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Published in: Journal of Genetic Counseling 3/2017

01-06-2017 | Case Presentation

The Confluence of Psychiatric Symptoms and Neurodegenerative Disease: Impact on Genetic Counseling

Authors: Jill S. Goldman, Edward D. Huey, Deborah Z. Thorne

Published in: Journal of Genetic Counseling | Issue 3/2017

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Abstract

Hereditary neurodegenerative diseases can present with a psychiatric prodrome that overlaps with psychiatric symptoms that are not primary to these diseases. When individuals present for predictive testing while experiencing such symptoms, clinicians including genetic counselors, must proceed with caution and evaluate each situation on a case-by-case basis. Legitimate reasons may exist for moving forward with testing. Additionally predicting the consequences of testing is unrealistic so that the clinicians must do their best to prepare patients for both positive and negative results. A multidisciplinary team following the Huntington disease protocol remains the gold standard care for predictive testing for such patients. We discuss 3 case histories that demonstrate the complex nature of genetic counseling and testing in the presence of psychiatric symptoms, whether emanating from the disease itself or the results of living in an affected family.
Literature
go back to reference Almqvist, E. W., Brinkman, R. R., Wiggins, S., & Hayden, M. R. (2003). Psychological consequences and predictors of adverse events in the first 5 years after predictive testing for Huntington’s disease. Clinical Genetics, 64, 300–309.CrossRefPubMed Almqvist, E. W., Brinkman, R. R., Wiggins, S., & Hayden, M. R. (2003). Psychological consequences and predictors of adverse events in the first 5 years after predictive testing for Huntington’s disease. Clinical Genetics, 64, 300–309.CrossRefPubMed
go back to reference Arighi, A., Fumagalli, G. G., Jacini, F., Fenoglio, C., Ghezzi, C., Pietroboni, A. M., De Riz, M., et al. (2012). Early onset behavioral variant frontotemporal dementia due to C9ORF72 hexanucleotide repeat expansion: psychiatric clinical presentations. Journal of Alzheimer's Disease, 31, 447–452.PubMed Arighi, A., Fumagalli, G. G., Jacini, F., Fenoglio, C., Ghezzi, C., Pietroboni, A. M., De Riz, M., et al. (2012). Early onset behavioral variant frontotemporal dementia due to C9ORF72 hexanucleotide repeat expansion: psychiatric clinical presentations. Journal of Alzheimer's Disease, 31, 447–452.PubMed
go back to reference Block, N. R., Sha, S. J., Karydas, A. M., Fong, J. C., De May, M. G., Miller, B. L., & Rosen, H. J. (2016). Frontotemporal dementia and psychiatric illness: emerging clinical and biological links in gene carriers. American Journal of Geriatric Psychiatry, 24, 107–116.CrossRefPubMed Block, N. R., Sha, S. J., Karydas, A. M., Fong, J. C., De May, M. G., Miller, B. L., & Rosen, H. J. (2016). Frontotemporal dementia and psychiatric illness: emerging clinical and biological links in gene carriers. American Journal of Geriatric Psychiatry, 24, 107–116.CrossRefPubMed
go back to reference Broadstock, M., Michie, S., & Marteau, T. (2000). Psychological consequences of predictive genetic testing: a systematic review. European Journal of Human Genetics, 8, 731–738.CrossRefPubMed Broadstock, M., Michie, S., & Marteau, T. (2000). Psychological consequences of predictive genetic testing: a systematic review. European Journal of Human Genetics, 8, 731–738.CrossRefPubMed
