The experiences of partners of individuals with pre-symptomatic Huntington’s disease: a reflexive thematic analysis.

Publication date: Jul 08, 2026

Individuals with the Huntington disease gene can often remain symptom free until their mid-40s. While the experiences of partners of individuals at the symptomatic stage of Huntington’s disease have been explored, the experiences of the partner in this pre-symptomatic stage have been largely ignored. This qualitative study explores the experiences of partners of individuals with pre-symptomatic Huntington’s disease to provide new insights into the perspectives of and challenges to partners during this stage. Eight partners (five women and three men) of individuals (four women, four men) with pre-symptomatic Huntington’s disease from three different countries (UK, US and Canada) took part in individual, semi-structured interviews. Reflexive thematic analysis was used to create themes. The analysis resulted in three themes: (1) Partners’ navigation of time and uncertainty during the pre-symptomatic stage;(2) Immersion in the research: a road to hope; (3) Us versus the world: how the shared experience of HD strengthened relationships. Partners were affected by Huntington’s disease even before symptoms appeared and developed proactive strategies to manage uncertainty and future planning. Couples often navigated these challenges together, strengthening their relationship through communication and shared decision-making. The study highlights implications for supporting partners’ psychological well-being in both research and clinical practice.

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Concepts Keywords
Canada chronic illness
Disease experience
Huntington Huntington’s Disease
Interviews partner
Women qualitative

Semantics

Type Source Name
disease MESH Huntington’s disease
pathway KEGG Huntington disease
drug DRUGBANK Coenzyme M
disease MESH NHS
disease MESH Chronic illness
pathway REACTOME Reproduction
disease MESH anxiety
disease MESH Lam
disease MESH cognitive impairments
disease MESH Parkinson’s disease
disease MESH included
disease MESH Image
disease MESH FHM
drug DRUGBANK Nonoxynol-9
disease MESH plan
drug DRUGBANK Isoxaflutole
disease MESH ALS amyotrophic lateral sclerosis
disease MESH motor neuron disease
drug DRUGBANK Polyethylene glycol
disease MESH face
disease MESH hereditary disease
drug DRUGBANK Nordazepam
disease MESH neurodegenerative disorder
disease MESH dementia
drug DRUGBANK Etoperidone
disease MESH COVID 19
disease MESH Park
disease MESH Movement Disorders
disease MESH mds
disease MESH strain
drug DRUGBANK Indoleacetic acid
disease MESH Parkinsonism
disease MESH car
disease MESH Pain
disease MESH Headache
disease MESH Brain Disorder

Original Article

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