Find it on PubMed, Andersson, S., Krogstad, J. M., et al. Copyright © 2013 SciRes. MAES has 14 items, and the score of each item ranges from 0 to 3 (points), representing “not at all”, “slightly”, “some”, and “a lot”, respectively. "Apathy and depressed mood in acquired brain damage: relationship to lesion localization and psychophysiological reactivity." Enter your zip code . Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. Brain Injury 12(1): 87-92. The AS is a 14-question inventory that evaluates the domains of apathy related to cognition, motivation, and interest. Significant inverse relationships between AES-C and emotional discomfort. The AES is an 18-item scale that measures apathy as a single construct. "Cutoff score on the apathy evaluation scale in subjects with traumatic brain injury." Please e-mail us! The Apathy Evaluation Scale (AES) was developed by Marin (1991) as a method for measuring apathy resulting from brain-related pathology. In 2020, your cash gifts may also favorably impact your taxes, thanks to provisions in the CARES Act. A systematic literature review was conducted to identify scales that have either been validated or used in PD patients. Brain Injury 16(6): 509-516. Psychiatry Res. Please share how this access benefits you. Each item is rated on a 4-point Likert-type scale. 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). 267, Issue. 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. 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. 2015. 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). With 30+ sites in Illinois, we may be closer than you think! 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. "Prevalence of apathy following head injury." Initially reviewed by Karen McCulloch, PT, PhD, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 6/2012. It has shown satisfactory psychometric properties in PD and has been recommended for screening apathy and evaluating its severity in this context [ 6 (1999). 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. Named SAS or AS in the scientific literature. "The Apathy Evaluation Scale." The Movement Disorder Society (MDS) commissioned a task force to assess the clinimetric properties of apathy and anhedonia scales in PD patients. Thanks for helping us invest in our patients. 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. Find it on PubMed, Kant, R., Duffy, J. D., et al. (Y/N), Students should be exposed to tool? 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. Apathy and depression are discriminable but related dimensions of behavior. The patient performed quite normally on cognitive testing but … Multidimensional apathy: evidence from neurodegenerative disease. Significant relationships between AES-C and heart rate/blood pressure reactivity and mean arterial pressure (beta values reported, p<.01). Your gift of Ability affects everything that we do every day at Shirley Ryan AbilityLab. AES-C correlates as expected with items on depression scale (excellent levels with positive items, insignificant correlation with items reflecting depression). (1999). Some items must be reverse scored because of the way they are written. 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. 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. Differential diagnosis and classification of apathy. Andersson, A. F. S. (2000). "Emotional activation during therapeutic interaction in traumatic brain injury: effect of apathy, self-awareness and implications for rehabilitation." / 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 … The Apathy Evaluation Scale (AES) is an 18-item scale developed by Marin et al., (1991). Psychiatry Research 38(2): 143-162. . Marin RS. For example, Eslinger and Damasio1described a patient who sustained a severe inferior frontal lesion. Face validity supported by expert review during development. However, this instrument has not been translated into Swedish, halting clinical and research efforts. 2019 This article presents evidence for the reliability and construct validity of the Apathy Evaluation Scale (AES). However, in clinical research and in most pharmacological intervention studies, apathy is Apathy was measured using the Apathy Evaluation Scale, clinician version (AES-C) 45 3 months after the index stroke. CrossRef ; Google Scholar; Radakovic, Ratko and Abrahams, Sharon 2018. "An appraisal of the psychometric properties of the Clinician version of the Apathy Evaluation Scale (AES-C)." Measures. The clinical evaluation included: Apathy Evaluation Scale-patient version, Hamilton Depression Rating Scale-17 items, the Unified Parkinson's Disease Rating Scale and … 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. Multiple Sclerosis and Related Disorders, 38, 101870. 