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Temas em PsicologiaVolume 24, Issue 2, June 2016, Pages 579-594

Depression as the Middle-and Long-Term Impact for Pre-Symptomatic Testing of Late-Onset Neurodegenerative Disorders(Article)(Open Access)

  • aCenter for Predictive and Preventive Genetics (CGPP), Institute for Molecular and Cell Biology (IBMC), R. Júlio Amaral de Carvalho, 45, Porto, 4200-135, Portugal
  • bI3S-Instituto de Investigação e Inovação em Saúde, University Porto, Oporto, Portugal
  • cFaculty of Psychology (ULP), Lusophone University of Oporto, Porto, Portugal
  • dHigher Institute of Social Work of Porto (ISSSP), Porto, Portugal
  • eFernando Pessoa University (UFP), UFP Energy, Environment and Health Research Unit (FP-ENAS), Porto, Portugal
  • fI3S - Instituto de Investigação e Inovação em Saúde, University Porto, Oporto, Portugal
  • gInstituto de Ciências Biomédicas Salazar (ICBAS), Porto, Portugal

Abstract

This cross-sectional study investigated depression as the middle-(4 years) and long-Term (7 and 10 years) psychological impact of pre-symptomatic testing (PST) for 3 autosomal dominant late-onset diseases: Huntington's disease (HD), Machado-Joseph disease (MJD) and familial amyloidotic polyneuropathy (FAP) TTR V30M. It included 203 subjects: 170 (83.7%) underwent the PST for FAP, 29 (14.3%) for HD and 4 (2%) for MJD. Of these 203, 73 were still asymptomatic carriers, 29 (14.5%) were symptomatic, 9 (4.5%) were FAP liver transplanted patients and 89 (44.5%) were non-carriers. Subjects were mainly women (58.1%) and married (66.5%). The Beck Depression Inventory (BDI) was used to evaluate depression. Scores were higher for symptomatic carriers and for those who have made one or more psychological support consultations over the years. For the formers, the mean scores pointed to mild depression. Asymptomatic carriers and non-carriers had similar scores but it was impossible to differentiate the psychological impact between the medium and long-Term. For symptomatic carriers, there were significant differences between the middle-and long-Term. The study indicates that depression occurs only when subjects had previously manifested the first symptoms of their neurologic disease.

Author keywords

DepressionLate-Onset Neurologic DiseasesPre-Symptomatic TestingPsychological Impact
  • ISSN: 1413389X
  • Source Type: Journal
  • Original language: English
  • DOI: 10.9788/TP2016.2-11
  • Document Type: Article
  • Publisher: Sociedade Brasileira de Psicologia

  Lêdo, S.; Center for Predictive and Preventive Genetics (CGPP), Institute for Molecular and Cell Biology (IBMC), R. Júlio Amaral de Carvalho, 45, Porto, Portugal;
© Copyright 2018 Elsevier B.V., All rights reserved.

Cited by 3 documents

Teixeira Leite, Â.M. , Dinis, M.A.P. , Lêdo da Silva Pinto, S.M.
Long-term Negative Psychological Impact of Presymptomatic Testing on Familial Amyloid Polyneuropathy
(2019) Clinica y Salud
Lêdo, S. , Ramires, A. , Leite, Â.
Long-term predictors for psychological outcome of pre-symptomatic testing for late-onset neurological diseases
(2018) European Journal of Medical Genetics
Lopes, A. , Fonseca, I. , Sousa, A.
Psychopathological dimensions in subjects with hereditary ATTR V30M amyloidosis and their relation with life events due to the disease
(2018) Amyloid
View details of all 3 citations
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