go back to reference Calvo, A., Moglia, C., Canosa, A., Cistaro, A., Valentini, C., Carrara, G., Soldano, E., et al. (2012). Amyotrophic lateral sclerosis/frontotemporal dementia with predominant manifestations of obsessive-compulsive disorder associated to GGGGCC expansion of the c9orf72 gene. Journal of Neurology, 259, 2723–2725.CrossRefPubMed Calvo, A., Moglia, C., Canosa, A., Cistaro, A., Valentini, C., Carrara, G., Soldano, E., et al. (2012). Amyotrophic lateral sclerosis/frontotemporal dementia with predominant manifestations of obsessive-compulsive disorder associated to GGGGCC expansion of the c9orf72 gene. Journal of Neurology, 259, 2723–2725.CrossRefPubMed
go back to reference Dale, M., Maltby, J., Shimozaki, S., Cramp, R., Rickards, H., & REGISTRY Investigators of the European Huntington’s Disease Network (2016). Disease stage, but not sex, predicts depression and psychological distress in Huntington’s disease: a European population study. Journal of Psychosomatic Research, 80, 17–22.CrossRefPubMed Dale, M., Maltby, J., Shimozaki, S., Cramp, R., Rickards, H., & REGISTRY Investigators of the European Huntington’s Disease Network (2016). Disease stage, but not sex, predicts depression and psychological distress in Huntington’s disease: a European population study. Journal of Psychosomatic Research, 80, 17–22.CrossRefPubMed
go back to reference Decruyenaere, M., Evers-Kiebooms, G., Boogaerts, A., Cassiman, J. J., Cloostermans, T., Demyttenaere, K., Dom, R., Fryns, J. P., & Van den Berghe, H. (1996). Prediction of psychological functioning one year after the predictive test for Huntington’s disease and impact of the test result on reproductive decision making. Journal of Medical Genetics, 33(9), 737–743.CrossRefPubMedPubMedCentral Decruyenaere, M., Evers-Kiebooms, G., Boogaerts, A., Cassiman, J. J., Cloostermans, T., Demyttenaere, K., Dom, R., Fryns, J. P., & Van den Berghe, H. (1996). Prediction of psychological functioning one year after the predictive test for Huntington’s disease and impact of the test result on reproductive decision making. Journal of Medical Genetics, 33(9), 737–743.CrossRefPubMedPubMedCentral
go back to reference Decruyenaere, M., Evers-Kiebooms, G., Cloostermans, T., Boogaerts, A., Demyttenaere, K., Dom, R., & Fryns, J. P. (2003). Psychological distress in the 5-year period after predictive testing for Huntington’s disease. European Journal of Human Genetics, 2003(11), 30–38.CrossRef Decruyenaere, M., Evers-Kiebooms, G., Cloostermans, T., Boogaerts, A., Demyttenaere, K., Dom, R., & Fryns, J. P. (2003). Psychological distress in the 5-year period after predictive testing for Huntington’s disease. European Journal of Human Genetics, 2003(11), 30–38.CrossRef
go back to reference Ducharme, S., Price, B. H., Larvie, M., Dougherty, D. D., & Dickerson, B. C. (2015). Clinical approach to the differential diagnosis between behavioral variant frontotemporal dementia and primary psychiatric disorders. American Journal of Psychiatry, 172, 827–837.CrossRefPubMed Ducharme, S., Price, B. H., Larvie, M., Dougherty, D. D., & Dickerson, B. C. (2015). Clinical approach to the differential diagnosis between behavioral variant frontotemporal dementia and primary psychiatric disorders. American Journal of Psychiatry, 172, 827–837.CrossRefPubMed
go back to reference Duff, K., Paulsen, J. S., Beglinger, L. J., Langbehn, D. R., Wang, C., Stout, J. C., Ross, C. A., Predict-HD Investigators of the Huntington Study Group, et al. (2010). “Frontal” behaviors before the diagnosis of Huntington’s disease and their relationship to markers of disease progression: evidence of early lack of awareness. Journal of Neuropsychiatry and Clinical Neurosciences, 22, 196–207.CrossRefPubMedPubMedCentral Duff, K., Paulsen, J. S., Beglinger, L. J., Langbehn, D. R., Wang, C., Stout, J. C., Ross, C. A., Predict-HD Investigators of the Huntington Study Group, et al. (2010). “Frontal” behaviors before the diagnosis of Huntington’s disease and their relationship to markers of disease progression: evidence of early lack of awareness. Journal of Neuropsychiatry and Clinical Neurosciences, 22, 196–207.CrossRefPubMedPubMedCentral
