Abulia: a delphi survey of British neurologists and psychiatrists.
Identifieur interne : 003943 ( PubMed/Corpus ); précédent : 003942; suivant : 003944Abulia: a delphi survey of British neurologists and psychiatrists.
Auteurs : Lavanya Vijayaraghavan ; Ennapadam S. Krishnamoorthy ; Richard G. Brown ; Michael R. TrimbleSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Great Britain.
- diagnosis : Mental Disorders.
- epidemiology : Mental Disorders.
- pathology : Basal Ganglia, Frontal Lobe, Mental Disorders.
- Delphi Technique, Goals, Humans.
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.
DOI: 10.1002/mds.10194
PubMed: 12360558
Links to Exploration step
pubmed:12360558Le document en format XML
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<author><name sortKey="Vijayaraghavan, Lavanya" sort="Vijayaraghavan, Lavanya" uniqKey="Vijayaraghavan L" first="Lavanya" last="Vijayaraghavan">Lavanya Vijayaraghavan</name>
<affiliation><nlm:affiliation>Raymond Way Neuropsychiatry Research Group, Institute of Neurology, Queen Square, London, United Kingdom.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Krishnamoorthy, Ennapadam S" sort="Krishnamoorthy, Ennapadam S" uniqKey="Krishnamoorthy E" first="Ennapadam S" last="Krishnamoorthy">Ennapadam S. Krishnamoorthy</name>
</author>
<author><name sortKey="Brown, Richard G" sort="Brown, Richard G" uniqKey="Brown R" first="Richard G" last="Brown">Richard G. Brown</name>
</author>
<author><name sortKey="Trimble, Michael R" sort="Trimble, Michael R" uniqKey="Trimble M" first="Michael R" last="Trimble">Michael R. Trimble</name>
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<author><name sortKey="Krishnamoorthy, Ennapadam S" sort="Krishnamoorthy, Ennapadam S" uniqKey="Krishnamoorthy E" first="Ennapadam S" last="Krishnamoorthy">Ennapadam S. Krishnamoorthy</name>
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<author><name sortKey="Brown, Richard G" sort="Brown, Richard G" uniqKey="Brown R" first="Richard G" last="Brown">Richard G. Brown</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Basal Ganglia (pathology)</term>
<term>Delphi Technique</term>
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<term>Goals</term>
<term>Great Britain (epidemiology)</term>
<term>Humans</term>
<term>Mental Disorders (diagnosis)</term>
<term>Mental Disorders (epidemiology)</term>
<term>Mental Disorders (pathology)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Great Britain</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mental Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mental Disorders</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Basal Ganglia</term>
<term>Frontal Lobe</term>
<term>Mental Disorders</term>
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<keywords scheme="MESH" xml:lang="en"><term>Delphi Technique</term>
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<front><div type="abstract" xml: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.</div>
</front>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>Copyright 2002 Movement Disorder Society</CopyrightInformation>
</Abstract>
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