7], p = 0.016). Cognitive ToM tasks scores were lower in HD patients than controls as well (Happé's Social Stories 9 [2.6] vs 13 [1.9], p = 0.001; the Hinting Task 13.6 [3.4] vs 17.5 [4.0], p = 0.009). In the Hinting Task, HD relatives had lower scores in than controls (13 [3.2] vs 17.5 [4.0], p = 0.009) and similar scores to controls in the rest of the battery. Conclusion: The HD patients with mild to moderate disease severity and their relatives show ToM deficits.
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spelling doaj.art-a87ca398014745a1bb76c2b4446fd1452022-12-21T21:09:36ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422777857457810.1590/0004-282x20190092S0004-282X2019000800574Theory of mind impairment in Huntington's disease patients and their relativesLeo BaylissVíctor GalvezAdriana Ochoa-MoralesMireya Chávez-OliverosYaneth Rodríguez-AgudeloGuillermo Delgado-GarcíaMarie Catherine BollABSTRACT Huntington disease (HD) is an autosomal dominant genetic disorder characterized by movement disorders, cognitive impairment, and psychiatric symptoms. Relatives of HD patients experience a great burden as the latter suffer from altered social conduct and deterioration of interpersonal relationships. Theory of mind (ToM) is the ability to attribute mental states (to oneself and others). Deficits in ToM are thought to have a role in the changes in empathy and interpersonal difficulties that HD patients face. Methods: We conducted a cross sectional study to compare ToM task scores of patients with mild to moderate HD, their relatives (spouse or at-risk first-degree relative with a negative gene test) and controls.Individuals with dementia or depression were excluded. The ToM test battery included Spanish versions of the Reading Mind in the Eyes Test (RMET), Happé's Strange Stories (Social and Physical Stories subtests) and the Hinting Task. Results: The series comprised 12 HD patients, 12 relatives and 12 controls. The HD patients showed lower affective ToM scores than controls (RMET 19 [3.5] vs 23.9 [2.7], p = 0.016). Cognitive ToM tasks scores were lower in HD patients than controls as well (Happé's Social Stories 9 [2.6] vs 13 [1.9], p = 0.001; the Hinting Task 13.6 [3.4] vs 17.5 [4.0], p = 0.009). In the Hinting Task, HD relatives had lower scores in than controls (13 [3.2] vs 17.5 [4.0], p = 0.009) and similar scores to controls in the rest of the battery. Conclusion: The HD patients with mild to moderate disease severity and their relatives show ToM deficits.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000800574&lng=en&tlng=enHuntington diseaseneuropsychological testdementia
spellingShingle Leo Bayliss
Víctor Galvez
Adriana Ochoa-Morales
Mireya Chávez-Oliveros
Yaneth Rodríguez-Agudelo
Guillermo Delgado-García
Marie Catherine Boll
Theory of mind impairment in Huntington's disease patients and their relatives
Arquivos de Neuro-Psiquiatria
Huntington disease
neuropsychological test
dementia
title Theory of mind impairment in Huntington's disease patients and their relatives
title_full Theory of mind impairment in Huntington's disease patients and their relatives
title_fullStr Theory of mind impairment in Huntington's disease patients and their relatives
title_full_unstemmed Theory of mind impairment in Huntington's disease patients and their relatives
title_short Theory of mind impairment in Huntington's disease patients and their relatives
title_sort theory of mind impairment in huntington s disease patients and their relatives
topic Huntington disease
neuropsychological test
dementia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000800574&lng=en&tlng=en
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