Concepedia

Reliability, validity, and clinical correlates of apathy in Parkinson's disease

S E Starkstein, H S Mayberg, Thomas J. Preziosi, P Andrezejewski, R. Leiguarda, R G Robinson

Journal of Neuropsychiatry · 1992 · 1.2K citations · 24 references

TL;DR

The study assessed 50 Parkinson’s disease patients for apathy, depression, anxiety, and cognitive deficits using a neuropsychological battery that included a newly designed apathy scale. The newly designed apathy scale proved reliable and valid, identified apathy in 12 % of patients (30 % with comorbid depression), and revealed that apathy—whether alone or with depression—is linked to significant verbal memory and time‑dependent task deficits, suggesting a distinct mechanism from depression.

Abstract

The authors examined a consecutive series of 50 patients for the presence of apathy, depression, anxiety, and neuropsychological deficits using a neuropsychological battery that included a recently designed apathy scale. This scale was found to be reliable and valid in the diagnosis of apathy in patients with PD. Of patients in the study, 12% showed apathy as their primary psychiatric problem, and 30% were both apathetic and depressed. Patients with apathy (with or without depression), showed significantly more deficits in both tasks of verbal memory and time-dependent tasks. Results suggest that apathy is a frequent finding in PD, is significantly associated with specific cognitive impairments, and may have a different mechanism than depression.