Openly accessible at http://www.scirp.org/journal/apd/ 54 M. Serrano-Dueñas et al. The Apathy Evaluation Scale (AES) was developed by Marin (1991) as a method for measuring apathy resulting from brain-related pathology. Assessing apathy in multiple sclerosis: Validation of the dimensional apathy scale and comparison with apathy evaluation scale. Furthermore, as data collection for RUN DMC is still ongoing, no data on progression to dementia were available beyond 2015, so only 2011 AES scores were analysed. Disease duration was based on the retrospective clinical information of the illness timeline. 267, Issue. The main objective of the present study was to assess the psychometric properties of the Apathy Scale for evaluation of Ecuadorian patients with Parkinson’s. Differential diagnosis and classification of apathy. There are a host of standardized measures of frontal cognitive changes, such as the Wisconsin Card Sorting Test and the Stroop Test. INTRODUCTION rating scales: the Apathy Evaluation Scale (AES); the ab- Parkinson’s disease (PD) is a chronic, progressive neu- breviated version of the AES, known as the Apathy Scale Copyright © 2013 SciRes. (Y/N), Is additional research warranted for this tool (Y/N). CrossRef ; Google Scholar; Radakovic, Ratko and Abrahams, Sharon 2018. (2007). Acquired brain injury: (Andersson et al, 1999a; n=72; mean age = 30.1 (ages 16-60 years old); mean time post injury = 12.6 months ; TBI, CVA and hypoxic brain damage), Traumatic brain injury: Andersson et al, 1999b (n=30; mean age = 30.1( ages 16-64); mean time post injury = 10.5 months; inpatient TBI), Glenn et al, 2002 (n=46; mean age 43.1(14.9) years; mean time since injury 43.0 months; initial injury severity 52% mild, 18% moderate, 30% severe), (Lane-Brown & Tate, 2009; n=34, mean age=34.4(9.4); mean time post injury= 80.6 months; mean duration of PTA 53.2 (33.5) days), Traumatic brain injury: (Glenn et al, 2002), (Kant et al, 1998; n=83; mean age 38 (12.3) years; TBI referrals to neuropsychiatric outpatient clinic), Acquired brain injury: (Andersson, 1999a), (Andersson & Bergedalen, 2002; n= 53; mean age = 28.3 years (2.38); mean time post injury= 12.2 months (10.6)), Possible items for inclusion, described as hundreds, were gleaned from literature review and reduced via expert review based on items that were most clear and demonstrated item to total score correlations of >.4 in pilot testing. Differential diagnosis and classification of apathy. All AD patients were evaluated by Modified Apathy Evaluation Scale (MAES). Psychiatry Research, Vol. 2015. 18 items; 18-72 (higher scores reflect more apathy) Items are scored on 4-point Likert scale with descriptors for the “self” version (not at all true, slightly true, somewhat true, very true) and those for the clinician and informant version (not at all characteristic, slightly characteristic, somewhat characteristic, very characteristic). Initially reviewed by Karen McCulloch, PT, PhD, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 6/2012. However, in clinical research and in most pharmacological intervention studies, apathy is "An appraisal of the psychometric properties of the Clinician version of the Apathy Evaluation Scale (AES-C)." The highest quality, which had psychometrically favorable scales, were the dementia apathy interview and rating (DAIR) and the apathy evaluation scale-clinical version (AES-C) in Alzheimer's disease and the Lille apathy rating scale (LARS) in Parkinson's disease. Noncognitive changes in behavior, however, are often more disruptive to adaptive functioning. The patient performed quite normally on cognitive testing but … Generic neurodegenerative disease validation studies were of average methodological quality and yielded inconsistent … / Advances in Parkinson’s Disease 2 (2013) 53-57 (AS); the Apathy Inventory (AI); and the Lille Apathy used to dichotomize the sample into apathetic and non- Rating Scale … Apathy is a unique, multidimensional syndrome commonly encountered in patients with Parkinson disease (PD). American Psychiatric Publishing; Apathy is currently defined as diminished motivation as expressed in poor sfale behaviours apatjy cognitions. (Y/N), Students should be exposed to tool? Enter your zip code . Score greater than 34 indicates apathy on AES-C. Investigators were not able to identify a reasonable cut-off score of AES-I (area under ROC curve was 0.62) or AES-S (area under ROC curve was 0.74). Published in 1992. Parkinson’s disease is a neurodegenerative disorder characterized by motor, autonomic, and neuropsychiatric symptoms, among the latter, apathy has been found to be present in up to 70% of patients. Subjects were prospectively observed for six months. (1999). 6 It consists of an 18‐item questionnaire to evaluate behavior, cognition and emotion subscales. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process. "Reliability and validity of the Apathy Evaluation Scale." Copyright © 2013 SciRes. Brain Injury 23(13-14): 999-1007. Find it on PubMed, Clarke, D. E., Van Reekum, R., et al. We use cookies to enhance your user experience Marin RS. Differentiates between hypoxia and other forms of acquired brain injury. Some items must be reverse scored because of the way they are written. Recommendations based on level of care in which the assessment is taken: Recommendations for use based on ambulatory status after brain injury: Recommendations for entry-level physical therapy education and use in research: Students should learn to administer this tool? The AES addresses characteristics of goal directed behavior that reflects apathy including behavioral, cognitive, and emotional indicators. “S/he approaches life with intensity”, which may be difficult to judge as an observer. 1991 Aug;38(2):143-62 (PubMed Abstract), Access to advanced descriptions of Clinical Outcome Assessments (COAs), © Mapi Research Trust 2021, All rights reserved. The purpose of this study was to evaluate the source of the overlap between measures of apathy and depression. Each item is rated on a 4-point Likert-type scale. Brain Injury 12(1): 87-92. (1998). 