Premium
Social‐adaptive and psychological functioning of patients affected by Fabry disease
Author(s) -
Laney Dawn Alyssia,
Gruskin Daniel J.,
Fernhoff Paul M.,
Cubells Joseph F.,
Ousley Opal Y.,
Hipp Heather,
Mehta Ami J.
Publication year - 2010
Publication title -
journal of inherited metabolic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.462
H-Index - 102
eISSN - 1573-2665
pISSN - 0141-8955
DOI - 10.1007/s10545-009-9025-6
Subject(s) - anxiety , impulsivity , psychology , clinical psychology , population , psychological intervention , depression (economics) , psychiatry , medicine , environmental health , economics , macroeconomics
Summary Fabry disease (FD) is an X‐linked lysosomal storage disorder caused by the deficiency of alpha‐galactosidase A. In addition to the debilitating physical symptoms of FD, there are also under‐recognized and poorly characterized psychiatric features. As a first step toward characterizing psychiatric features of FD, we administered the Achenbach adult self report questionnaire to 30 FD patients and the Achenbach adult behavior checklist questionnaire to 28 partners/parents/friends of FD patients. Data from at least one of the questionnaires were available on 33 subjects. Analysis focused on social‐adaptive functioning in various aspects of daily life and on criteria related to the Diagnostic and statistical manual of mental disorders IV (DSM‐IV). Adaptive functioning scale values, which primarily measure social and relationship functioning and occupational success, showed that eight FD patients (six female and two male) had mean adaptive functioning deficits as compared to population norms. Greater rates of depression ( P < 0.01), anxiety ( P = 0.05), depression and anxiety ( P = 0.03), antisocial personality ( P < 0.001), attention‐deficit/hyperactivity (AD/H; P < 0.01), hyperactivity–impulsivity ( P < 0.01), and aggressive behavior ( P = 0.03) were associated with poorer adaptive functioning. Decreased social‐adaptive functioning in this study was not statistically significantly associated to disease severity, pain, or level of vitality. This study shows for the first time that FD patients, particularly women, are affected by decreased social‐adaptive functioning. Comprehensive treatment plans for FD should consider assessments and interventions to evaluate and improve social, occupational, and psychological functioning. Attention to the behavioral aspects of FD could lead to improved treatment outcome and improved quality of life. Individuals affected by Fabry disease exhibited social‐adaptive functioning deficits that were significantly correlated with anxiety, depression, antisocial behavior, and AD/H problems in a sampling of our male and female patients aged between 18 years and 59 years.