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Estimating Premorbid Functioning in Huntington's Disease: The Relationship between Disease Progression and the Wide Range Achievement Test Reading Subtest
Journal article   Open access   Peer reviewed

Estimating Premorbid Functioning in Huntington's Disease: The Relationship between Disease Progression and the Wide Range Achievement Test Reading Subtest

Justin J.F O'Rourke, William H Adams, Kevin Duff, Joanne Byars, Peg Nopoulos, Jane S Paulsen and Leigh J Beglinger
Archives of clinical neuropsychology, Vol.26(1), pp.59-66
02/2011
DOI: 10.1093/arclin/acq088
PMCID: PMC3021970
PMID: 21147861
url
https://doi.org/10.1093/arclin/acq088View
Published (Version of record) Open Access

Abstract

The estimation of premorbid abilities is an essential part of a neuropsychological evaluation, especially in neurodegenerative conditions. Although word pronunciation tests are one standard method for estimating the premorbid level, research suggests that these tests may not be valid in neurodegenerative diseases. Therefore, the current study sought to examine two estimates of premorbid intellect, the Wide Range Achievement Test (WRAT) Reading subtest and the Barona formula, in 93 patients with mild to moderate Huntington's disease (HD) to determine their utility and to investigate how these measures relate to signs and symptoms of disease progression. In 89% of participants, WRAT estimates were below the Barona estimates. WRAT estimates were related to worsening memory and motor functioning, whereas the Barona estimates had weaker relationships. Neither estimate was related to depression or functional capacity. Irregular word reading tests appear to decline with HD progression, whereas estimation methods based on demographic factors may be more robust but overestimate premorbid functioning.
assessment dementia basal ganglia movement disorders Original Empirical Huntington's disease

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