The Center for Outcome Measurement In Brain Injury. 46 The interitem correlation in the current sample was .35. 18 items; 18-72 (higher scores reflect more apathy) Items are scored on 4-point Likert scale with descriptors for the “self” version (not at all true, slightly true, somewhat true, very true) and those for the clinician and informant version (not at all characteristic, slightly characteristic, somewhat characteristic, very characteristic). Copyright © 2013 SciRes. Int J Methods Psychiatr Res 16(2): 97-110. Apathy was measured using the Apathy Evaluation Scale, clinician version (AES-C) 45 3 months after the index stroke. Apathy has been quantified using specific scales such as the Irritability-Apathy scale (Burns et al., 1990), Marin’ and colleagues’ apathy scale (1991) and Starkstein’ and colleagues’ 14-item scale (Starkstein et al., 1992). 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). / 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 … We use cookies to enhance your user experience Andersson, A. F. S. (2000). 267, Issue. Marin RS. 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. Recommendations based on level of care in which the assessment is taken: Recommendations for use based on ambulatory status after brain injury: Recommendations for entry-level physical therapy education and use in research: Students should learn to administer this tool? 2019 Find it on PubMed. Brain Injury 14(10): 887-905. . Significant relationships between AES-C and heart rate/blood pressure reactivity and mean arterial pressure (beta values reported, p<.01). The AES addresses characteristics of goal directed behavior that reflects apathy including behavioral, cognitive, and emotional indicators. Find it on PubMed, Andersson, S., Krogstad, J. M., et al. 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. 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. The Lille apathy rating scale (LARS), a new instrument for detecting and quantifying apathy: Validation in Parkinson's disease June 2006 Journal of Neurology Neurosurgery & Psychiatry 77(5):579-84 Apathy scales identified for review include the Apathy Evaluation Scale (AES), the Apathy Scale (AS), the Apathy Inventory (AI), and the Lille Apathy Rating Scale … If you would like to contribute a language translation to the RMD, please contact us at rehabmeasures@ric.org. Criteria for diagnosing the syndrome of apathy and for distinguishing symptomatic and syndromal apathetic states are based on this definition, whereas assessment of apathy as a continuous variable is operationalized in the Apathy Evaluation Scale, which provides reliable and valid measures of diminished motivation in diverse clinical populations. American Psychiatric Publishing; Apathy is currently defined as diminished motivation as expressed in poor sfale behaviours apatjy cognitions. Psychological Medicine 29(2): 447-456. (1999). 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. In 2020, your cash gifts may also favorably impact your taxes, thanks to provisions in the CARES Act. Brain Injury 13(6): 393-404. Administration instructions are provided in the Marin et al., 1991 reference; pages 161-162. The highest quality, which had psychometrically favorable scales, were the dementia apathy interview and rating (DAIR) and the apathy evaluation scale-clinical version (AES-C) in Alzheimer's disease and the Lille apathy rating scale (LARS) in Parkinson's disease. 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. (Y/N), Students should be exposed to tool? Published in 1992. The purpose of this study was to evaluate the source of the overlap between measures of apathy and depression. 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. "Cognitive correlates of apathy in traumatic brain injury." [ 22 ]. Find it on PubMed, Marin, R. S., Biedrzycki, R. C., et al. 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. The patient performed quite normally on cognitive testing but … Noncognitive changes in behavior, however, are often more disruptive to adaptive functioning. Am J Psychiatry. Some items on the AES-I and AES-C involve judging philosophical intention (e.g. Objective: We sought to identify apathy metabolic bases in Parkinson disease (PD). Brain Injury 12(1): 87-92. Am J Psychiatry. Openly accessible at http://www.scirp.org/journal/apd/ 54 M. Serrano-Dueñas et al. The items are rated on a 4‐point Likert scale from 1 (not at all characteristic) to 4 (very characteristic). Spanish (slide 62-63):  Brain Injury 16(6): 509-516. Named SAS or AS in the scientific literature. All AD patients were evaluated by Modified Apathy Evaluation Scale (MAES). Apathy is a diminished goal-directed behavior stemming from a lack of motivation. "Coping strategies in patients with acquired brain injury: relationships between coping, apathy, depression and lesion location." Differential diagnosis and classification of apathy. 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. Differential diagnosis and classification of apathy. A systematic literature review was conducted to identify scales that have either been validated or used in PD patients. Please e-mail us! The self-rated version of the AES may be problematic if there are issues with insight into deficits as can occur with TBI. "The Apathy Evaluation Scale." Each item is rated on a 4-point Likert-type scale. Multidimensional apathy: evidence from neurodegenerative disease. Lee and coworkers Lee et al. The AES is an 18-item scale that measures apathy as a single construct. (2007). "Cutoff score on the apathy evaluation scale in subjects with traumatic brain injury." (Y/N), Appropriate for use in intervention research studies? Differentiates between hypoxia and other forms of acquired brain injury. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process. Apathy is a common problem following traumatic brain injury (TBI). Marin RS; Biedrzycki RC; Firinciogullari S, Available in three versions: self-rated (AES-S), informant (AES-I; family member, friend or professional caregiver), and clinician (AES-C), Whenever possible, the clinician version (administered as a semi-structured interview) is preferred, Marin RS. We used the AES‐C to measure indicators of apathy in the previous 4 weeks. INTRODUCTION rating scales: the Apathy Evaluation Scale (AES); the ab- Parkinson’s disease (PD) is a chronic, progressive neu- breviated version of the AES, known as the Apathy Scale Copyright © 2013 SciRes. 