AI Article Synopsis

  • The study investigates the psychosocial needs of FXTAS patients and their caregivers, focusing on emotional, informational, and instrumental support.
  • Both groups identified informational needs as the most critical, followed by emotional and instrumental support, highlighting a significant gap in available resources.
  • The findings suggest that healthcare providers should be better equipped to offer timely information and effectively connect patients and caregivers to both formal services and informal support networks.

Article Abstract

Objectives: Psychosocial stressors faced by patients with fragile X-associated tremor/ataxia syndrome (FXTAS) and their caregivers have not been systematically explored. FXTAS is a neurodegenerative disease occurring in approximately 45% of elderly male carriers and 8-16% of female carriers of the fragile X mental retardation one premutation. This study investigated the subjective needs of patients with FXTAS and their family caregivers, by utilizing Q-sort methodology.

Method: Patients with FXTAS and their caregivers seen during January 2005 to June 2007 participated. The Q-sort was composed of 17 (eight formal and nine informal) items, designed to explore emotional, informational, and instrumental needs of patients with FXTAS and their caregivers. Item scores were generated from 1 = least important to 7 = most important. Analysis included descriptive statistics for all the demographic and outcome variables. Generalized estimating equations were used to identify which of the need domains were perceived as most important by the participants.

Results: A total of 24 patients (79% men, mean age 65.6 ± 6.4 years) with FXTAS and 18 caregivers (11% men, mean age 63.6 ± 6.2 years) completed the Q-sort. Both patients and caregivers rated informational needs as most important, followed by emotional and, finally, by instrumental needs. Participants lacked many important resources, in particular those addressing instrumental needs.

Conclusion: Providers should be educated and able to provide timely information and referrals to formal services, as well as to informal resources, including the National Fragile X Foundation online support network (www.fragilex.org).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3189491PMC
http://dx.doi.org/10.1080/13607863.2010.501066DOI Listing

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Objective: To determine whether executive function deterioration experienced by premutation carriers (PC) in daily life precedes and predicts FXTAS.

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Background: Men with fragile X-associated tremor/ataxia syndrome (FXTAS) often develop executive dysfunction, characterized by disinhibition, frontal dyscontrol of movement, and working memory and attention changes. Although cross-sectional studies have suggested that earlier executive function changes may precede FXTAS, the lack of longitudinal studies have made it difficult to address this hypothesis.

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Article Synopsis
  • The study investigates the psychosocial needs of FXTAS patients and their caregivers, focusing on emotional, informational, and instrumental support.
  • Both groups identified informational needs as the most critical, followed by emotional and instrumental support, highlighting a significant gap in available resources.
  • The findings suggest that healthcare providers should be better equipped to offer timely information and effectively connect patients and caregivers to both formal services and informal support networks.
View Article and Find Full Text PDF

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