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The Movement Disorder Society commissioned the assessment of the clinimetric properties of rating scales in Huntington's disease to make recommendations regarding their use, following previously used standardized criteria. A systematic literature search was conducted to identify the scales used to assess behavioral symptoms in Huntington's disease. For the purpose of this review, 7 behavioral domains were deemed significant in Huntington's disease: irritability, anxiety, depression, apathy, obsessive\u2010compulsive behaviors, psychosis, and suicidal ideation. We included a total of 27 behavioral rating scales, 19 of which were of a single behavioral domain and the remaining 8 scales included multiple behavioral domains. Three rating scales were classified as \u201crecommended\u201d exclusively for <jats:italic>screening<\/jats:italic> purposes: the Irritability Scale for irritability, the Beck Depression Inventory\u2010II, and the Hospital Anxiety and Depression Scale for depression. There were no \u201crecommended\u201d scales for other purposes such as diagnosis, severity, or change in time or to treatment. The main challenges identified for assessment of behavioral symptoms in Huntington's disease are the co\u2010occurrence of multiple behavioral symptoms, the particular features of a behavioral symptom in Huntington's disease, and the need to address stage\u2010 and disease\u2010specific features, including cognitive impairment and lack of insight. The committee concluded that there is a need to further validate currently available behavioral rating scales in Huntington's disease to address gaps in scale validation for specific behavioral domains and purpose of use. \u00a9 2016 International Parkinson and Movement Disorder Society<\/jats:p>","DOI":"10.1002\/mds.26675","type":"journal-article","created":{"date-parts":[[2016,6,14]],"date-time":"2016-06-14T07:50:44Z","timestamp":1465890644000},"page":"1466-1478","source":"Crossref","is-referenced-by-count":56,"title":["Rating scales for behavioral symptoms in Huntington's disease: Critique and recommendations"],"prefix":"10.1002","volume":"31","author":[{"given":"Tiago A.","family":"Mestre","sequence":"first","affiliation":[{"name":"Parkinson's Disease and Movement Disorders Center, Division of Neurology, Department of Medicine, The Ottawa Hospital Research Institute University of Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"van Duijn","sequence":"additional","affiliation":[{"name":"Psychiatry Department Leiden University Medical Centre and Centre for Mental Health Care Delfland Delft Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aileen M.","family":"Davis","sequence":"additional","affiliation":[{"name":"Krembil Research Institute, University Health Network and Institute of Health Policy, Management and Evaluation and Rehabilitation Institute University of Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Catherine","family":"Bachoud\u2010L\u00e9vi","sequence":"additional","affiliation":[{"name":"Assistance Publique\u2010H\u00f4pitaux De Paris, National Centre of Reference for Huntington's Disease, Neurology Department Universit\u00e9 Paris Est Cr\u00e9teil; 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