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. 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). Conceptually, apathy is defined as lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress. 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. Cognitive deficits due to damage or disease affecting frontal lobe systems are well known to clinical neuroscientists. 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). RIC is not responsible for and does not endorse the content, products or services of any third-party website, and does not make any representations regarding its quality, content or accuracy. To quantify and characterize apathy in adult and elderly patients, Type of Clinical Outcome Assessment (COA), Bibliographic reference(s) of the original questionnaire. 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. , p. 140. Young adult controls: (Kant et al, 1998; n=108, age range 20-65 years, 94.5% in 20-49 age range, 49% male) Mean AES-S was 24.4 (4.5), therefore cutoff score of >34 indicating apathy (2 SD above mean), Mixed sample: (Marin 1991; n=123; aged 53-85, mixed sample of stroke, AD, depression, community dwelling well older adults). 2015. However, this instrument has not been translated into Swedish, halting clinical and research efforts. 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). (Marin et al, 1991). Thus, the total score of MEAS ranges … Neuropsychiatry, Neuropsychology, and Behavioral Neurology 15(3): 184-191. Apathy is a unique, multidimensional syndrome commonly encountered in patients with Parkinson disease (PD). 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. (2002). MAES is an abridged version of an apathy scale designed by Robert Mann . It has shown satisfactory psychometric properties in PD and has been recommended for screening apathy and evaluating its severity in this context [ 6 Patients received clinical and neuropsychological evaluations. (1999). Assessing apathy in multiple sclerosis: Validation of the dimensional apathy scale and comparison with apathy evaluation scale. Psychiatry Res. There are a host of standardized measures of frontal cognitive changes, such as the Wisconsin Card Sorting Test and the Stroop Test. 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. "Measuring apathy after traumatic brain injury: Psychometric properties of the Apathy Evaluation Scale and the Frontal Systems Behavior Scale." 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. Multiple Sclerosis and Related Disorders, 38, 101870. "Apathy and depressed mood in acquired brain damage: relationship to lesion localization and psychophysiological reactivity." Derived from the Apathy Evaluation Scale (AES) designed by Robert Marin in 1990. [ 3 ] created AS by amending AES to reduce the number of items to 14, and thereby making the scale easier to use for PD patients. This article presents evidence for the reliability and construct validity of the Apathy Evaluation Scale (AES). 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). 1990 Jan;147(1):22-30. Review (PubMed Abstract)Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. These translations, and links to them, are subject to the Terms and Conditions of Use of the Rehab Measures Database. Psychiatry Research 38(2): 143-162. . Find it on PubMed, Andersson, S., Gundersen, P. M., et al. Brain Injury 23(13-14): 999-1007. "An appraisal of the psychometric properties of the Clinician version of the Apathy Evaluation Scale (AES-C)." Glenn, M. B., Burke, D. T., et al. 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. Items are scored on 4-point Likert scale with descriptors for the “self” version (not at all true, slightly true, somewhat true, very true) and those for the clinician and informant version (not at all characteristic, slightly characteristic, somewhat characteristic, very characteristic). 1991 Aug;38(2):143-62 (PubMed Abstract), Access to advanced descriptions of Clinical Outcome Assessments (COAs), © Mapi Research Trust 2021, All rights reserved. Abstract. Two open questions are also asked (number of items reported, details offered in response to questions) to characterize apathy. Key Descriptions. Your gift of Ability affects everything that we do every day at Shirley Ryan AbilityLab. "Emotional activation during therapeutic interaction in traumatic brain injury: effect of apathy, self-awareness and implications for rehabilitation." Subjects were prospectively observed for six months. (1998). The Apathy Evaluation Scale (AES) was developed to quantify and characterize apathy in adult patients. 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. 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. Face validity supported by expert review during development. He defined apathy as “lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress.” (Marin, 1991). This scale is reprinted from Seminars in Clinical Neuropsychiatry, Vol 1(4), Marin RS, Apathy, concept, syndrome, neural mechanisms and treatment, 303-314, copyright 1996, with permission from Elsevier. Background: Apathy, a prevalent and clinically relevant symptom in neurodegenerative disease, is often evaluated by the instrument Apathy Evaluation Scale (AES). The AES‐C to measure indicators of apathy in traumatic brain injury. care and groundbreaking research community! Been translated into Swedish, halting clinical and research efforts which may be difficult to judge as an observer and..., depression and lesion location. a unique, multidimensional syndrome commonly in! Language translation to the Terms and Conditions of use of the AES may be difficult judge. Common symptoms in dementia ) was developed to quantify and characterize apathy to as! Is an 18-item Scale developed by Marin et al., 1991 reference pages! 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