A systematic review and meta-analysis of depression and apathy frequency in adult-onset Huntington's disease

Melanie L Clark1, Julie Abimanyi-Ochom2, Ha Le2

  • 1Deakin University, Deakin Health Economics, School of Health and Social Development, Geelong, Victoria 3220, Australia; Neurosciences Unit, North Metropolitan Health Services Mental Health Public Health Dental Services, Perth, Western Australia, Australia; Perron Institute for Neurological and Translational Science, Perth, Western Australia, Australia.

Insights

Depression and apathy are common in Huntington's disease (HD), affecting 38% and 40% of individuals, respectively. Gene-positive individuals showed higher rates, with apathy slightly more prevalent than depression.

Area of Science:

  • Neuroscience
  • Genetics
  • Psychiatry

Background:

  • Depression and apathy significantly impact functional capacity in Huntington's disease (HD).
  • The precise frequency of these conditions in HD populations remains largely unquantified.
  • Understanding these frequencies is crucial for comprehensive patient care and management strategies.

Approach:

  • A systematic literature search was performed across 21 databases up to June 2021.
  • Meta-analyses utilized clinician-rated assessments for depression and apathy in adult-onset HD.
  • The analysis included individuals from HD-affected families and gene-positive HD patients.

Key Points:

  • Lifetime prevalence of depression in adults affected by or at-risk for HD was 38%.
  • Lifetime prevalence of apathy in adults affected by or at-risk for HD was 40%.
  • In gene-positive individuals, apathy (48%) was slightly more common than depression (43%).

Conclusions:

  • Depression and apathy are highly prevalent in individuals with Huntington's disease.
  • Apathy appears to be marginally more common than depression in gene-positive HD patients.
  • Further research differentiating juvenile-onset and adult-onset HD cohorts is recommended to refine phenotypic profiles.

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