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Medication Management Capacity and Its Neurocognitive Correlates in Huntington's Disease
Catherine A Sumida1, Emily J Van Etten2, Francesca V Lopez3
1Department of Psychology, Washington State University, Pullman, WA, USA.
Insights
Individuals with Huntington's disease (HD) struggle with daily medication management tasks, showing deficits linked to cognitive impairments like prospective memory and executive functions.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Medication management is crucial for individuals with Huntington's disease (HD).
- Previous research has not extensively evaluated medication management abilities in HD.
- The relationship between cognitive function and medication management in HD remains unclear.
Purpose of the Study:
- To assess medication management abilities in individuals with HD.
- To investigate the relationship between cognitive functioning and medication management in HD.
Main Methods:
- Twenty individuals with HD and 20 healthy adults (HA) participated.
- The Medication Management Abilities Assessment (MMAA) was administered to all participants.
- Individuals with HD also completed self-report measures and neuropsychological tests for executive function, retrospective memory, and prospective memory.
Main Results:
- Individuals with HD demonstrated significantly poorer performance and made more undertaking errors on the MMAA compared to HA.
- No significant differences were observed in overtaking errors between the groups.
- In the HD group, undertaking errors correlated with perceived medication management ability.
- MMAA performance was associated with prospective memory and executive function measures.
Conclusions:
- Medication management capacity is impaired in individuals with HD.
- Difficulties in medication management may be linked to prospective memory deficits, affecting future medication adherence.
Objective:
Although medication management is a necessary daily activity for individuals with Huntington's disease (HD), medication management abilities and their relation to cognitive functioning have not been evaluated.
Method:
Twenty individuals with HD and 20 healthy adults (HA) completed the Medication Management Abilities Assessment (MMAA). Individuals with HD also completed a self-report medication management measure and neuropsychological tests assessing executive function, retrospective memory, and prospective memory.
Results:
Individuals with HD performed significantly poorer and made more undertaking errors on the MMAA as compared to HA. No group differences were found in overtaking errors. In the HD group, significant associations were found between undertaking errors and perceived medication management ability as well as between MMAA task performance and measures assessing prospective memory and executive functions.
Conclusions:
Medication management capacity was negatively affected in individuals with HD and may be associated with difficulty remembering to take medications in the future.
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