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Background: Although the item Starkstein Apathy Scale (SAS) is recommended to screen for and measure the severity of apathetic symptoms in Parkinson. Although the item Starkstein Apathy Scale (SAS) is recommended to screen for and measure the severity of apathetic symptoms in Parkinson disease (PD). Items 9 – 14 breviated version of the AES, known as the Apathy Scale. Copyright © SciRes. .. [6] Starkstein, S.E. and Leentjens, A.F.G. () The noso-.

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The Apathy Scale was validated for use in stroke, Parkinson’s disease, and Alzheimer’s disease.

To examine whether apathy should be considered a mere symptom of depression in dementia, we first examined whether the onset of depression during the follow-up period was associated with increasing apathy. Int Psychogeriatr ; 12 Suppl 1: Behavioral problems in dementia: Syndromic validity of apathy in Alzheimer’s disease.

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Neurology ; 48 suppl 6: This is, to our knowledge, the only standardized instrument to assess the presence of symptoms of apathy using a semi-structured format.

Starkstein apathy scale on this starketein are 0: J Neurol Neurosurg Psychiatry ; Objective The authors examined the reliability, factor structure, and discriminant validity of the SAS in nondemented patients with early untreated PD. One of the main diagnostic dilemmas is how to separate apathy from depression. Our group and others have apsthy reported a relatively high frequency of apathy among patients with stroke lesions, traumatic brain injury, Parkinson’s disease, and Huntington’s disease Burns et al.


Cereb Cortex in press. Second, the source apathu patients varied widely, from patients living in the community to those admitted to specialized dementia units.

Briefly, apathy was diagnosed whenever patients had 1 Poor or no motivation as rated with item 7 on the Apathy Scale2 Poor or no interests as rated with items 1 and 2 or effort as rated with items 4 and 9and 3 Feelings of indifference or lack of emotions most or all of the time as rated with items 10 and These findings suggest that apathy in Alzheimer’s disease should not be considered as a symptom of severe depression only.

This procedure may result in apathy groups with different syndromic clusters.


Scores on the apathy module provide a measure of the frequency and severity of apathy, as well as caregiver distress. Dement Geriatr Cogn Disord ; 17 An informant-based assessment of apathy in Alzheimer disease. J Neurol Neurosurg Psychiatry in press. About two apatuy of the AD patients with apathy were also depressed either major or minor depression. This instrument consists of 18 items that can be administered as a self-rated scale, as a caregiver scale, or as paathy clinician administered test.

The prevalence, clinical correlates and treatment of apathy in Alzheimer’s disease

Future studies are needed to clarify the association between apathy and lesions in specific brain areas, as well as the role of executive dysfunction in the mechanism of apathy. Please review our privacy starkstein apathy scale. Apathy is highly prevalent among patients with dementia. This would explain why some patients with orbito-frontal lesions who mostly show disinhibited behaviours, also feature a concomitant loss of motivation. Finally, there is some empirical evidence that cholinesterase inhibitors such as donepezil may improve cognitive functioning, motivation and general well being of patients with traumatic brain injury Arciniegas et al.


In a recent review, Habib summarized the main clinical features of apathy which he termed “athymormia” after brain damage, and stressed the over-representation of basal ganglia lesions among these patients. Furthermore, changes on the Neuropsychiatric Inventory were rather small and may not have been clinically relevant. We examined the frequency of apathy in a study that included a consecutive series of patients with probable AD Starkstein et al. However, Habib’s model partially rests on the dubious assumption that action is causally dependent on motivation.

Starkstein Apathy Scale (SAS)

The Apathy Inventory also includes separate assessments for the symptoms of emotional blunting, lack of initiative, and loss of interest. Marin Marin et al. They suggest that apathy may result from a faulty elaboration of “plans of action” and from the disruption of “activating thoughts” in the initiation of motor programs, which are stakrstein psychological concepts.

The prevalence and clinical correlates of apathy and irritability in Alzheimer’s disease. Pharmacological management of the psychiatric aspects of traumatic Brain Inj Int Rev Psychiatry ; 15 4: