The syndromal validity and nosological position of apathy in Parkinson's disease
Identifieur interne : 002018 ( Main/Exploration ); précédent : 002017; suivant : 002019The syndromal validity and nosological position of apathy in Parkinson's disease
Auteurs : Sergio E. Starkstein [Australie] ; Marcelo Merello [Argentine] ; Ricardo Jorge [États-Unis] ; Simone Brockman [Australie] ; David Bruce [Australie] ; Brian Power [Australie]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-06-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Anxiety, Apathy, Dementia (diagnosis), Dementia (psychology), Depression, Depression (diagnosis), Depression (psychology), Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Male, Middle Aged, Mood Disorders (diagnosis), Mood Disorders (psychology), Nervous system diseases, Neurologic Examination, Parkinson Disease (diagnosis), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Severity of Illness Index, Validity, anxiety, apathy, depression, dysthymia.
- MESH :
- diagnosis : Dementia, Depression, Mood Disorders, Parkinson Disease.
- psychology : Dementia, Depression, Mood Disorders, Parkinson Disease.
- Aged, Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Male, Middle Aged, Neurologic Examination, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Severity of Illness Index.
Abstract
Although apathy is among the most frequent behavioral changes in Parkinson's disease (PD), its diagnosis is still problematic, and the overlap with depression and dementia poorly studied. Aim of the study was validate specific criteria to diagnose apathy in PD, and to examine its association with subsyndromes of depression and dementia. A series of 164 patients with PD, 44 patients with “primary” depression and no PD, 23 patients with Alzheimer's disease, and 26 age‐comparable healthy controls underwent a comprehensive psychiatric assessment that included a structured psychiatric interview and the Apathy Scale. A set of seven diagnostic criteria showed high sensitivity and specificity for clinically diagnosed apathy. Fifty‐two of the 164 patients with PD (32%) met diagnostic criteria for apathy. Eighty‐three percent of patients with apathy had comorbid depression and 56% had dementia. Only 5 of the 40 PD patients (13%) with neither depression nor dementia had apathy. We validated a set of standardized criteria for the diagnosis of apathy in PD. About one third of a series of patients attending a Movement Disorders Clinic showed apathy. Both depression and dementia were the most frequent comorbid conditions of apathy in PD. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22577
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-06-15">2009-06-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1211">1211</biblScope><biblScope unit="page" to="1216">1216</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">CE4349755951CA9FBCF4B2C62D6883FA28FB25D6</idno><idno type="DOI">10.1002/mds.22577</idno><idno type="ArticleID">MDS22577</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Anxiety</term><term>Apathy</term><term>Dementia (diagnosis)</term><term>Dementia (psychology)</term><term>Depression</term><term>Depression (diagnosis)</term><term>Depression (psychology)</term><term>Diagnosis, Differential</term><term>Diagnostic and Statistical Manual of Mental Disorders</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Mood Disorders (diagnosis)</term><term>Mood Disorders (psychology)</term><term>Nervous system diseases</term><term>Neurologic Examination</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (psychology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Psychiatric Status Rating Scales</term><term>Psychometrics</term><term>Reproducibility of Results</term><term>Severity of Illness Index</term><term>Validity</term><term>anxiety</term><term>apathy</term><term>depression</term><term>dysthymia</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dementia</term><term>Depression</term><term>Mood Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dementia</term><term>Depression</term><term>Mood Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Diagnosis, Differential</term><term>Diagnostic and Statistical Manual of Mental Disorders</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Psychiatric Status Rating Scales</term><term>Psychometrics</term><term>Reproducibility of Results</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Angoisse anxiété</term><term>Apathie</term><term>Etat dépressif</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Validité</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although apathy is among the most frequent behavioral changes in Parkinson's disease (PD), its diagnosis is still problematic, and the overlap with depression and dementia poorly studied. Aim of the study was validate specific criteria to diagnose apathy in PD, and to examine its association with subsyndromes of depression and dementia. A series of 164 patients with PD, 44 patients with “primary” depression and no PD, 23 patients with Alzheimer's disease, and 26 age‐comparable healthy controls underwent a comprehensive psychiatric assessment that included a structured psychiatric interview and the Apathy Scale. A set of seven diagnostic criteria showed high sensitivity and specificity for clinically diagnosed apathy. Fifty‐two of the 164 patients with PD (32%) met diagnostic criteria for apathy. Eighty‐three percent of patients with apathy had comorbid depression and 56% had dementia. Only 5 of the 40 PD patients (13%) with neither depression nor dementia had apathy. We validated a set of standardized criteria for the diagnosis of apathy in PD. About one third of a series of patients attending a Movement Disorders Clinic showed apathy. Both depression and dementia were the most frequent comorbid conditions of apathy in PD. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Argentine</li><li>Australie</li><li>États-Unis</li></country><region><li>Iowa</li></region></list><tree><country name="Australie"><noRegion><name sortKey="Starkstein, Sergio E" sort="Starkstein, Sergio E" uniqKey="Starkstein S" first="Sergio E." last="Starkstein">Sergio E. Starkstein</name></noRegion><name sortKey="Brockman, Simone" sort="Brockman, Simone" uniqKey="Brockman S" first="Simone" last="Brockman">Simone Brockman</name><name sortKey="Brockman, Simone" sort="Brockman, Simone" uniqKey="Brockman S" first="Simone" last="Brockman">Simone Brockman</name><name sortKey="Bruce, David" sort="Bruce, David" uniqKey="Bruce D" first="David" last="Bruce">David Bruce</name><name sortKey="Bruce, David" sort="Bruce, David" uniqKey="Bruce D" first="David" last="Bruce">David Bruce</name><name sortKey="Power, Brian" sort="Power, Brian" uniqKey="Power B" first="Brian" last="Power">Brian Power</name><name sortKey="Power, Brian" sort="Power, Brian" uniqKey="Power B" first="Brian" last="Power">Brian Power</name><name sortKey="Starkstein, Sergio E" sort="Starkstein, Sergio E" uniqKey="Starkstein S" first="Sergio E." last="Starkstein">Sergio E. Starkstein</name></country><country name="Argentine"><noRegion><name sortKey="Merello, Marcelo" sort="Merello, Marcelo" uniqKey="Merello M" first="Marcelo" last="Merello">Marcelo Merello</name></noRegion></country><country name="États-Unis"><region name="Iowa"><name sortKey="Jorge, Ricardo" sort="Jorge, Ricardo" uniqKey="Jorge R" first="Ricardo" last="Jorge">Ricardo Jorge</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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