Some items must be reverse scored because of the way they are written. He defined apathy as “lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress.” (Marin, 1991). (1991). These translations, and links to them, are subject to the Terms and Conditions of Use of the Rehab Measures Database. 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). Key Descriptions. It treats apathy as a psychological dimension that may be evaluated in patients whose apathy characterizes their overall clinical state, and those in whom it is a symptom of some other syndrome, such as delirium, dementia, or depression. In 2020, your cash gifts may also favorably impact your taxes, thanks to provisions in the CARES Act. http://www.extensionuned.es/archivos_publicos/qdocente_planes/3535/sindromes_organicos__personalidad.ppt. "Prevalence of apathy following head injury." By continuing to visit our website, you agree to our use of cookies in order to offer you contents and services adapted to your needs. Lee and coworkers Lee et al. Find it on PubMed, Andersson, S., Krogstad, J. M., et al. "Cutoff score on the apathy evaluation scale in subjects with traumatic brain injury." It has shown satisfactory psychometric properties in PD and has been recommended for screening apathy and evaluating its severity in this context [ 6 Please share how this access benefits you. Andersson, S. and Bergedalen, A. M. (2002). Short Version of the Apathy Evaluation Scale 378 Am J Geriatr Psychiatry 15:5, May 2007. Disease duration was based on the retrospective clinical information of the illness timeline. Multidimensional apathy: evidence from neurodegenerative disease. We have reviewed nearly 300 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others. AES-C score of >32 had the best combination of sensitivity and specificity (area under ROC curve 0.82), with sensitivity of 95% but specificity of 0% to predict an ordinal rating of presence of behaviors that reflect apathy (a 7 point scale developed for the study). Reliability and validity of the self-report version of the apathy evaluation scale in first-episode Psychosis: Concordance with the clinical version at baseline and 12 months follow-up. The Apathy Evaluation Scale (AES) is an 18-item scale developed by Marin et al., (1991). The Apathy Evaluation Scale (AES) and the Apathy Scale (AS) can be used for subjective evaluation. Differentiates between hypoxia and other forms of acquired brain injury. Openly accessible at http://www.scirp.org/journal/apd/ 54 M. Serrano-Dueñas et al. Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. 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. Thanks for helping us invest in our patients. Toll-Free U.S. 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. Do you see an error or have a suggestion for this instrument summary? There are a host of standardized measures of frontal cognitive changes, such as the Wisconsin Card Sorting Test and the Stroop Test. Differential diagnosis and classification of apathy. 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. Copyright © 2013 SciRes. Brain Injury 13(6): 393-404. Int J Methods Psychiatr Res 16(2): 97-110. "Emotional activation during therapeutic interaction in traumatic brain injury: effect of apathy, self-awareness and implications for rehabilitation." Your story matters Citation Guercio, Brendan John. Apathy is a diminished goal-directed behavior stemming from a lack of motivation. 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. Psychiatry Research 38(2): 143-162. The item is rated based on how strongly it resonates with the current condition, thoughts, and emotions of the patient, with response options including not at all, slightly, somewhat, or a lot. The Apathy Evaluation Scale (AES) was developed to quantify and characterize apathy in adult patients. Andersson, A. F. S. (2000). . (Y/N), Is additional research warranted for this tool (Y/N). 1990 Jan;147(1):22-30. Review (PubMed Abstract)Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. Find it on PubMed, Lane-Brown, A. T. and Tate, R. L. (2009). Furthermore, previous studies lack analyses of … Differential diagnosis and classification of apathy. We use cookies to enhance your user experience "Apathy and depressed mood in acquired brain damage: relationship to lesion localization and psychophysiological reactivity." However, this instrument has not been translated into Swedish, halting clinical and research efforts. Subjects were prospectively observed for six months. ADMET has 80% power to detect a difference of at least 3.3 in change in the Apathy Evaluation Scale scores between the two treatment groups. Marin RS. If this is an emergency, please dial 911, A Young Scientist's Journey after a Stroke, Care by the Numbers: Skilled Nursing versus Inpatient Rehabilitation, Community-Ready Upper Extremity Interactive Rehabilitation, Global Advisory Services — Hospital Training & Consulting, Medical Student Education & Residency Program, 3 Day Vestibular Rehabilitation: Theory, Evidence and Practical Application Course, Updates in Supporting Patients Communication with New Technologies, Overcoming Challenges: Evaluation & Treatment of Sensory Based Feeding Disorders in Children, Apathy Evaluation Scale (Self, Informant, and Clinician Versions), http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations, http://www.extensionuned.es/archivos_publicos/qdocente_planes/3535/sindromes_organicos__personalidad.ppt, Making Waves Following a Spinal Cord Injury, Full Circle After a Non-Traumatic Brain Injury, An Unanticipated Head Injury and Incredibly Bright Future, Parkinson's Disease + Neurologic Rehabilitation, 18-72 (higher scores reflect more apathy). 