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Coping with Huntington's Disease in Patients and At-Risk Individuals
Abigail L B Snow1,2, Abagail E Ciriegio1, Kelly H Watson2
1Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA.
Insights
Individuals with Huntington's disease (HD) and those at risk experience stress. Secondary control coping strategies significantly reduce depression and anxiety symptoms in this population.
Area of Science:
- Neuroscience
- Psychology
- Genetics
Background:
- Huntington's disease (HD) causes significant stress for patients and at-risk individuals.
- Limited research exists on coping mechanisms and their link to psychological symptoms in HD.
Purpose of the Study:
- Examine coping strategies used by HD patients and at-risk individuals.
- Investigate the association between coping strategies and depression/anxiety symptoms using a control-based model.
Main Methods:
- 49 HD patients and 76 at-risk individuals completed the Responses to Stress Questionnaire - Huntington's Disease Version.
- Standardized measures assessed depression and anxiety symptoms.
- Patient health records provided disease characteristic data.
Main Results:
- Comparable use of primary control, secondary control, and disengagement coping strategies was reported.
- Secondary control coping was significantly associated with reduced depression and anxiety symptoms in both groups.
Conclusions:
- Secondary control coping appears beneficial for HD patients and at-risk individuals.
- Future research should explore longitudinal studies and interventions like cognitive reframing and acceptance for HD families.
Background:
Huntington's disease (HD) presents patients and individuals at risk for HD with significant levels of stress. However, relatively little research has examined how individuals cope with stress related to the disease or the association of specific coping strategies with psychological symptoms.
Objective:
This study examined the ways in which HD patients and at-risk individuals cope with HD-related stress using a control-based model of coping and the association of coping strategies with symptoms of depression and anxiety.
Methods:
HD patients (n = 49) and at-risk individuals (n = 76) completed the Responses to Stress Questionnaire - Huntington's Disease Version to assess coping strategies in response to HD-related stress, as well as standardized measures of depression and anxiety symptoms. Patient health records were accessed to obtain information related to disease characteristics.
Results:
Patients and at-risk individuals reported using comparable levels of primary control coping, secondary control coping, and disengagement coping strategies. In linear regression analyses, only secondary control coping was significantly associated with lower depression (β= -0.62, p < 0.001) and anxiety (β= -0.59, p < 0.001) symptoms in patients and at-risk individuals (β= -0.55, p < 0.001 and β= -0.50, p < 0.001, respectively).
Conclusions:
Secondary control coping may be beneficial for both HD patients and at-risk individuals. Future research using the control-based model of coping in longitudinal studies with the HD population is needed, and future interventions could test the effects of cognitive reframing and acceptance as coping strategies for families affected by HD.
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