go back to reference Duisterhof, M., Trijsburg, R. W., Niermeijer, M. F., Roos, R. A., & Tibben, A. (2001). Psychological studies in Huntington’s disease: making up the balance. Journal of Medical Genetics, 38, 852–856.CrossRefPubMedPubMedCentral Duisterhof, M., Trijsburg, R. W., Niermeijer, M. F., Roos, R. A., & Tibben, A. (2001). Psychological studies in Huntington’s disease: making up the balance. Journal of Medical Genetics, 38, 852–856.CrossRefPubMedPubMedCentral
go back to reference Epping, E. A., Mills, J. A., Beglinger, L. J., Fiedorowicz, J. G., Craufurd, D., Smith, M. M., Groves, M., PREDICT-HD Investigators and Coordinators of the Huntington Study Group, et al. (2013). Characterization of depression in prodromal Huntington disease in the neurobiological predictors of HD (PREDICT-HD) study. Journal of Psychiatric Research, 47, 1423–1431.CrossRefPubMed Epping, E. A., Mills, J. A., Beglinger, L. J., Fiedorowicz, J. G., Craufurd, D., Smith, M. M., Groves, M., PREDICT-HD Investigators and Coordinators of the Huntington Study Group, et al. (2013). Characterization of depression in prodromal Huntington disease in the neurobiological predictors of HD (PREDICT-HD) study. Journal of Psychiatric Research, 47, 1423–1431.CrossRefPubMed
go back to reference Epping, E. A., Kim, J. I., Craufurd, D., Brashers-Krug, T. M., Anderson, K. E., McCusker, E., Luther, J., Long, J. D., Paulsen, J. S., & PREDICT-HD Investigators and Coordinators of the Huntington Study Group (2016). Longitudinal psychiatric symptoms in prodromal Huntington’s disease: a decade of data. American Journal of Psychiatry, 173, 184–192.CrossRefPubMed Epping, E. A., Kim, J. I., Craufurd, D., Brashers-Krug, T. M., Anderson, K. E., McCusker, E., Luther, J., Long, J. D., Paulsen, J. S., & PREDICT-HD Investigators and Coordinators of the Huntington Study Group (2016). Longitudinal psychiatric symptoms in prodromal Huntington’s disease: a decade of data. American Journal of Psychiatry, 173, 184–192.CrossRefPubMed
go back to reference Evers-Kiebooms, G., & Decruyenaere, M. (1998). Predictive testing for Huntington’s disease: a challenge for persons at risk and for professionals. Patient Education and Counseling, 35, 15–26.CrossRefPubMed Evers-Kiebooms, G., & Decruyenaere, M. (1998). Predictive testing for Huntington’s disease: a challenge for persons at risk and for professionals. Patient Education and Counseling, 35, 15–26.CrossRefPubMed
go back to reference Floris, G., Borghero, G., Cannas, A., Di Stefano, F., Costantino, E., Murru, M. R., Brunetti, M., et al. (2012). Frontotemporal dementia with psychosis, parkinsonism, visuo-spatial dysfunction, upper motor neuron involvement associated to expansion of C9ORF72: a peculiar phenotype? Journal of Neurology, 259, 1749–1751.CrossRefPubMedPubMedCentral Floris, G., Borghero, G., Cannas, A., Di Stefano, F., Costantino, E., Murru, M. R., Brunetti, M., et al. (2012). Frontotemporal dementia with psychosis, parkinsonism, visuo-spatial dysfunction, upper motor neuron involvement associated to expansion of C9ORF72: a peculiar phenotype? Journal of Neurology, 259, 1749–1751.CrossRefPubMedPubMedCentral
go back to reference Galimberti, D., Fenoglio, C., Serpente, M., Villa, C., Bonsi, R., Arighi, A., Fumagalli, G. G., et al. (2013). Autosomal dominant frontotemporal lobar degeneration due to the C9ORF72 hexanucleotide repeat expansion: late-onset psychotic clinical presentation. Biological Psychiatry, 74, 384–391.CrossRefPubMed Galimberti, D., Fenoglio, C., Serpente, M., Villa, C., Bonsi, R., Arighi, A., Fumagalli, G. G., et al. (2013). Autosomal dominant frontotemporal lobar degeneration due to the C9ORF72 hexanucleotide repeat expansion: late-onset psychotic clinical presentation. Biological Psychiatry, 74, 384–391.CrossRefPubMed