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). MAES has 14 items, and the score of each item ranges from 0 to 3 (points), representing “not at all”, “slightly”, “some”, and “a lot”, respectively. Brain Injury 16(6): 509-516. Psychiatry Research, Vol. Face validity supported by expert review during development. , p. 140. / 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 … All AD patients were evaluated by Modified Apathy Evaluation Scale (MAES). This article presents evidence for the reliability and construct validity of the Apathy Evaluation Scale (AES). The patient performed quite normally on cognitive testing but … 6 It consists of an 18‐item questionnaire to evaluate behavior, cognition and emotion subscales. Significant relationships between AES-C and heart rate/blood pressure reactivity and mean arterial pressure (beta values reported, p<.01). Derived from the Apathy Evaluation Scale (AES) designed by Robert Marin in 1990. Psychological Medicine 29(2): 447-456. Assessing apathy in multiple sclerosis: Validation of the dimensional apathy scale and comparison with apathy evaluation scale. (1999). Recently, the Lille Apathy Rating Scale (LARS), a semistructured interview yielding a global score, and composite subscores for different domains of apathy (i.e., cognitive, behavioral, affective, self awareness), was developed and given to a sample of patients with PD in … Apathy and depression are discriminable but related dimensions of behavior. Multiple Sclerosis and Related Disorders, 38, 101870. The Chinese version was validated in an older adult population with a Cronbach alpha coefficient of .90, and test-retest reliability and interrater reliability of .88 and .86, respectively. Objective: We sought to identify apathy metabolic bases in Parkinson disease (PD). With 30+ sites in Illinois, we may be closer than you think! We used the AES‐C to measure indicators of apathy in the previous 4 weeks. The Movement Disorder Society (MDS) commissioned a task force to assess the clinimetric properties of apathy and anhedonia scales in PD patients. The AES is an 18-item scale that measures apathy as a single construct. 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. Find it on PubMed, Marin, R. S., Biedrzycki, R. C., et al. It is one of the most common symptoms in dementia. To quantify and characterize apathy in adult and elderly patients, Type of Clinical Outcome Assessment (COA), Bibliographic reference(s) of the original questionnaire. The Center for Outcome Measurement In Brain Injury. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process. Find it on PubMed. [ 22 ]. Find it on PubMed, Clarke, D. E., Van Reekum, R., et al. 1990 Jan;147(1):22-30. Review (PubMed Abstract), Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. Or Call Toll-Free Apathy was measured using the Apathy Evaluation Scale, clinician version (AES-C) 45 3 months after the index stroke. "Coping strategies in patients with acquired brain injury: relationships between coping, apathy, depression and lesion location." Two open questions are also asked (number of items reported, details offered in response to questions) to characterize apathy. Brain Injury 12(1): 87-92. Am J Psychiatry. Apathy Evaluation Scale, clinician version. 46 The interitem correlation in the current sample was .35. 1991 Aug;38(2):143-62 (PubMed Abstract), Access to advanced descriptions of Clinical Outcome Assessments (COAs), © Mapi Research Trust 2021, All rights reserved. Published in 1992. Thus, the total score of MEAS ranges … Shirley Ryan AbilityLab does not provide emergency medical services. Brain Injury 23(13-14): 999-1007. 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. American Psychiatric Publishing; Apathy is currently defined as diminished motivation as expressed in poor sfale behaviours apatjy cognitions. The AES addresses characteristics of goal directed behavior that reflects apathy including behavioral, cognitive, and emotional indicators. Cognitive deficits due to damage or disease affecting frontal lobe systems are well known to clinical neuroscientists. The Apathy Evaluation Scale (AES) was developed by Marin (1991) as a method for measuring apathy resulting from brain-related pathology. 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). 1-844-355-ABLE. However, in clinical research and in most pharmacological intervention studies, apathy is Spanish (slide 62-63):  (Y/N), Appropriate for use in intervention research studies? 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. “S/he approaches life with intensity”, which may be difficult to judge as an observer. Find it on PubMed, Andersson, S., Gundersen, P. M., et al. Psychiatry Res. "Reliability and validity of the Apathy Evaluation Scale." Administration instructions are provided in the Marin et al., 1991 reference; pages 161-162. 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. 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. Neuropsychiatry, Neuropsychology, and Behavioral Neurology 15(3): 184-191. Glenn, M. B., Burke, D. T., et al. Apathy is a common problem following traumatic brain injury (TBI). 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. Glenn, M. (2005). "Cognitive correlates of apathy in traumatic brain injury." The items are rated on a 4‐point Likert scale from 1 (not at all characteristic) to 4 (very characteristic). 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. Generic neurodegenerative disease validation studies were of average methodological quality and yielded inconsistent … A systematic literature review was conducted to identify scales that have either been validated or used in PD patients. Brain Injury 14(10): 887-905. 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. 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