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Cognitive change in patients with Huntington disease on the Repeatable Battery for the Assessment of Neuropsychological Status
Journal article   Peer reviewed

Cognitive change in patients with Huntington disease on the Repeatable Battery for the Assessment of Neuropsychological Status

Leigh J. Beglinger, Kevin Duff, Jessica Allison, Danielle Theriault, Justin J. F. O'Rourke, Anne Leserman and Jane S. Paulsen
Journal of clinical and experimental neuropsychology, Vol.32(6), pp.573-578
07/2010
DOI: 10.1080/13803390903313564
PMCID: PMC3806302
PMID: 19882420
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3806302View
Open Access

Abstract

Huntington disease (HD) is a neurodegenerative disease associated with cognitive, motor, and psychiatric deterioration over time. Although there is currently no cure for HD, there has been a surge of clinical trials available to patients with HD over the past 5 years. However, cognitive measures have generally been lacking from these trials. A brief, repeatable neuropsychological battery is needed to assess cognitive endpoints. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) may be useful for assessing change in interventional studies or for clinical monitoring. A total of 38 patients with HD were assessed using the RBANS, other cognitive tests, and the standardized HD battery (Unified Huntington's Disease Rating Scale, UHDRS) at two clinic visits approximately 16 months apart. The RBANS Attention Index, as well as individual subtest scores on Coding, Digit Span, List Recognition, Figure Copy, and Figure Recall all declined significantly over this interval. Performance on the UHDRS cognitive tests (Symbol Digit Modalities; Stroop Color, and Stroop Word) also declined, as did functional capacity. Results suggest that cognitive changes were detected both on established cognitive tasks used in HD research and on the RBANS in patients with measurable functional decline. The RBANS provided additional information about other cognitive domains affected (e.g., memory) and may be a useful measure for tracking longitudinal change.
Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Psychology Psychology, Clinical Science & Technology Social Sciences

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