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Openly accessible at http://www.scirp.org/journal/apd/ 54 M. Serrano-Dueñas et al. Andersson, S. and Bergedalen, A. M. (2002). 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. (Marin et al, 1991). Significant inverse relationships between AES-C and emotional discomfort. 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 (Y/N), Appropriate for use in intervention research studies? He defined apathy as “lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress.” (Marin, 1991). 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). "The Apathy Evaluation Scale." Find it on PubMed, Marin, R. S., Biedrzycki, R. C., et al. Multidimensional apathy: evidence from neurodegenerative disease. Named SAS or AS in the scientific literature. Brain Injury 12(1): 87-92. 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. 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. Differentiates between hypoxia and other forms of acquired brain injury. There are a host of standardized measures of frontal cognitive changes, such as the Wisconsin Card Sorting Test and the Stroop Test. Find it on PubMed. "Prevalence of apathy following head injury." Brain Injury 23(13-14): 999-1007. The Apathy Evaluation Scale (AES) was developed to quantify and characterize apathy in adult patients. Thanks for helping us invest in our patients. Differential diagnosis and classification of apathy. Apathy was measured using the Apathy Evaluation Scale, clinician version (AES-C) 45 3 months after the index stroke. 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). Do you see an error or have a suggestion for this instrument summary? 1990 Jan;147(1):22-30. Review (PubMed Abstract), Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. (1998). Assessing apathy in multiple sclerosis: Validation of the dimensional apathy scale and comparison with apathy evaluation scale. Some items on the AES-I and AES-C involve judging philosophical intention (e.g. Find it on PubMed, Andersson, S., Krogstad, J. M., et al. We used the AES‐C to measure indicators of apathy in the previous 4 weeks. Enter your zip code . 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. The AES addresses characteristics of goal directed behavior that reflects apathy including behavioral, cognitive, and emotional indicators. (1991). Apathy is a diminished goal-directed behavior stemming from a lack of motivation. Patients received clinical and neuropsychological evaluations. 267, Issue. . Int J Methods Psychiatr Res 16(2): 97-110. , p. 140. 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). "Emotional activation during therapeutic interaction in traumatic brain injury: effect of apathy, self-awareness and implications for rehabilitation." Conceptually, apathy is defined as lack of motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress. Significant relationships between AES-C and heart rate/blood pressure reactivity and mean arterial pressure (beta values reported, p<.01). Find it on PubMed, Kant, R., Duffy, J. D., et al. A systematic literature review was conducted to identify scales that have either been validated or used in PD patients. (1999). http://www.extensionuned.es/archivos_publicos/qdocente_planes/3535/sindromes_organicos__personalidad.ppt. "Apathy and depressed mood in acquired brain damage: relationship to lesion localization and psychophysiological reactivity." 2019 Shirley Ryan AbilityLab does not provide emergency medical services. Apathy Evaluation Scale, clinician version. 2015. Find it on PubMed. "Reliability and validity of the Apathy Evaluation Scale." Psychological Medicine 29(2): 447-456. Spanish (slide 62-63):  Brain Injury 13(6): 393-404. 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. AES consists of 18 items and was created by Marin et al. The Center for Outcome Measurement In Brain Injury. Marin RS. 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. Derived from the Apathy Evaluation Scale (AES) designed by Robert Marin in 1990. Some items must be reverse scored because of the way they are written. (2002). 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. Published in 1992. 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 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. "Measuring apathy after traumatic brain injury: Psychometric properties of the Apathy Evaluation Scale and the Frontal Systems Behavior Scale." Psychiatry Research, Vol. Key Descriptions. 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. Brain Injury 16(6): 509-516. Administration instructions are provided in the Marin et al., 1991 reference; pages 161-162. Generic neurodegenerative disease validation studies were of average methodological quality and yielded inconsistent … Each item is rated on a 4-point Likert-type scale. Toll-Free U.S. 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. However, this instrument has not been translated into Swedish, halting clinical and research efforts. Psychiatry Res. 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. Your gift of Ability affects everything that we do every day at Shirley Ryan AbilityLab. Short Version of the Apathy Evaluation Scale 378 Am J Geriatr Psychiatry 15:5, May 2007. 1-844-355-ABLE, Visiting & COVID-19 Precautions     |     TeleHealth Visits. "Cognitive correlates of apathy in traumatic brain injury." The AS is a 14-question inventory that evaluates the domains of apathy related to cognition, motivation, and interest. 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. 1991 Aug;38(2):143-62 (PubMed Abstract), Access to advanced descriptions of Clinical Outcome Assessments (COAs), © Mapi Research Trust 2021, All rights reserved. Cognitive deficits due to damage or disease affecting frontal lobe systems are well known to clinical neuroscientists. 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. 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). "An appraisal of the psychometric properties of the Clinician version of the Apathy Evaluation Scale (AES-C)." Am J Psychiatry. "Coping strategies in patients with acquired brain injury: relationships between coping, apathy, depression and lesion location." 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). Find it on PubMed, Lane-Brown, A. T. and Tate, R. L. (2009). 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. 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. (Y/N), Is additional research warranted for this tool (Y/N). Disease duration was based on the retrospective clinical information of the illness timeline. CrossRef ; Google Scholar; Radakovic, Ratko and Abrahams, Sharon 2018. Apathy and depression are discriminable but related dimensions of behavior. 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. 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. 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). From high-quality clinical care and groundbreaking research to community programs that improve quality of life, philanthropic support drives our mission and vision. "Cutoff score on the apathy evaluation scale in subjects with traumatic brain injury." [ 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. Neuropsychiatry, Neuropsychology, and Behavioral Neurology 15(3): 184-191. 46 The interitem correlation in the current sample was .35. 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. 1-844-355-ABLE. Multiple Sclerosis and Related Disorders, 38, 101870. 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. 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. 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. The AES is an 18-item scale that measures apathy as a single construct. AES-C correlates as expected with items on depression scale (excellent levels with positive items, insignificant correlation with items reflecting depression). 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 … AES-C predicts average scores and time spontaneously engaged on videogame at levels of significance p<.002). Initially reviewed by Karen McCulloch, PT, PhD, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 6/2012. Glenn, M. (2005). The items are rated on a 4‐point Likert scale from 1 (not at all characteristic) to 4 (very characteristic). Abstract. 1990 Jan;147(1):22-30. Review (PubMed Abstract)Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. Background: Apathy, a prevalent and clinically relevant symptom in neurodegenerative disease, is often evaluated by the instrument Apathy Evaluation Scale (AES). 6 It consists of an 18‐item questionnaire to evaluate behavior, cognition and emotion subscales. The clinical utility of this formulation is shown by describing … It has shown satisfactory psychometric properties in PD and has been recommended for screening apathy and evaluating its severity in this context [ 6 The clinical evaluation included: Apathy Evaluation Scale-patient version, Hamilton Depression Rating Scale-17 items, the Unified Parkinson's Disease Rating Scale and … Or Call Toll-Free . / 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 … Please share how this access benefits you. For subjective Evaluation for use in intervention research studies 38, 101870, details offered in response questions. 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