SpringerLink
Log in

Psychosoziale Problembereiche bei der Huntington-Krankheit

  • Chapter
Psychologie in der Neurologie

Part of the book series: Jahrbuch der medizinischen Psychologie ((MEDPSYCHOL,volume 2))

  • 91 Accesses

Zusammenfassung

Die Huntington-Chorea ist eine neuropsychiatrische Krankheit mit Störungen der kognitiven, affektiven und motorischen Funktionen. Aufgrund des Krankheitsbe-ginns im mittleren Lebensalter sowie der autosomal-dominanten Vererbung führt dieses Leiden zu vielfaltigen psychosozialen Problemen bei betroffenen Familienmit-gliedern. Unter den Erkrankten werden depressive und aggressive Verhaltensweisen gehäuft festgestellt. Ehepartner sind durch die Übernahme der alleinigen Versorgerrolle oft überfordert. Insbesondere bei frühem Erkrankungsalter sind familiärer Streß und Konflikte zu erwarten. Aufgrund gentechnologischer Fortschritte ist die Huntington-Erbanlage künftig präsymptomatisch und pränatal nachweisbar. Dabei sind psychosoziale Folgeprobleme zu beachten.

Summary

Huntington’s disease is a neuropsychiatric disorder disturbing intellectual, affective and motor functions. Because of the onset in the middle of life and the autosomal dominant inheritance this disease causes multiple pyschosocial problems for family members involved.

Affected persons react with depressive and aggressive behavior problems. Partners are overchanged with caring duties. Especaially in cases of early manifestation this disease leads to family stress and family conflicts. Presymptomatic (and prenatal) diagnosis of Huntington’s disease has recently become possible using gene technology. The psychosocial problems associated with the new method must be considered.

Diese Arbeit entstand mit Unterstützung der Robert-Bosch-Stiftung.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
GBP 19.95
Price includes VAT (United Kingdom)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
GBP 36.99
Price includes VAT (United Kingdom)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
GBP 46.99
Price includes VAT (United Kingdom)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

Literatur

  • Barette J, Marsden CD (1979) Attitudes of families to some aspects of Huntington’s chorea. Psychol Med 9 /2: 327–336

    Article  PubMed  Google Scholar 

  • Bates M (1981) Ethics of provocative test for Huntington’s disease. N Engl J Med 304: 175–176

    PubMed  Google Scholar 

  • Bird SJ (1985) Presymptomatic testing for Huntington’s disease. JAMA 253: 3286–3281

    Article  PubMed  Google Scholar 

  • Borchardt D, Oepen G, Kiesel B (1988) Zur Spezifität des neuropsychologischen Testprofils bei Huntingtonscher Krankheit. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 92–100

    Google Scholar 

  • Caine ED, Shoulson I (1983) Psychiatric syndromes in Huntington’s disease. Am J Psychiatry 140: 728–733

    PubMed  Google Scholar 

  • Craufurd DI, Harris R (1986) Ethics of predictive testing for Huntington’s chorea: the need for more information. Br Med J 293: 249–251

    Article  Google Scholar 

  • Deuschl G, Oepen G, Wolff G (Hrsg) (1988) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Dewhurst K, Oliver JE, McKnight AL (1970) Socio–psychiatric consequences of Huntington’s disease. Br J Psychiatry 116: 225–228

    Article  Google Scholar 

  • Evers-Kiebooms G, Cassiman JJ, Berghe J van den (1987) Attitudes towards predictive testing in Huntington’s disease: A recent survey in Belgium. J Med Genet 24: 275–279

    Article  PubMed  Google Scholar 

  • Falek A (1979) Observations on patient and family co** with Huntington’s disease. Omega J Death Dying 10: 35–42

    Article  Google Scholar 

  • Farrer LA (1986) Suicide and attempted suicide in Huntington disease: Implications for preclinical testing of persons at risk. Am J Med Genet 24: 305–311

    Article  PubMed  Google Scholar 

  • Fehrenbach RA, Wallesch CW (1988) Zur Kommunikationsstörung bei Huntingtonscher Krankheit. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 101–108

    Google Scholar 

  • Froster-Iskenius U (1988) Püotstudien zur präsymptomatischen Testung bei Huntingtonscher Krankheit. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 44

    Google Scholar 

  • Gusella J, Wexler NS, Conneally PM, Naylor SL et al. (1983) The polymorphic DNA marker genetically linked to Huntington’s disease. Nature 306: 234–238

