Ocorrência e impacto da apatia em pacientes com doença de Huntington

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Rebeca de Carvalho Teixeira
Isadora Pereira do Nascimento
Julia Carolina Rodrigues Miranda
Hellen Nycolle Oliveira Silva de Castro
Gabriela Costa Gonçalves
Maria Angélica Otero de Melo dos Reis
Thais Nunes Ximenes Viana
Ana Luiza Evencio Luz Sousa
Alicia Costa Santana
Myrna Maria Costa de Melo Silveira

Resumo

Objetivo: Avaliar a prevalência e o impacto da apatia em pacientes com doença de Huntington, considerando a gravidade dos sintomas, os fatores associados e as implicações para a qualidade de vida e o funcionamento diário. Métodos: Revisão integrativa na base de dados PubMed através da estratégia de pesquisa (Apathy) AND ("Huntington Disease"[MeSH]), abrangendo o período de 2018 a 2023. Foram encontrados 65 artigos, dos quais, 14 foram considerados relevantes. Resultados: A doença de Huntington (DH) manifesta-se através de déficits motores, cognitivos e sintomas neuropsiquiátricos, sendo a apatia, o sintoma mais prevalente e um dos últimos a emergir. Por ser um dos últimos sintomas a aparecer, a apatia pode ser relacionada com a evolução e estadiamento da doença. Considerações Finais: Evidencia-se a escassez de estudos que validem tratamentos específicos eficazes para a Doença de Huntigton. No entanto, dada a importância da funcionalidade na qualidade de vida e na inserção social de tais pacientes, bem como na alteração da trajetória da doença, o tratamento e manejo adequados podem melhorar o prognóstico do paciente.

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Como Citar
TeixeiraR. de C., NascimentoI. P. do, MirandaJ. C. R., CastroH. N. O. S. de, GonçalvesG. C., ReisM. A. O. de M. dos, VianaT. N. X., SousaA. L. E. L., SantanaA. C., & SilveiraM. M. C. de M. (2023). Ocorrência e impacto da apatia em pacientes com doença de Huntington. Revista Eletrônica Acervo Saúde, 23(12), e15093. https://doi.org/10.25248/reas.e15093.2023
Seção
Revisão Bibliográfica

Referências

1. ATKINS KJ, et al. Dissociable Motivational Deficits in Pre-manifest Huntington’s Disease. Cell Reports Medicine, 2020; 1(9): e100152.

2. ATKINS KJ, et al. Multidimensional Apathy: The Utility of the Dimensional Apathy Scale in Huntington’s Disease. Movement disorders clinical practice, 2021; 8(3): 361–370.

3. CLARK ML, et al. A systematic review and meta-analysis of depression and apathy frequency in adult-onset Huntington’s disease. Neuroscience and Biobehavioral Reviews, 2023; e105166.

4. CROWLEY OK, et al. Apathy Associated With Impaired Recognition of Happy Facial Expressions in Huntington’s Disease. Journal of the International Neuropsychological Society, 2019; 25(5): 453-461.

5. DE PAEPE AE, et al. Gray Matter Vulnerabilities Predict Longitudinal Development of Apathy in Huntington’s Disease. Wiley, 2020; 36(9): 2162-2172.

6. DE PAEPE AE, et al. White matter cortico-striatal tracts predict apathy subtypes in Huntington's T disease. Elsevier, 2019; 24: e101965.

7. FRITZ NE, et al. Relationships among Apathy, Health-Related Quality of Life and Function in Huntington’s disease. J Neuropsychiatry Clin Neurosci, 2018; 30(3): 194–201.

8. GUNN S, et al. Mental health symptoms among those affected by Huntington’s disease: A cross-sectional study, Brain Behav, 2023; 13: e2954.

9. HARE E, et al. Cognitive processes of apathy in Huntington’s disease show high sensitivity to disease progression. Elsevier, 2022; 7: 100168.

10. LEE B, et al.Clinical utility and psychometric properties of the Apathy Evaluation Scale. Rehabilitation psychology, 2020; 65(3): 311.

11. MATMATI J, et al. Apathy and Huntington’s Disease: A Literature Review Based on PRISMA. Neuropsychiatry Clin Neurosci, 2022; 34: 2.

12. MCALLISTER B, et al. Timing and Impact of Psychiatric, Cognitive, and Motor Abnormalities in Huntington Disease, Neurology, 2021; 96(19): e2395-e2406.

13. MCALLISTER B, et al. Timing and Impact of Psychiatric, Cognitive, and Motor Abnormalities in Huntington Disease. Neurology, 2021; 96: e2395-e2406.

14. MIGLIORE S, et al. Cognitive and behavioral associated changes in manifest Huntington disease: A retrospective cross-sectional study. Wiley Periodicals, 2021; 11(7): e02151.

15. MORRIS LA, et al. Disordered Decision Making: A Cognitive Framework for Apathy and Impulsivity in Huntington’s Disease. Movement Disorders, 2022; 37(6): 1149-1163.

16. PALAIOGEORGOU, Anastasia Marina et al. Recent approaches on Huntington's disease. Biomedical Reports, 2023; 18(1): 1-7.

17. RUIZ-IDIAGO J, et al. Longitudinal analysis of neuropsychiatric symptoms in a large cohort of early-moderate manifest Huntington’s disease patients. Parkinsonism & Related Disorders, 2023; 106: 105228.

18. SELLERS MSN, et al. A Systematic Review of Neuropsychiatric Symptoms and Functional Capacity in Huntington’s Disease. J Neuropsychiatry Clin Neurosci, 2020; 32(2): 109-124.

19. VAN DER ZWAAN KF, et al. Huntington's disease influences employment before and during clinical manifestation: A systematic review. Elsevier, 2022; 96:100-108.

20. VAN DER ZWAAN KF, et al. Predictors of Working Capacity Changes Related to Huntington's Disease: A Longitudinal Study. Journal of Huntington’s Disease, 2021; 10(2): 269-276.