{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T06:05:31Z","timestamp":1779257131601,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005040","name":"Bontius Stichting","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005040","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005039","name":"Leids Universitair Medisch Centrum","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005039","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Huntington's disease (HD) is a hereditary neurodegenerative disorder characterized by a range of motor, cognitive, and psychiatric symptoms. Psychological symptoms can arise from being at risk for the disease and from its manifestation, necessitating psychological interventions to address the evolving burden, even before onset. This qualitative study explores the psychological interventions used for HD within the Dutch health care context and identifies barriers and facilitators for their implementation across the different HD disease stages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative approach using semi\u2010structured interviews was employed, involving 13 experienced psychologists from HD health care facilities in the Netherlands. Thematic analysis was conducted to explore the types of psychological interventions used and the facilitators and barriers affecting their implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study identified a range of generic and more specific interventions, with their application varying according to the stages of HD. Early interventions focus on genetic counselling and trauma therapy, while mid to late\u2010stage care incorporates acceptance and commitment therapy (ACT) and cognitive behavioural therapy (CBT) for managing psychological symptoms. Late\u2010stage interventions shift to mediated approaches involving family and care teams. Key barriers include cognitive impairments and difficulties in referring patients to other mental health care providers, while key facilitators include multidisciplinary collaboration and preventive interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychological interventions for HD in the Netherlands are adapted to the disease progression, emphasizing the need for stage\u2010specific and personalized care. The findings highlight best\u2010care practices and the importance of early intervention, multidisciplinary collaboration, and evaluation while identifying areas for further research and improvement in care quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70034","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T04:36:04Z","timestamp":1766550964000},"page":"443-462","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological care for Huntington's disease: A qualitative study exploring interventions in the Netherlands"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5532-5553","authenticated-orcid":false,"given":"Kasper F.","family":"Van der Zwaan","sequence":"first","affiliation":[{"name":"Department of Neurology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6084-8317","authenticated-orcid":false,"given":"Laura C. M.","family":"Kuijper","sequence":"additional","affiliation":[{"name":"Department of Neurology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7036-768X","authenticated-orcid":false,"given":"Pearl J. C.","family":"van Lonkhuizen","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care Leiden University Medical Centre  Leiden the Netherlands"},{"name":"Huntington Expertise Center Topaz Overduin  Katwijk the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5591-1133","authenticated-orcid":false,"given":"Raymund A. C.","family":"Roos","sequence":"additional","affiliation":[{"name":"Department of Neurology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3512-2468","authenticated-orcid":false,"given":"Susanne T.","family":"de Bot","sequence":"additional","affiliation":[{"name":"Department of Neurology Leiden University Medical Centre  Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"35","volume-title":"Psychologie in de ouderenzorg. Een vak apart. Reeks psychologie en ouderen deel 7","author":"Allewijn M.","year":"2004"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3233\/JHD-180293"},{"key":"e_1_2_11_4_1","unstructured":"ATLAS.ti Scientific Software Development GmbH. (2024).Qualitative data analysis software."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-022-01245-0"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1755738012471029"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2015.10.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(04)80013-3"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20884"},{"key":"e_1_2_11_12_1","volume-title":"Hold me tight: Your guide to the most successful approach to building loving relationships","author":"Johnson S.","year":"2011"},{"key":"e_1_2_11_13_1","first-page":"5","article-title":"Mediatieve gedragstherapie in het verpleeghuis: Het gebruik van cognitief gedragstherapeutische analyses en cognitieve interventies met een zorgteam","volume":"39","author":"Klaver M.","year":"2006","journal-title":"Gedragstherapie"},{"issue":"1","key":"e_1_2_11_14_1","first-page":"5","article-title":"Mediatieve gedragstherapie in het verpleeghuis: Het gebruik van cognitief gedragstherapeutische analyses en cognitieve interventies met een zorgteam [Behavioral mediation therapy of a nursing home resident: the use of cognitive behavioral analyses and cognitive interventions with the nursing staff]","volume":"39","author":"Klaver M.","year":"2006","journal-title":"Gedragstherapie"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.erap.2012.08.005"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3233\/JHD-210516"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-5-40"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2007.9.2\/arosenblatt"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/psychiatry.IndianJPsychiatry_780_19"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.31.10.1333"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.29.1.1"},{"key":"e_1_2_11_22_1","unstructured":"Simpson J. Eccles F. &Zarotti N.(2021).Extended evidence\u2010based guidance on psychological interventions for psychological difficulties in individuals with Huntington's Disease."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2021-003074"},{"key":"e_1_2_11_24_1","article-title":"Psychological interventions for multiple sclerosis","volume":"2006","author":"Thomas P. 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