    Article  PubMed  Google Scholar 

  • Hans M, Koeppen A (1980) Huntington’s Chorea: Its impact on the spouse. J Nerv Ment Dis 168: 209–214

    Article  PubMed  Google Scholar 

  • Hayden MR (1981) Huntington’s Chorea. Springer, Berlin Heidelberg New York Tokyo

    Book  Google Scholar 

  • Jarka M (1986) Die Psychodynamik der Krankheitsverarbeitung. In: Oepen H (Hrsg) Die Huntingtonsche Krankheit. Hippokrates, Stuttgart, S 67–74

    Google Scholar 

  • Jarka M (1988) Zur psychologischen Problematik prädiktiver genetischer Diagnostik bei Huntington–Risiko. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 54– 61

    Google Scholar 

  • Keßler S (1987a) Letter to the editor: The düemma of suicide and huntington disease. Am J Med Genet 26: 315–317

    Article  Google Scholar 

  • Keßler S (1987b) Psychiatric implications of presymptomatic testing for Huntington’s disease. Am J Orthopsychiatry 57: 212–219

    Article  Google Scholar 

  • Keßler S, Field T, Worth L, Mosbarger H (1987) Attitudes of persons at risk for Huntington disease towards predictive testing. Am J Med Genet 26: 259–270

    Article  PubMed  Google Scholar 

  • Köhler K, Sass H (1984) Affective psychopathology in Huntington’s disease: The Johns Hopkins hypothesis and German psychiatry. Psychol Med 14: 733–737

    Article  Google Scholar 

  • Koller WC, Davenpont J (1984) Genetic testing in Huntington’s disease. Ann Neurol 16: 511–512

    Article  PubMed  Google Scholar 

  • Lamport AT (1987) Presymptomatic testing for Huntington Chorea: Ethical and legal issues. Am J Med Genet 26: 307–314

    Article  PubMed  Google Scholar 

  • Leimkühler AM (1987) „Selbsthilfepotential der Famüie“als Überforderung des Ehepartners. Bericht über eine Angehörigengruppe von Chorea Huntington-Patienten. Psychiatr Prax 14:78–83

    PubMed  Google Scholar 

  • Markel DS, Young AB, Penney JB (1987) At risk person’s attitudes toward presymptomatic and prenatal testing of Huntington disease in Michigan. Am J Med Genet 26: 295–305

    Article  PubMed  Google Scholar 

  • Martindale B, Bottomley V (1980) The management of families with Huntington’s Chorea: A case study to illustrate some recommendations. J ChÜd Psychol Psychiatry 21: 343–351

    Article  Google Scholar 

  • Mastromauro C, Myers RH, Berkman B (1987) Attitudes towards presymptomatic testing in Huntington disease. Am J Med Genet 26: 271–282

    Article  PubMed  Google Scholar 

  • Maue E, Weindl A (1988) Krankheitsmanifestation und psychosoziale Aspekte der Huntingtonsehen Krankheit: Untersuchungen an einem Patientenkollektiv im südlichen Bayern. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Heidelberg Berlin New York Tokyo, S 18–26

    Google Scholar 

  • McCormack MK, Leiblum S, Lazzarini A (1983) Attitudes regarding utilization of artificial insemination by donor in Huntington disease. Am J Med Genet 14: 5–13

    Article  PubMed  Google Scholar 

  • Meissen GJ, Berchek RL (1987) Intended use of predictive testing by those at risk for Huntington disease. Am J Med Genet 26: 283–293

    Article  PubMed  Google Scholar 

  • Oepen G (1986) Zur Psychopathometrie und Neuropsyehologie. In: Oepen H (Hrsg) Die Huntingtonsche Krankheit. Hippokrates, Stuttgart, S 55–58

    Google Scholar 

  • Phipps E, Desplat PH (1984) The intertwining of the family system in Huntington’s disease. Farn Syst Med 3: 298–308

    Article  Google Scholar 

  • Piechotta B (1988) Störungen der Ich-Funktion bei Huntington-Risiko-Personen mit Verhal- tensauffalligkeiten. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 27– 34

    Google Scholar 

  • Podoll K, Noth J, Caspary P, Lange HW (1988) Schriftveränderungen und dysgraphische Störungen bei Huntingtonscher Krankheit. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 109–117

    Google Scholar 

  • Power PW (1977) The adolescent’s reaction to chronic illness of a parent: Some implications for family counseling. Am J Fam Ther 5 /1: 70–78