go back to reference Galimberti, D., Reif, A., Dell’Orso, B., Palazzo, C., Villa, C., Fenoglio, C., Kittel-Schneider, S., et al. (2014a). C9ORF72 hexanucleotide repeat expansion as a rare cause of bipolar disorder. Bipolar Disorders, 16, 448–449.CrossRefPubMed Galimberti, D., Reif, A., Dell’Orso, B., Palazzo, C., Villa, C., Fenoglio, C., Kittel-Schneider, S., et al. (2014a). C9ORF72 hexanucleotide repeat expansion as a rare cause of bipolar disorder. Bipolar Disorders, 16, 448–449.CrossRefPubMed
go back to reference Galimberti, D., Reif, A., Dell’Orso, B., Kittel-Schneider, S., Leonard, C., Herr, A., Palazzo, C., et al. (2014b). The C9ORF72 hexanucleotide repeat expansion is a rare cause of schizophrenia. Neurobiology of Aging, 35, 1214.CrossRefPubMed Galimberti, D., Reif, A., Dell’Orso, B., Kittel-Schneider, S., Leonard, C., Herr, A., Palazzo, C., et al. (2014b). The C9ORF72 hexanucleotide repeat expansion is a rare cause of schizophrenia. Neurobiology of Aging, 35, 1214.CrossRefPubMed
go back to reference Galimberti, D., Dell’Osso, B., Altamura, A. C., & Scarpini, E. (2015). Psychiatric symptoms in frontotemporal dementia: epidemiology, phenotypes, and differential diagnosis. Biological Psychiatry, 78, 684–692.CrossRefPubMed Galimberti, D., Dell’Osso, B., Altamura, A. C., & Scarpini, E. (2015). Psychiatric symptoms in frontotemporal dementia: epidemiology, phenotypes, and differential diagnosis. Biological Psychiatry, 78, 684–692.CrossRefPubMed
go back to reference Hallam, B.J., Silverberg, N.D., Lamarre, A.K., Mackenzie, I.R., Feldman, H.H. (2007–2008). Clinical presentation of prodromal frontotemporal dementia. American Journal of Alzheimer’s Disease and Other Dementias, 22, 456–467. Hallam, B.J., Silverberg, N.D., Lamarre, A.K., Mackenzie, I.R., Feldman, H.H. (2007–2008). Clinical presentation of prodromal frontotemporal dementia. American Journal of Alzheimer’s Disease and Other Dementias, 22, 456–467.
go back to reference Huey, E. D., Nagy, P. L., Rodriguez-Murillo, L., Manoochehri, M., Goldman, J., Lieberman, J., Karayiorgou, M., & Mayeux, R. (2013). C9ORF72 repeat expansions not detected in a group of patients with schizophrenia. Neurobiology of Aging, 34, 1309.CrossRefPubMed Huey, E. D., Nagy, P. L., Rodriguez-Murillo, L., Manoochehri, M., Goldman, J., Lieberman, J., Karayiorgou, M., & Mayeux, R. (2013). C9ORF72 repeat expansions not detected in a group of patients with schizophrenia. Neurobiology of Aging, 34, 1309.CrossRefPubMed
go back to reference International Huntington Association (IHA) and the World Federation of Neurology (WFN) Research Group on Huntington’s Chorea (1994). Guidelines for the molecular genetics predictive test in Huntington’s disease. Neurology, 44, 1533–1536.CrossRef International Huntington Association (IHA) and the World Federation of Neurology (WFN) Research Group on Huntington’s Chorea (1994). Guidelines for the molecular genetics predictive test in Huntington’s disease. Neurology, 44, 1533–1536.CrossRef
go back to reference Julien, C. L., Thompson, J. C., Wild, S., Yardumian, P., Snowden, J. S., Turner, G., & Craufurd, D. (2007). Psychiatric disorders in preclinical Huntington’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 78, 939–943.CrossRefPubMed Julien, C. L., Thompson, J. C., Wild, S., Yardumian, P., Snowden, J. S., Turner, G., & Craufurd, D. (2007). Psychiatric disorders in preclinical Huntington’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 78, 939–943.CrossRefPubMed
go back to reference Kertesz, A., Ang, L. C., Jesso, S., MacKinley, J., Baker, M., Brown, P., Shoesmith, C., et al. (2013). Psychosis and hallucinations in frontotemporal dementia with the C9ORF72 mutation: a detailed clinical cohort. Cognitive and Behavioral Neurology, 26, 146–154.CrossRefPubMedPubMedCentral Kertesz, A., Ang, L. C., Jesso, S., MacKinley, J., Baker, M., Brown, P., Shoesmith, C., et al. (2013). Psychosis and hallucinations in frontotemporal dementia with the C9ORF72 mutation: a detailed clinical cohort. Cognitive and Behavioral Neurology, 26, 146–154.CrossRefPubMedPubMedCentral
go back to reference Lanata, S. C., & Miller, B. L. (2016). The behavioural variant frontotemporal dementia (bvFTD) syndrome in psychiatry. Journal of Neurology, Neurosurgery and Psychiatry, 87, 501–511.CrossRefPubMed Lanata, S. C., & Miller, B. L. (2016). The behavioural variant frontotemporal dementia (bvFTD) syndrome in psychiatry. Journal of Neurology, Neurosurgery and Psychiatry, 87, 501–511.CrossRefPubMed
go back to reference MacLeod, R., Tibben, A., Frontali, M., Evers-Kiebooms, G., Jones, A., Martinez-Descales, A., Roos, R. A., & Editorial Committee and Working Group ‘Genetic Testing Counselling’ of the European Huntington Disease Network (2013). Recommendations for the predictive genetic test in Huntington’s disease. Clinical Genetics, 83, 221–231.CrossRefPubMed MacLeod, R., Tibben, A., Frontali, M., Evers-Kiebooms, G., Jones, A., Martinez-Descales, A., Roos, R. A., & Editorial Committee and Working Group ‘Genetic Testing Counselling’ of the European Huntington Disease Network (2013). Recommendations for the predictive genetic test in Huntington’s disease. Clinical Genetics, 83, 221–231.CrossRefPubMed
go back to reference Mand, C. M., Gillam, L., Duncan, R. E., & Delatycki, M. B. (2015). “I’m scared of being like mum”: the experience of adolescents living in families with Huntington disease. Journal of Huntington’s Disease, 4, 209–217.CrossRefPubMed Mand, C. M., Gillam, L., Duncan, R. E., & Delatycki, M. B. (2015). “I’m scared of being like mum”: the experience of adolescents living in families with Huntington disease. Journal of Huntington’s Disease, 4, 209–217.CrossRefPubMed
go back to reference Marshall, J., White, K., Weaver, M., Wetherill, L. F., Hui, S., Stout, J. C., Johnson, S. A., et al. (2007). Specific psychiatric manifestations among preclinical Huntington disease mutation carriers. Archives of Neurology, 64, 116–121.CrossRefPubMed Marshall, J., White, K., Weaver, M., Wetherill, L. F., Hui, S., Stout, J. C., Johnson, S. A., et al. (2007). Specific psychiatric manifestations among preclinical Huntington disease mutation carriers. Archives of Neurology, 64, 116–121.CrossRefPubMed
go back to reference Meisler, M. H., Grant, A. E., Jones, J. M., Lenk, G. M., He, F., Todd, P. K., Kamali, M., et al. (2013). C9ORF72 expansion in a family with bipolar disorder. Bipolar Disorders, 15, 326–332.CrossRefPubMedPubMedCentral Meisler, M. H., Grant, A. E., Jones, J. M., Lenk, G. M., He, F., Todd, P. K., Kamali, M., et al. (2013). C9ORF72 expansion in a family with bipolar disorder. Bipolar Disorders, 15, 326–332.CrossRefPubMedPubMedCentral
go back to reference Paulsen, J. S. (2010). Early detection of Huntington’s disease. Future Neurology, 5, 85–104.CrossRef Paulsen, J. S. (2010). Early detection of Huntington’s disease. Future Neurology, 5, 85–104.CrossRef
go back to reference Paulsen, J. S., Langbehn, D. R., Stout, J. C., Aylward, E., Ross, C. A., Nance, M., Guttman, M., Predict-HD Investigators and Coordinators of the Huntington Study Group, et al. (2008). Detection of Huntington’s disease decades before diagnosis: the Predict-HD study. Journal of Neurology, Neurosurgery and Psychiatry, 79, 874–880.CrossRefPubMed Paulsen, J. S., Langbehn, D. R., Stout, J. C., Aylward, E., Ross, C. A., Nance, M., Guttman, M., Predict-HD Investigators and Coordinators of the Huntington Study Group, et al. (2008). Detection of Huntington’s disease decades before diagnosis: the Predict-HD study. Journal of Neurology, Neurosurgery and Psychiatry, 79, 874–880.CrossRefPubMed
