Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions

Persons who are at risk for Huntington's Disease (HD) can be tested for the HD gene expansion before symptom onset. People with the gene expansion, but no clinical diagnosis, are in the prodromal phase of HD. This study explored quality of life (QOL) in prodromal HD. Interviews about QOL, condu...

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Main Authors: Rebecca E. Ready, Justin J. F. O'Rourke, Jane S. Paulsen
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2011/958439
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author Rebecca E. Ready
Justin J. F. O'Rourke
Jane S. Paulsen
author_facet Rebecca E. Ready
Justin J. F. O'Rourke
Jane S. Paulsen
author_sort Rebecca E. Ready
collection DOAJ
description Persons who are at risk for Huntington's Disease (HD) can be tested for the HD gene expansion before symptom onset. People with the gene expansion, but no clinical diagnosis, are in the prodromal phase of HD. This study explored quality of life (QOL) in prodromal HD. Interviews about QOL, conducted with 9 prodromal HD participants and 6 companions, were transcribed. Discourse was coded for emotional valence, content (e.g., coping, spirituality, interpersonal relationships, HD in others, and employment), and time frame (e.g., current, past, and future). Respondents were more positive than negative about the present, which was their major focus. The most common statements were about positive attitudes. Positive statements were made about spirituality, and negative statements were made about HD in other people. Relationships, employment, and coping with HD reflected both positivity and negativity. Participants and companions spoke of the future with different concerns. Applicability of findings to the clinical management of HD are discussed.
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spelling doaj-art-06a684eb95764dbba32fc8ec4d5b95782025-08-20T03:55:23ZengWileyNeurology Research International2090-18522090-18602011-01-01201110.1155/2011/958439958439Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and CompanionsRebecca E. Ready0Justin J. F. O'Rourke1Jane S. Paulsen2Department of Psychology, The University of Massachusetts, Tobin Hall, 135 Hicks Way, Amherst, MA 01003, USADepartment of Psychiatry, The University of Iowa, Iowa City, IA 52242, USADepartment of Psychiatry, The University of Iowa, Iowa City, IA 52242, USAPersons who are at risk for Huntington's Disease (HD) can be tested for the HD gene expansion before symptom onset. People with the gene expansion, but no clinical diagnosis, are in the prodromal phase of HD. This study explored quality of life (QOL) in prodromal HD. Interviews about QOL, conducted with 9 prodromal HD participants and 6 companions, were transcribed. Discourse was coded for emotional valence, content (e.g., coping, spirituality, interpersonal relationships, HD in others, and employment), and time frame (e.g., current, past, and future). Respondents were more positive than negative about the present, which was their major focus. The most common statements were about positive attitudes. Positive statements were made about spirituality, and negative statements were made about HD in other people. Relationships, employment, and coping with HD reflected both positivity and negativity. Participants and companions spoke of the future with different concerns. Applicability of findings to the clinical management of HD are discussed.http://dx.doi.org/10.1155/2011/958439
spellingShingle Rebecca E. Ready
Justin J. F. O'Rourke
Jane S. Paulsen
Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions
Neurology Research International
title Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions
title_full Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions
title_fullStr Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions
title_full_unstemmed Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions
title_short Quality of Life in Prodromal HD: Qualitative Analyses of Discourse from Participants and Companions
title_sort quality of life in prodromal hd qualitative analyses of discourse from participants and companions
url http://dx.doi.org/10.1155/2011/958439
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