    Google Scholar 

  • Power PW (1982) Family Intervention in rehabilitation of patient with Huntington’s disease. Arch Phys Med Rehabil 63 /9: 441–442

    Google Scholar 

  • Richter HE (1987) Leben statt Machen. Hoffmann & Campe, Hamburg

    Google Scholar 

  • Sands RG (1984) Social work with victims of Huntington’s disease. Soc Work Health Care 9/ 4: 63–71

    Article  Google Scholar 

  • Schoenfeld M, Myers RH, Cupples LA, Berkman B, Say DS, Clark E (1984a) Increased rate of suicide among patients with Huntington disease. J Neurol neurosurg Psychiatry 47:1283– 1287

    Article  Google Scholar 

  • Schoenfeld M, Berkman B, Myers RH, Clark E (1984b) Attitudes toward marriage and childbearing of individuals at risk for Huntington’s disease. Soc Work Health Care 9 /4: 73–81

    Article  PubMed  Google Scholar 

  • Shaw MW (1987) Testing for the Huntington gene: A right to know, right not to know, or a duty to know. Am J Med Genet 26: 243–246

    Article  PubMed  Google Scholar 

  • Smurl JF, Weaver DD (1987) Presymptomatic testing for Huntington chorea: Guidelines for moral and social accountability. Am J Med Genet 26: 247–257

    Article  PubMed  Google Scholar 

  • Stern R, Eldridge R (1975) Attitudes of patients and their relatives to huntington’s disease. J Med Genet 12: 217–223

    Article  PubMed  Google Scholar 

  • Stober T, Jacobi P, Emser W, Schimrigk K (1988) Die Isoniazidtherapie bei Huntingtonscher Krankheit: Klinische, elektrophysiologische und neuropsychologische Veränderungen. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S156–160

    Google Scholar 

  • Swavely SM, Silverman WH, Falek A (1987) Psychological impact of the development of a presymptomatic test for Huntington’s disease. Health Psychol 6: 149–157

    Article  PubMed  Google Scholar 

  • Teitscher B, Polgar S (1981) Objective knowledge about Huntingtons’s disease and attitudes towards predictive test of persons at risk. J Med Genet 18: 31–39

    Article  Google Scholar 

  • Thomas S (1982) Ethics of a predictive test for Huntington’s chorea. Br Med J [Clin Res] 284: 1383–1385

    Article  Google Scholar 

  • Tyler A, Harper PS (1983) Attitudes of subjects at risk and their relatives toward genetic counselling in Huntington’s chorea. J Med Genet 20: 179–188

    Article  PubMed  Google Scholar 

  • Tyler A, Harper PS, Davies K, Newcome RG (1983) Familiy break-down and stress in Huntington’s chorea. Biosc Sei 15: 127–138

    Google Scholar 

  • Wexler NS (1984) Genetisches „Russisches Roulette“. In: Keßler S (Hrsg) Die Erfahrung, potentieller Anlageträger der Chorea Huntington zu sein. Enke, Stuttgart ( Psychologische Aspekte der genetischen Beratung; Übers. B. Murken ), S 199–220

    Google Scholar 

  • Wexler NS (1985) Genetic jeopardy and the new clairvoyance. In: Bean A, Motulsky A, Childs B (eds) Progress in medical genetics. Praeger, Philadelphia, pp 277–304

    Google Scholar 

  • Wexler NS, Conneally PM, Housman D, Gusella JF (1985) A DNA polymorphism for Huntington’s disease marks the future. Arch neurol 42 /1: 20–24

    Google Scholar 

  • Wolff G (1988) Genetische Beratung bei Huntingtonscher Krankheit. In: Deuschl G, Oepen G, Wolff G (Hrsg) Die Huntingtonsche Krankheit: Klinik, Beratung, Diagnostik, Therapie. Springer, Berlin Heidelberg New York Tokyo, S 35–43

    Google Scholar 

Download references

Authors
  1. M. Jarka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H.-J. Schütz
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Fachrichtung Medizinische und Klinische Psychologie, Universität des Saarlandes, 6650, Homburg/Saar, Germany

    Peter Jacobi (Leiter) (Leiter)

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jarka, M., Schütz, HJ. (1989). Psychosoziale Problembereiche bei der Huntington-Krankheit. In: Jacobi, P. (eds) Psychologie in der Neurologie. Jahrbuch der medizinischen Psychologie, vol 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74385-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74385-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50688-1

  • Online ISBN: 978-3-642-74385-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation