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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<name type="personal"><namePart type="given">Michael R.</namePart>
<namePart type="family">Trimble</namePart>
<namePart type="termsOfAddress">MD, FRCP, FRCPsych</namePart>
<affiliation>Raymond Way Neuropsychiatry Research Group, Institute of Neurology, Queen Square, London, United Kingdom</affiliation>
<affiliation>University Department of Clinical Neurology, Institute of Neurology, Queen Square, London, United Kingdom</affiliation>
<description>Correspondence: Raymond Way Neuropsychiatry Research Group, University Department of Clinical Neurology, Institute of Neurology, Queen Square, London, WC1N 3BG United Kingdom</description>
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<dateIssued encoding="w3cdtf">2002-09</dateIssued>
<dateCaptured encoding="w3cdtf">2001-01-26</dateCaptured>
<dateValid encoding="w3cdtf">2002-01-22</dateValid>
<copyrightDate encoding="w3cdtf">2002</copyrightDate>
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<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="tables">3</extent>
<extent unit="references">35</extent>
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<abstract lang="en">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</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. Disord.</title>
</titleInfo>
<subject><genre>article category</genre>
<topic>Brief Reports</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2002</date>
<detail type="volume"><caption>vol.</caption>
<number>17</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>5</number>
</detail>
<extent unit="pages"><start>1052</start>
<end>1057</end>
<total>6</total>
</extent>
</part>
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<identifier type="istex">9DB07BA03DE82596909B337A5A7052E482984ED8</identifier>
<identifier type="DOI">10.1002/mds.10194</identifier>
<identifier type="ArticleID">MDS10194</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2002 Movement Disorders Society</accessCondition>
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