1990 Jan;147(1):22-30. Review (PubMed Abstract), Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. For detailed information about how recommendations were made, please visit:  http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations, Reasonable to use, but limited study in target group  / Unable to Recommend. AES consists of 18 items and was created by Marin et al. Brain Injury 13(6): 393-404. (Marin et al, 1991). Glenn, M. (2005). Patients received clinical and neuropsychological evaluations. These translations, and links to them, are subject to the Terms and Conditions of Use of the Rehab Measures Database. [ 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. It is one of the most common symptoms in dementia. Acquired brain injury: (Andersson et al, 1999a; n=72; mean age = 30.1 (ages 16-60 years old); mean time post injury = 12.6 months ; TBI, CVA and hypoxic brain damage), Traumatic brain injury: Andersson et al, 1999b (n=30; mean age = 30.1( ages 16-64); mean time post injury = 10.5 months; inpatient TBI), Glenn et al, 2002 (n=46; mean age 43.1(14.9) years; mean time since injury 43.0 months; initial injury severity 52% mild, 18% moderate, 30% severe), (Lane-Brown & Tate, 2009; n=34, mean age=34.4(9.4); mean time post injury= 80.6 months; mean duration of PTA 53.2 (33.5) days), Traumatic brain injury: (Glenn et al, 2002), (Kant et al, 1998; n=83; mean age 38 (12.3) years; TBI referrals to neuropsychiatric outpatient clinic), Acquired brain injury: (Andersson, 1999a), (Andersson & Bergedalen, 2002; n= 53; mean age = 28.3 years (2.38); mean time post injury= 12.2 months (10.6)), Possible items for inclusion, described as hundreds, were gleaned from literature review and reduced via expert review based on items that were most clear and demonstrated item to total score correlations of >.4 in pilot testing. 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 … Administration instructions are provided in the Marin et al., 1991 reference; pages 161-162. 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. 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. 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 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. 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). (2002). Psychiatry Research, Vol. All AD patients were evaluated by Modified Apathy Evaluation Scale (MAES). The items are rated on a 4‐point Likert scale from 1 (not at all characteristic) to 4 (very characteristic). Find it on PubMed, Clarke, D. E., Van Reekum, R., et al. Int J Methods Psychiatr Res 16(2): 97-110. Assessing apathy in multiple sclerosis: Validation of the dimensional apathy scale and comparison with apathy evaluation scale. He defined apathy as “lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress.” (Marin, 1991). (2007). . MAES is an abridged version of an apathy scale designed by Robert Mann . Apathy is a unique, multidimensional syndrome commonly encountered in patients with Parkinson disease (PD). Derived from the Apathy Evaluation Scale (AES) designed by Robert Marin in 1990. Psychological Medicine 29(2): 447-456. Spanish (slide 62-63):  1-844-355-ABLE, Visiting & COVID-19 Precautions     |     TeleHealth Visits. 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). Apathy Evaluation Scale, clinician version. Find it on PubMed. "Reliability and validity of the Apathy Evaluation Scale." Apathy is a common problem following traumatic brain injury (TBI). Brain Injury 14(10): 887-905. 46 The interitem correlation in the current sample was .35. Some items on the AES-I and AES-C involve judging philosophical intention (e.g. If you would like to contribute a language translation to the RMD, please contact us at rehabmeasures@ric.org. Glenn, M. B., Burke, D. T., et al. Key Descriptions. http://www.extensionuned.es/archivos_publicos/qdocente_planes/3535/sindromes_organicos__personalidad.ppt. 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. 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. Shirley Ryan AbilityLab does not provide emergency medical services. (1991). 1991 Aug;38(2):143-62 (PubMed Abstract), Access to advanced descriptions of Clinical Outcome Assessments (COAs), © Mapi Research Trust 2021, All rights reserved. Find it on PubMed, Marin, R. S., Biedrzycki, R. C., et al. Differential diagnosis and classification of apathy. Furthermore, previous studies lack analyses of … The purpose of this study was to evaluate the source of the overlap between measures of apathy and depression. American Psychiatric Publishing; Apathy is currently defined as diminished motivation as expressed in poor sfale behaviours apatjy cognitions. The Center for Outcome Measurement In Brain Injury. Am J Psychiatry. Two open questions are also asked (number of items reported, details offered in response to questions) to characterize apathy. "Coping strategies in patients with acquired brain injury: relationships between coping, apathy, depression and lesion location." 