46 The interitem correlation in the current sample was .35. Background: Apathy, a prevalent and clinically relevant symptom in neurodegenerative disease, is often evaluated by the instrument Apathy Evaluation Scale (AES). MAES is an abridged version of an apathy scale designed by Robert Mann . . 1-844-355-ABLE. Find it on PubMed, Andersson, S., Gundersen, P. M., et al. This scale is reprinted from Seminars in Clinical Neuropsychiatry, Vol 1(4), Marin RS, Apathy, concept, syndrome, neural mechanisms and treatment, 303-314, copyright 1996, with permission from Elsevier. The Movement Disorder Society (MDS) commissioned a task force to assess the clinimetric properties of apathy and anhedonia scales in PD patients. "Cutoff score on the apathy evaluation scale in subjects with traumatic brain injury." The Apathy Evaluation Scale: A Comparison of Subject, Informant, and Clinician Report in Cognitively Normal Elderly and Mild Cognitive Impairment The Harvard community has made this article openly available. Spanish (slide 62-63):  "The Apathy Evaluation Scale." Key Descriptions. Face validity supported by expert review during development. Apathy Evaluation Scale, clinician version. (Marin et al, 1991). Cognitive deficits due to damage or disease affecting frontal lobe systems are well known to clinical neuroscientists. In a third step, correlations with the full-length scale, internal consistency (as indicated by Cron-bach’s ), construct validity, and correlations with cognitive deficits and global impairments of demen-tia were evaluated for the shortened scale and com- pared with the original full-length scale. Criteria for diagnosing the syndrome of apathy and for distinguishing symptomatic and syndromal apathetic states are based on this definition, whereas assessment of apathy as a continuous variable is operationalized in the Apathy Evaluation Scale, which provides reliable and valid measures of diminished motivation in diverse clinical populations. The aims of this study were to establish the validity and reliability of the Italian version of the AES, and to assess the severity of apathy in a sample of Italian institutionalized geriatric patients. Find it on PubMed. Find it on PubMed. Brain Injury 14(10): 887-905. Based on clinical evaluation, they were classified in two groups: PD with apathy (PD-A group, n = 23) and PD without apathy (PD-NA group, n = 25). Items are scored on 4-point Likert scale with descriptors for the “self” version (not at all true, slightly true, somewhat true, very true) and those for the clinician and informant version (not at all characteristic, slightly characteristic, somewhat characteristic, very characteristic). Apathy was assessed using the 18-item clinician-rated Apathy Evaluation Scale (AES).15 The AES was only administered at 2011 and 2015, precluding an analysis of baseline AES scores. In 2020, your cash gifts may also favorably impact your taxes, thanks to provisions in the CARES Act. Apathy and depression are discriminable but related dimensions of behavior. Find it on PubMed, Kant, R., Duffy, J. D., et al. Marin and coworkers were the first to validate the Apathy Evaluation Scale for use with patients with stroke, Parkinson’s disease, or Alzheimer’s disease Staristein et al. The Movement Disorder Society (MDS) Task Force to Assess the Clinimetric Properties of Apathy and An- hedonia Scales in PD patients [7] identified four apathy rating scales: the Apathy Evaluation Scale (AES); the ab- breviated version of the AES, known as the Apathy Scale. The Apathy Evaluation Scale (AES) is an 18-item scale developed by Marin et al., (1991). (Y/N), Appropriate for use in intervention research studies? Find it on PubMed, Marin, R. S., Biedrzycki, R. C., et al. With 30+ sites in Illinois, we may be closer than you think! Apathy scales identified for review include the Apathy Evaluation Scale (AES), the Apathy Scale (AS), the Apathy Inventory (AI), and the Lille Apathy Rating Scale … Neuropsychiatry, Neuropsychology, and Behavioral Neurology 15(3): 184-191. Marin RS; Biedrzycki RC; Firinciogullari S, Available in three versions: self-rated (AES-S), informant (AES-I; family member, friend or professional caregiver), and clinician (AES-C), Whenever possible, the clinician version (administered as a semi-structured interview) is preferred, Marin RS. Patients received clinical and neuropsychological evaluations. Each item was scored on a 4-point Likert scale, with a higher total score indicating greater apathy (1–4: 1 = ‘very true’, 4 = ‘not true at all’ for positively scored items). Conceptually, apathy is defined as lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress. The Apathy Evaluation Scale (AES) has been shown to be a valid and reliable tool for characterizing, quantifying and differentiating apathy in various health conditions. Andersson, S. and Bergedalen, A. M. (2002). The clinical utility of this formulation is shown by describing … Mean AES-S scores  = 37 (8.6), no difference between levels of injury severity, Mean AES-scores = 40.5 (6.3), 71% met criteria for apathy. (1999). , p. 140. Apathy has been quantified using specific scales such as the Irritability-Apathy scale (Burns et al., 1990), Marin’ and colleagues’ apathy scale (1991) and Starkstein’ and colleagues’ 14-item scale (Starkstein et al., 1992). The current sample was.35 CARES Act Sorting Test and the apathy Evaluation Scale ( AES-C ) ''... Problem following traumatic brain injury: psychometric properties of the most common symptoms in dementia damage relationship. E., Van Reekum, R. C., et al et al., ( 1991 ). clinical! All characteristic ) to characterize apathy in multiple sclerosis and Related Disorders, 38 101870! The RMD, please contact us at rehabmeasures @ ric.org developed by Marin ( )! 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