go back to reference Paulsen, J. S., Nance, M., Kim, J. I., Carlozzi, N. E., Panegyres, P. K., Erwin, C., Goh, A., et al. (2013). A review of quality of life after predictive testing for and earlier identification of neurodegenerative diseases. Progress in Neurobiology, 110, 2–28.CrossRefPubMed Paulsen, J. S., Nance, M., Kim, J. I., Carlozzi, N. E., Panegyres, P. K., Erwin, C., Goh, A., et al. (2013). A review of quality of life after predictive testing for and earlier identification of neurodegenerative diseases. Progress in Neurobiology, 110, 2–28.CrossRefPubMed
go back to reference Rascovsky, K., Hodges, J. R., Knopman, D., Mendez, M. F., Kramer, J. H., Neuhaus, J., van Swieten, J. C., et al. (2011). Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia. Brain, 134, 2456–2477.CrossRefPubMedPubMedCentral Rascovsky, K., Hodges, J. R., Knopman, D., Mendez, M. F., Kramer, J. H., Neuhaus, J., van Swieten, J. C., et al. (2011). Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia. Brain, 134, 2456–2477.CrossRefPubMedPubMedCentral
go back to reference Reilmann, R., Leavitt, B. R., & Ross, C. A. (2014). Diagnostic criteria for Huntington’s disease based on natural history. Movement Disorders, 29, 1335–1341.CrossRefPubMed Reilmann, R., Leavitt, B. R., & Ross, C. A. (2014). Diagnostic criteria for Huntington’s disease based on natural history. Movement Disorders, 29, 1335–1341.CrossRefPubMed
go back to reference Robins Wahlin, T. B. (2007). To know or not to know: a review of behaviour and suicidal ideation in preclinical Huntington’s disease. Patient Education Counseling, 65, 279–287.CrossRefPubMed Robins Wahlin, T. B. (2007). To know or not to know: a review of behaviour and suicidal ideation in preclinical Huntington’s disease. Patient Education Counseling, 65, 279–287.CrossRefPubMed
go back to reference Ross, C. A., Aylward, E. H., Wild, E. J., Langbehn, D. R., Long, J. D., Warner, J. H., Scahill, R. I., et al. (2014). Huntington disease: natural history, biomarkers and prospects for therapeutics. Nature Reviews Neurology, 10, 204–216.CrossRefPubMed Ross, C. A., Aylward, E. H., Wild, E. J., Langbehn, D. R., Long, J. D., Warner, J. H., Scahill, R. I., et al. (2014). Huntington disease: natural history, biomarkers and prospects for therapeutics. Nature Reviews Neurology, 10, 204–216.CrossRefPubMed
go back to reference Snowden, J. S., Rollinson, S., Thompson, J. C., Harris, J. M., Stopford, C. L., Richardson, A. M., Jones, M., et al. (2012). Distinct clinical and pathological characteristics of frontotemporal dementia associated with C9ORF72 mutations. Brain, 135, 693–708.CrossRefPubMedPubMedCentral Snowden, J. S., Rollinson, S., Thompson, J. C., Harris, J. M., Stopford, C. L., Richardson, A. M., Jones, M., et al. (2012). Distinct clinical and pathological characteristics of frontotemporal dementia associated with C9ORF72 mutations. Brain, 135, 693–708.CrossRefPubMedPubMedCentral
go back to reference Tabrizi, S. J., Scahill, R. I., Owen, G., Durr, A., Leavitt, B. R., Roos, R. A., Borowsky, B., et al. (2013). Predictors of phenotypic progression and disease onset in premanifest and early-stage Huntington’s disease in the TRACK-HD study: analysis of 36-month observational data. Lancet Neurology, 12, 637–649.CrossRefPubMed Tabrizi, S. J., Scahill, R. I., Owen, G., Durr, A., Leavitt, B. R., Roos, R. A., Borowsky, B., et al. (2013). Predictors of phenotypic progression and disease onset in premanifest and early-stage Huntington’s disease in the TRACK-HD study: analysis of 36-month observational data. Lancet Neurology, 12, 637–649.CrossRefPubMed