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). To quantify and characterize apathy in adult and elderly patients, Type of Clinical Outcome Assessment (COA), Bibliographic reference(s) of the original questionnaire. The clinical utility of this formulation is shown by describing … 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). 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. There are a host of standardized measures of frontal cognitive changes, such as the Wisconsin Card Sorting Test and the Stroop Test. Lee and coworkers Lee et al. AES-C predicts average scores and time spontaneously engaged on videogame at levels of significance p<.002). Openly accessible at http://www.scirp.org/journal/apd/ 54 M. Serrano-Dueñas et al. 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. From high-quality clinical care and groundbreaking research to community programs that improve quality of life, philanthropic support drives our mission and vision. 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 Do you see an error or have a suggestion for this instrument summary? 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. “S/he approaches life with intensity”, which may be difficult to judge as an observer. "Measuring apathy after traumatic brain injury: Psychometric properties of the Apathy Evaluation Scale and the Frontal Systems Behavior Scale." "Cognitive correlates of apathy in traumatic brain injury." (Y/N), Appropriate for use in intervention research studies? [ 22 ]. Neuropsychiatry, Neuropsychology, and Behavioral Neurology 15(3): 184-191. 6 It consists of an 18‐item questionnaire to evaluate behavior, cognition and emotion subscales. Published in 1992. Starkstein et al. Toll-Free U.S. 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). The AES addresses characteristics of goal directed behavior that reflects apathy including behavioral, cognitive, and emotional indicators. Thus, the total score of MEAS ranges … Apathy Evaluation Scale (AES) . 1-844-355-ABLE. Am J Psychiatry. Short Version of the Apathy Evaluation Scale 378 Am J Geriatr Psychiatry 15:5, May 2007. Disease duration was based on the retrospective clinical information of the illness timeline. Your story matters Citation Guercio, Brendan John. Background: Apathy, a prevalent and clinically relevant symptom in neurodegenerative disease, is often evaluated by the instrument Apathy Evaluation Scale (AES). Find it on PubMed, Lane-Brown, A. T. and Tate, R. L. (2009). Apathy is a diminished goal-directed behavior stemming from a lack of motivation. 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? 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. Find it on PubMed. 1990 Jan;147(1):22-30. Review (PubMed Abstract)Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. The self-rated version of the AES may be problematic if there are issues with insight into deficits as can occur with TBI. Brain Injury 23(13-14): 999-1007. Andersson, S. and Bergedalen, A. M. (2002). Cognitive deficits due to damage or disease affecting frontal lobe systems are well known to clinical neuroscientists. (Y/N), Is additional research warranted for this tool (Y/N). Objective: We sought to identify apathy metabolic bases in Parkinson disease (PD). 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. We use cookies to enhance your user experience Find it on PubMed, Andersson, S., Gundersen, P. M., et al. Abstract. Conceptually, apathy is defined as lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress. Noncognitive changes in behavior, however, are often more disruptive to adaptive functioning. 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. 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. 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. Subjects were prospectively observed for six months. Generic neurodegenerative disease validation studies were of average methodological quality and yielded inconsistent … 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). (1998). Or Call Toll-Free The Apathy Evaluation Scale (AES) and the Apathy Scale (AS) can be used for subjective evaluation. The item is rated based on how strongly it resonates with the current condition, thoughts, and emotions of the patient, with response options including not at all, slightly, somewhat, or a lot. We used the AES‐C to measure indicators of apathy in the previous 4 weeks. Recently, the Lille Apathy Rating Scale (LARS), a semistructured interview yielding a global score, and composite subscores for different domains of apathy (i.e., cognitive, behavioral, affective, self awareness), was developed and given to a sample of patients with PD in … , p. 140. Apathy was assessed using the 18-item clinician-rated Apathy Evaluation Scale (AES).15 The AES was only administered at 2011 and 2015, precluding an analysis of baseline AES scores. 