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Neuropsychology. 2012 Sep;26(5):664-9. doi: 10.1037/a0029218. Epub 2012 Jul 30.

Depressive symptom severity is related to poorer cognitive performance in prodromal Huntington disease.

Collaborators (320)

Wassink T, Cross S, Kimble M, Ryan P, Wood J, Epping EA, Beglinger LJ, Chiu E, Yastrubetskaya O, Preston J, Goh A, Fonseka C, Antonopoulos S, Loi S, Chua P, Komiti A, Raymond L, Santos RD, Carter K, Decolongon J, Rosenblatt A, Ross CA, Shpritz B, Yoritomo N, Welsh C, Mallonee WM, Suter G, Addison J, Samii A, Macaraeg A, Jones R, Wood-Siverio C, Factor SA, Testa C, Barker RA, Mason S, Goodman A, DiPietro A, McCusker E, Griffith J, Loy C, Gunn D, Landwehrmeyer BG, Orth M, Süβmuth S, Barth K, Trautmann S, Quaid K, Wesson M, Wojcieszek J, Guttman M, Sheinberg A, Karmalkar I, Perlman S, Clemente B, Johnson A, Geschwind MD, Gooblar J, Kang G, Warner T, Burrows M, Novak M, Andrews T, Rosser E, Tabrizi S, Rosser A, Price K, Hunt S, Marshall F, Chesire A, Wodarski M, Hickey C, Suchowersky O, Furtado S, Klimek ML, Panegyres P, Lee J, Andrew S, Perlmutter J, Barton S, Schmidt A, Miedzybrodzka Z, Rae D, D'Alessandro M, Craufurd D, Fullam R, Bek J, Howard E, Mazzoni P, Marder K, Wasserman P, Kumar R, Erickson D, Wheelock V, Tempkin T, Kjer L, Baynes K, Jankovic J, Hunter C, Ondo W, Martin W, King P, Wieler M, Sran S, Ahmed A, Rao S, Reece C, Zimbelman J, Bea A, Newman E, Bura A, Mourany L, Schulz J, Paulsen J, Epping EA, Johnson H, Smith M, Williams J, Beglinger L, Long JD, Mills JA, Aylward E, Biglan K, Leavitt B, MacDonald M, Nance M, Erwin C, Leavitt B, Hayden M, DiDonato S, Evans K, Matson W, Peterson A, Tabrizi S, Borowsky B, Juhl A, Mills JA, Wang K, Weir D, Vonsattell JP, Moskowitz C, Leserman A, Schaul L, Vik S, Harrington D, Castillo G, Morison J, Reed J, Diaz M, Dobbins I, Hershey T, Foster E, Moore D, Westervelt H, Davis J, Tremont G, Smith M, Moser DJ, Beglinger LJ, Rowe K, Wenman G, Theriault D, Gehl C, Matheson K, Siedlecki K, Van Walsem M, Bonner S, Elias G, Gover M, Bernier R, Faust M, Borowski B, Carlozzi N, Duff K, Georgiou-Karistianis N, Stout J, Lange H, Papp K, Williams J, Beglinger LJ, Leserman A, Ro E, Clark LA, Downing N, Laing J, Rees K, Harreld M, Vik S, Ready R, Vaccarino A, Farias S, Carlozzi N, Gehl C, MacDonald M, Gusella J, Myers R, Hayden M, Wassink T, Epping EA, Juhl A, Mills J, Wang K, Miedzybrodzka Z, Ross C, Pierson R, Jones K, Marietta J, McDowell W, Harris G, Kim EY, Johnson H, Wassink T, Ashburner J, Potkin S, Toga A, Aylward E, Axelson E, Ross CA, Miller M, Reading S, Beg MF, Magnotta VA, Helmer K, Lim K, Lowe M, Mori S, Song A, Turner J, Rao S, Beall E, Koenig K, Phillips M, Reece C, Zimbelman J, Bryant A, Juhl A, Jones K, Wenman G, Biglan K, Marder K, Corey-Bloom J, Geschwind M, Reilmann R, Juhl A, Epping EA, Downing N, Fiedorowicz J, Robinson R, Smith M, Beglinger L, Mills J, Rees K, Harreld M, Ruggle A, Vik S, Williams J, Liu D, Moser D, Rowe K, Anderson K, Craufurd D, Groves M, Vaccarino A, Evans K, Rickards H, van Duijn E, Chua P, Quaid K, Long JD, Kim JI, Mills JA, Harrison B, Zhang Y, Liu D, Lu W, Lourens S, Nance M, Leserman A, Doucette N, Kimble M, Ryan P, Thumma K, Waterman E, Hinkel J, Erwin C, Epping EA, Williams J, Doucette N, Leserman A, Mills J, Schaul L, Vik S, Nance M, Hughes L, Johnson H, Connell RJ, Pease K, Rogers B, Smith J, Wu S, Zschiegner R, Carney E, McKirgan B, Scully M, Wyse R, Bockholt J, Werling-Witkoske C, Ennis G, Vik S, Anderson K, Bjork K, Thompson S, Davis L, Henneberry M, Dudler A, Schumacher J, Stout C, Blanchard S, Montross K, Danzer P.

Abstract

OBJECTIVE:

Depression is associated with more severe cognitive deficits in many neurological disorders, though the investigation of this relationship in Huntington disease (HD) has been limited. This study examined the relationship between depressive symptom severity and measures of executive functioning, learning/memory, and attention in prodromal HD.

METHOD:

Participants (814 prodromal HD, 230 gene-negative) completed a neuropsychological test battery and the Beck Depression Inventory-II (BDI-II). Based on the BDI-II, there were 637 participants with minimal depression, 89 with mild depression, 61 with moderate depression, and 27 with severe depression in the prodromal HD group.

RESULTS:

ANCOVA (controlling for age, sex, and education) revealed that performance on SDMT, Trails B, Hopkins Verbal Learning Test--Revised (HVLT-R) Immediate Recall, and Stroop interference was significantly different between the BDI-II severity groups, with the moderate and severe groups performing worse than the minimal and mild groups. There were no significant differences between the BDI-II severity groups for Trails A or HVLT-R Delayed Recall. Linear regression revealed that both gene status and depression severity were significant predictors of performance on all cognitive tests examined, with contributions of BDI-II and gene status comparable for Trails A, SDMT, and Stroop interference. Gene status had a higher contribution for HVLT-R Immediate and Delayed Recall and Trails B.

CONCLUSIONS:

Our results suggest that depressive symptom severity is related to poorer cognitive performance in individuals with prodromal HD. Though there are currently no approved therapies for cognitive impairment in HD, our findings suggest that depression may be a treatable contributor to cognitive impairment in this population.

PMID:
22846033
[PubMed - indexed for MEDLINE]
PMCID:
PMC3806339
Free PMC Article
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