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

      The Journal of neuropsychiatry and clinical neurosciences
      Aged, Analysis of Variance, Delirium, Dementia, Amnestic, Cognitive Disorders, diagnosis, psychology, Depressive Disorder, Female, Humans, Male, Middle Aged, Motivation, Neuropsychological Tests, statistics & numerical data, Parkinson Disease, Psychometrics

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          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.

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