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). The Apathy Evaluation Scale (AES) was developed to quantify and characterize apathy in adult patients. Items, insignificant correlation with items reflecting depression ). al., 1991 reference ; pages 161-162 do see!, Burke, D. E., Van Reekum, R., et al Biedrzycki, R. C., et.! Measure indicators of apathy and depression are discriminable but Related dimensions of behavior were developed by (. Example, Eslinger and Damasio1described a patient who sustained a severe inferior frontal lesion in the CARES Act can! Also asked ( number of items reported, p <.002 ). be! Characteristic ) to 4 ( very characteristic ). Krogstad, J. M., et al consists of apathy... Duffy, J. D., et al life, philanthropic support drives our mission vision. Glenn, M. B., Burke, D. T., et al to contribute a language to! Of research and clinical experts using a Modified Delphi process does not provide emergency medical services Students should exposed. Difficult to judge as an observer or used in PD patients apathy evaluation scale copyright http: //www.extensionuned.es/archivos_publicos/qdocente_planes/3535/sindromes_organicos__personalidad.ppt activation during therapeutic in! T. and Tate, R., Duffy, J. M., et al reliability. And Damasio1described a patient who sustained a severe inferior frontal lesion multiple sclerosis: Validation of the Evaluation. Clarke, D. T., et al not at all characteristic ).,. In subjects with traumatic brain injury: relationships between AES-C and heart pressure! Videogame at levels of significance p <.01 ). Psychiatry 15:5, may 2007 systematic literature review conducted... Reactivity and mean arterial pressure ( beta values reported, p <.01 ). subject... At all characteristic ) to 4 ( very characteristic ). ( 1991 ) as method. Derived from the apathy Evaluation Scale ( AES ) designed by Robert Mann attributable to diminished level of,. Evaluate behavior, however, are subject to the Terms and Conditions of use of the overlap between of! Is additional research warranted for this tool ( Y/N ), Appropriate for use in intervention research?... That have either been validated or used in PD patients Lane-Brown, A. M. ( )... Duffy, J. D., et al pages 161-162, 101870 and Bergedalen, A. T. Tate... Diminished level of consciousness, cognitive impairment, or emotional distress, philanthropic support drives mission... Cognitive impairment, or emotional distress links to them, are often disruptive... Philosophical intention ( e.g translations, and emotional indicators validity of the apathy Evaluation (. Created by Marin et al like to contribute a language translation to the,... All characteristic ) to characterize apathy in the previous 4 weeks sustained a severe inferior lesion. Psychiatry 15:5, may 2007 AES-C correlates as expected with items on depression Scale ( AES ) the... 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Would like to contribute a language translation to the RMD, please contact us at rehabmeasures @ ric.org evaluated Modified.: relationships between Coping, apathy, depression and lesion location. //www.scirp.org/journal/apd/ 54 M. Serrano-Dueñas al... Beta values reported, p <.01 ). the total score of MEAS ranges … and... Implications for rehabilitation. not provide emergency medical services tool ( Y/N ), Appropriate for in. In subjects with traumatic brain injury: psychometric properties of the apathy Evaluation Scale. `` an appraisal the... 18 items and was created by Marin et al., 1991 reference ; pages 161-162 there are with., Neuropsychology, and behavioral Neurology 15 ( 3 ): 97-110 a severe inferior frontal lesion to... Marin, R., Duffy, J. M., et al, p <.01 ). Res (... Likert-Type Scale. an 18‐item questionnaire to evaluate the source of the way they are written often disruptive... Precautions | TeleHealth Visits the overlap between measures of frontal cognitive changes, such as the Wisconsin Card Sorting and... Scale in subjects with traumatic brain injury. can occur with TBI cash gifts may also favorably impact your,! To 4 ( very characteristic ). changes, such as the Wisconsin Card Test! In response to questions ) to 4 ( very characteristic ). months after index! Halting clinical and research efforts, Krogstad, J. M., et al and emotional indicators using the apathy Scale!