Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-28T04:02:02.940Z Has data issue: false hasContentIssue false

A Study of Psychiatric Morbidity in Patients with Huntington's Disease, Their Relatives, and Controls

Admissions to Psychiatric Hospitals in Denmark from 1969 to 1991

Published online by Cambridge University Press:  02 January 2018

Per Jensen
Affiliation:
Department of Psychiatry, State University Hospital, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark
Sven Asger Sørensen*
Affiliation:
Department of Psychiatry, State University Hospital, Blegdamsvej 9, DK-2100 Copenhagen ⊘, Denmark
Kirsten Fenger
Affiliation:
Department of Psychiatry, State University Hospital, Blegdamsvej 9, DK-2100 Copenhagen ⊘, Denmark
Tom G. Bolwig
Affiliation:
Department of Psychiatry, State University Hospital, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark
*
Correspondence

Abstract

Psychiatric morbidity among 74 non-affected first-degree relatives and 93 non-affected second-degree relatives of patients with Huntington's disease (HD) was compared with that of 37 patients with HD and with matched control groups. Due to specific age criteria, the first-degree relatives were at decreased risk and the second-degree relatives at negligible risk of being carriers of the gene for HD. Information on admissions to departments of psychiatry and diagnoses at discharge were obtained for all subjects from a nationwide central register. Psychiatric morbidity was no greater among relatives than among controls, whereas HD patients had significantly more admissions and psychiatric diagnoses than relatives. Growing up with a risk of developing HD does not itself increase the risk of developing psychiatric illness resulting in hospital admission. Severe psychiatric disorders in HD patients were thus most likely to be aetiologically related to the disease process, possibly through a genetic mechanism.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adams, P., Falek, A. & Arnold, J. (1988) Huntington's disease in Georgia: age at onset. American Journal of Human Genetics, 43, 695704.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Baxter, L. R., Mazziotta, J. C., Pahl, J. J., et al (1992) Psychiatric, genetic and positron emission tomographic evaluations of persons at risk for Huntington's disease. Archives of General Psychiatry, 49, 148154.Google Scholar
Bolt, J. M. W. (1970) Huntington's chorea in the west of Scotland. British Journal of Psychiatry, 116, 259270.Google Scholar
Caine, E. D. & Shoulson, I. (1983) Psychiatric syndromes in Huntington's disease. American Journal of Psychiatry, 140, 728733.Google Scholar
Craufurd, D. I. O. & Harris, R. (1986) Ethics of predictive testing for Huntington's chorea: the need for more information. British Medical Journal, 293, 249251.CrossRefGoogle ScholarPubMed
Dewhurst, K., Oliver, J., Trick, K. L. K., et al (1969) Neuropsychiatric aspects of Huntington's disease. Confinia Neurologica, 31, 258268.Google Scholar
Dupont, A. (1983) A national psychiatric case register as a tool for mental health planning, research and administration. The Danish model. In Information Support to Mental Health Programmes (eds Laska, E. M., Gulbinat, W. H. & Regier, D. A.), pp. 257274. New York: Human Sciences Press.Google Scholar
Fencer, K. & Sørensen, S. A. (1986) A computerised register for Huntington's chorea in Denmark. Clinical Genetics, 29, 460461.Google Scholar
Folstein, S. E. & Folstein, M. F. (1983) Psychiatric features of Huntington's disease: Recent approaches and findings. Psychiatric Developments, 2, 193206.Google Scholar
Folstein, S. E., Abbott, M. H., Chase, G. A., et al (1983) The association of affective disorder with Huntington's disease in a case series and in families. Psychological Medicine, 13, 537542.CrossRefGoogle Scholar
Gusella, J. F., Wexler, N. S., Conneally, P. M., et al (1983) A polymorphic DNA marker genetically linked to Huntington's disease. Nature, 306, 234238.Google Scholar
Haines, J. L. & Conneally, P. M. (1986) Causes of death in Huntington disease as reported on death certificates. Genetic Epidemiology, 3, 417423.CrossRefGoogle ScholarPubMed
Harper, P. S. (1991) Huntington's Disease. London: W. B. Saunders.Google Scholar
Harper, P. S. & Newcombe, R. G. (1992) Age at onset and life table risks in genetic counselling for Huntington's disease. Journal of Medical Genetics, 29, 239242.Google Scholar
Hayden, M. R., Ehrlich, R., Parker, H., et al (1980) Social perspectives in Huntington's chorea. South African Medical Journal, 58, 201203.Google Scholar
Hayden, M. R., Robbing, C., Allard, D., et al (1988) Improved predictive testing for Huntington disease by using three linked DNA markers. American Journal of Human Genetics, 43, 689694.Google Scholar
Heathfield, K. W. G. (1967) Huntington's chorea. Brain, 90, 203233.Google Scholar
King, M. (1985) Alcohol abuse in Huntington's disease. Psychological Medicine, 15, 815819.Google Scholar
Kurlan, R., Caine, E., Rubin, A., et al (1988) Cerebrospinal fluid correlates of depression in Huntington's disease. Archives of Neurology, 45, 881883.CrossRefGoogle ScholarPubMed
Mattsson, B. (1974) Huntington's chorea in Sweden. II. Social and clinical data. Acta Psychiatrica Scandinavica (suppl. 255), 221235.Google Scholar
Minski, L. & Guttmann, E. (1938) Huntington's chorea: a study of thirty-four families. Journal of Mental Science, 84, 2196.Google Scholar
Newcombe, R. G. (1981) A life table for onset of Huntington's chorea. Annals of Human Genetics, 45, 375385.Google Scholar
Oliver, J. E. (1970) Huntington's chorea in Northamptonshire. British Journal of Psychiatry, 116, 241253.Google Scholar
Schlesselman, J. J. (1982) Case-Control Studies: Design, Conduct, Analysis. New York: Wiley.Google Scholar
Schoenfeld, M., Myers, R. H., Cupples, L. A., et al (1984) Increased rate of suicide among patients with Huntington's disease. Journal of Neurology, Neurosurgery and Psychiatry, 47, 12831287.CrossRefGoogle ScholarPubMed
Sørensen, S. A. & Fenger, K. (1992) Causes of death in patients with Huntington's disease and in unaffected first degree relatives. Journal of Medical Genetics, 29, 911914.Google Scholar
Tyler, A., Harper, P. S., Davies, K., et al (1983) Family breakdown and stress in Huntington's chorea. Journal of Biosocial Science, 15, 127138.CrossRefGoogle ScholarPubMed
World Health Organization (1965) International Classification of Diseases (8th edn)(ICD-8). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.