Living situation, occupation and health-related quality of life in adult patients with classic galactosemia

J Inherit Metab Dis. 2012 Nov;35(6):1051-8. doi: 10.1007/s10545-012-9469-y. Epub 2012 Mar 24.

Abstract

Background: Galactose-1-phosphate uridyltransferase deficiency is well known as the underlying defect in classic galactosemia. However, little is known about the consequences of this defect beyond physical disease.

Aim: To evaluate psychosocial, educational and occupational outcome as well as health-related quality of life (HRQOL) in adult German patients with galactosemia and to compare information with data from patients with phenylketonuria as well as the general German population.

Methods: Members of the German patient support group for galactosemia received invitation, informed consent form and questionnaires by regular mail from the patient support group. Participation was voluntary.

Results: Forty-one out of 66 invited patients participated in this study. Nearly 2/3 of the patients were singles, and the majority of patients were still living with their parents. Frequently, patients had no school leaving certificate, and 30% of the patients had never started or never completed an apprenticeship. Getting along with galactosemia was rated as 'very good' or 'good' although following the diet was a burden. Social well-being and social functioning was lower compared to patients with PKU.

Discussion: Patients with galactosemia need a multi-professional team not only focusing on physical and/or biochemical aspects of disease but including also psycho-social dimensions of life.

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Educational Status
  • Female
  • Galactosemias / psychology*
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Occupations
  • Phenylketonurias / psychology
  • Psychology
  • Quality of Life
  • Residence Characteristics
  • Surveys and Questionnaires
  • Young Adult