Abulia: A Delphi survey of British neurologists and psychiatrists
Identifieur interne : 001333 ( Istex/Corpus ); précédent : 001332; suivant : 001334Abulia: A Delphi survey of British neurologists and psychiatrists
Auteurs : Lavanya Vijayaraghavan ; Ennapadam S. Krishnamoorthy ; Richard G. Brown ; Michael R. TrimbleSource :
- Movement Disorders [ 0885-3185 ] ; 2002-09.
English descriptors
- KwdEn :
Abstract
Abulia is the relatively uncommon yet debilitating lack of spontaneous, goal‐directed behaviour that is seen predominantly with lesions of the basal ganglia and the frontal lobes. We sought to confirm the existence of abulia as an entity recognized by clinicians, to generate a set of items characteristic of the condition, and to see how clinicians differentiate between overlapping disorders. The Delphi technique was used to survey consultant neurologists and psychiatrists at three hospitals in London. The study consisted of two phases: semi‐ structured interviews of a small group of neurologists and psychiatrists, followed by a survey of a larger group of consultants using postal questionnaires. Both neurologists and psychiatrists recognized abulia to be a distinct clinical entity but its status as a syndrome was unclear. Features such as difficulty in initiating and sustaining spontaneous movements and reduction in emotional responsiveness, spontaneous speech, and social interaction were identified as being characteristic of abulia. The information generated by this study may help to develop a working classification for disorders of diminished drive and motivation, and instruments for clinical assessment and decision making. © 2002 Movement Disorder Society
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DOI: 10.1002/mds.10194
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ISTEX:9DB07BA03DE82596909B337A5A7052E482984ED8Le document en format XML
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We sought to confirm the existence of abulia as an entity recognized by clinicians, to generate a set of items characteristic of the condition, and to see how clinicians differentiate between overlapping disorders. The Delphi technique was used to survey consultant neurologists and psychiatrists at three hospitals in London. The study consisted of two phases: semi‐ structured interviews of a small group of neurologists and psychiatrists, followed by a survey of a larger group of consultants using postal questionnaires. Both neurologists and psychiatrists recognized abulia to be a distinct clinical entity but its status as a syndrome was unclear. Features such as difficulty in initiating and sustaining spontaneous movements and reduction in emotional responsiveness, spontaneous speech, and social interaction were identified as being characteristic of abulia. The information generated by this study may help to develop a working classification for disorders of diminished drive and motivation, and instruments for clinical assessment and decision making. © 2002 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Lavanya Vijayaraghavan MD</name><affiliations><json:string>Raymond Way Neuropsychiatry Research Group, Institute of Neurology, Queen Square, London, United Kingdom</json:string></affiliations></json:item><json:item><name>Ennapadam S. Krishnamoorthy MD</name><affiliations><json:string>National Neuroscience Institute, Singapore</json:string></affiliations></json:item><json:item><name>Richard G. Brown PhD</name><affiliations><json:string>Department of Psychology, Institute of Psychiatry, Denmark Hill, London, United Kingdom</json:string></affiliations></json:item><json:item><name>Michael R. 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We sought to confirm the existence of abulia as an entity recognized by clinicians, to generate a set of items characteristic of the condition, and to see how clinicians differentiate between overlapping disorders. The Delphi technique was used to survey consultant neurologists and psychiatrists at three hospitals in London. The study consisted of two phases: semi‐ structured interviews of a small group of neurologists and psychiatrists, followed by a survey of a larger group of consultants using postal questionnaires. Both neurologists and psychiatrists recognized abulia to be a distinct clinical entity but its status as a syndrome was unclear. Features such as difficulty in initiating and sustaining spontaneous movements and reduction in emotional responsiveness, spontaneous speech, and social interaction were identified as being characteristic of abulia. The information generated by this study may help to develop a working classification for disorders of diminished drive and motivation, and instruments for clinical assessment and decision making. © 2002 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>abulia</topic><topic>apathy</topic><topic>Delphi</topic><topic>basal ganglia</topic><topic>motivation</topic><topic>will</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. 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