go back to reference Timman, R., Roos, R., Maat-Kievit, A., & Tibben, A. (2004). Adverse effects of predictive testing for Huntington disease underestimated: long-term effects 7–10 years after the test. Health Psychology, 23, 189–197.CrossRefPubMed Timman, R., Roos, R., Maat-Kievit, A., & Tibben, A. (2004). Adverse effects of predictive testing for Huntington disease underestimated: long-term effects 7–10 years after the test. Health Psychology, 23, 189–197.CrossRefPubMed
go back to reference van der Meer, L. B., van Duijn, E., Wolterbeek, R., & Tibben, A. (2012). Adverse childhood experiences of persons at risk for Huntington’s disease or BRCA1/2 hereditary breast/ovarian cancer. Clinical Genetics, 81, 18–23.CrossRefPubMed van der Meer, L. B., van Duijn, E., Wolterbeek, R., & Tibben, A. (2012). Adverse childhood experiences of persons at risk for Huntington’s disease or BRCA1/2 hereditary breast/ovarian cancer. Clinical Genetics, 81, 18–23.CrossRefPubMed
go back to reference van der Meer, L. B., van Duijn, E., Giltay, E. J., & Tibben, A. (2015). Do attachment style and emotion regulation strategies indicate distress in predictive testing? Journal of Genetic Counseling, 24, 862–871.CrossRefPubMedPubMedCentral van der Meer, L. B., van Duijn, E., Giltay, E. J., & Tibben, A. (2015). Do attachment style and emotion regulation strategies indicate distress in predictive testing? Journal of Genetic Counseling, 24, 862–871.CrossRefPubMedPubMedCentral
go back to reference Watson, A., Pribadi, M., Chowdari, K., Clifton, S., Wood, J., Miller, B. L., Coppola, G., & Nimgaonkar, V. (2016). C9orf72 repeat expansions that cause frontotemporal dementia are detectable among patients with psychosis. Psychiatry Research, 235, 200–202.CrossRefPubMed Watson, A., Pribadi, M., Chowdari, K., Clifton, S., Wood, J., Miller, B. L., Coppola, G., & Nimgaonkar, V. (2016). C9orf72 repeat expansions that cause frontotemporal dementia are detectable among patients with psychosis. Psychiatry Research, 235, 200–202.CrossRefPubMed
go back to reference Woolley, J. D., Khan, B. K., Murthy, N. K., Miller, B. L., & Rankin, K. P. (2011). The diagnostic.challenge of psychiatric symptoms in neurodegenerative disease: rates of and risk factors for prior psychiatric diagnosis in patients with early neurodegenerative disease. Journal of Clinical Psychiatry, 72, 126–133.CrossRefPubMedPubMedCentral Woolley, J. D., Khan, B. K., Murthy, N. K., Miller, B. L., & Rankin, K. P. (2011). The diagnostic.challenge of psychiatric symptoms in neurodegenerative disease: rates of and risk factors for prior psychiatric diagnosis in patients with early neurodegenerative disease. Journal of Clinical Psychiatry, 72, 126–133.CrossRefPubMedPubMedCentral
go back to reference Wylie, M. A., Shnall, A., Onyike, C. U., & Huey, E. D. (2013). Management of Frontotemporal dementia in mental health and multidisciplinary settings. International Review of Psychiatry, 25, 230–236.CrossRefPubMedPubMedCentral Wylie, M. A., Shnall, A., Onyike, C. U., & Huey, E. D. (2013). Management of Frontotemporal dementia in mental health and multidisciplinary settings. International Review of Psychiatry, 25, 230–236.CrossRefPubMedPubMedCentral
go back to reference Zanardini, R., Ciani, M., Benussi, L., & Ghidoni, R. (2016). Molecular pathways bridging frontotemporal lobar degeneration and psychiatric disorders. Frontiers in Aging Neuroscience, 8, 10.CrossRefPubMedPubMedCentral Zanardini, R., Ciani, M., Benussi, L., & Ghidoni, R. (2016). Molecular pathways bridging frontotemporal lobar degeneration and psychiatric disorders. Frontiers in Aging Neuroscience, 8, 10.CrossRefPubMedPubMedCentral
Metadata
Title
The Confluence of Psychiatric Symptoms and Neurodegenerative Disease: Impact on Genetic Counseling
Authors
Jill S. Goldman
Edward D. Huey
Deborah Z. Thorne
Publication date
01-06-2017
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 3/2017
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-016-0056-5

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