Development and validation of the geriatric apathy scale: Examining multi-dimensional apathy profiles in a neurodegenerative population with cultural considerations
Apathy is a common motivational deficit in neurodegenerative diseases, but lacks a culturally sensitive tool accounting for ethnic Chinese culture's impact on motivation initiation. This study developed and validated the Geriatric Apathy Scale (GAS), comprehensively incorporating cultural nuanc...
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| Veröffentlicht in: | Asian journal of psychiatry 2024-03, Vol.93, p.103924-103924, Article 103924 |
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| creator | Yi, Hsin-Jou Tan, Chun-Hsiang Hong, Wei-Pin Yu, Rwei-Ling |
| description | Apathy is a common motivational deficit in neurodegenerative diseases, but lacks a culturally sensitive tool accounting for ethnic Chinese culture's impact on motivation initiation. This study developed and validated the Geriatric Apathy Scale (GAS), comprehensively incorporating cultural nuances, setting diagnostic cutoffs, and examining apathy's multi-dimensional aspects in a neurodegenerative cohort.
The 16-item GAS was developed by considering ethnic Chinese cultural characteristics and conducting a literature review. The study involved 296 participants, comprising 113 with Parkinson’s disease (PD), 66 with Alzheimer’s disease (AD), and 117 healthy controls (HC). All participants completed the GAS, Apathy Evaluation Scale (AES), Geriatric Depression Scale (GDS-15), Mini-Mental State Examination, and Activities of Daily Living (ADLs).
The GAS showed good internal consistency (r = 0.862) and test-retest reliability (r = 0.767). It correlated moderately with the AES (r = 0.639, p |
| doi_str_mv | 10.1016/j.ajp.2024.103924 |
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The 16-item GAS was developed by considering ethnic Chinese cultural characteristics and conducting a literature review. The study involved 296 participants, comprising 113 with Parkinson’s disease (PD), 66 with Alzheimer’s disease (AD), and 117 healthy controls (HC). All participants completed the GAS, Apathy Evaluation Scale (AES), Geriatric Depression Scale (GDS-15), Mini-Mental State Examination, and Activities of Daily Living (ADLs).
The GAS showed good internal consistency (r = 0.862) and test-retest reliability (r = 0.767). It correlated moderately with the AES (r = 0.639, p < .001), weakly with GDS-15 (r = 0.166, p < .01), and negatively with ADLs (r = −1.19, p < .05). Clinical diagnosis cutoff scores were identified at 15.5 for PD (sensitivity: 0.789; specificity: 0.693) and 12.5 for AD (sensitivity: 0.821; specificity: 0.632). Noteworthy disparities were observed in the Cognition and Social Motivation dimension, with elevated severity in both PD and AD compared to HC (p < .01). Interestingly, within-group comparisons revealed greater apathy severity in the Cognition and Social Motivation dimension for PD (p < .001) and AD (p = .001) versus Emotional Response and Expression and Spontaneous Behavioral Activation.
The GAS, a psychometrically validated scale, assesses apathy in neurodegenerative populations, accounting for ethnic Chinese culture's influence. It establishes clinical cutoff points and explores the multi-dimensional nature of apathy.
•Geriatric Apathy Scale: Practical, culturally sensitive, psychometrically sound for ethnic Chinese apathy instrument.•Geriatric Apathy Scale explores cognitive, social, emotional, and behavioral facets through multidimensional assessment.•Geriatric Apathy Scale establishes cut-offs for Parkinson’s (15.5) and Alzheimer’s disease (12.5) in clinical diagnosis.</description><identifier>ISSN: 1876-2018</identifier><identifier>EISSN: 1876-2026</identifier><identifier>DOI: 10.1016/j.ajp.2024.103924</identifier><identifier>PMID: 38232445</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Activities of Daily Living - psychology ; Aged ; Alzheimer Disease - diagnosis ; Apathy ; Apathy - physiology ; Culturally sensitive ; Humans ; Inventory ; Neurodegenerative diseases ; Parkinson Disease - psychology ; Psychiatric Status Rating Scales ; Psychometrically validated ; Psychometrics - methods ; Reproducibility of Results</subject><ispartof>Asian journal of psychiatry, 2024-03, Vol.93, p.103924-103924, Article 103924</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-8c15df9b3f8adbbf7007956cf62db03ae2da5ea22068989303a3b689a64d90493</citedby><cites>FETCH-LOGICAL-c396t-8c15df9b3f8adbbf7007956cf62db03ae2da5ea22068989303a3b689a64d90493</cites><orcidid>0009-0006-3382-266X ; 0000-0001-6950-4678 ; 0000-0001-5836-1237</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1876201824000169$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38232445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yi, Hsin-Jou</creatorcontrib><creatorcontrib>Tan, Chun-Hsiang</creatorcontrib><creatorcontrib>Hong, Wei-Pin</creatorcontrib><creatorcontrib>Yu, Rwei-Ling</creatorcontrib><title>Development and validation of the geriatric apathy scale: Examining multi-dimensional apathy profiles in a neurodegenerative population with cultural considerations</title><title>Asian journal of psychiatry</title><addtitle>Asian J Psychiatr</addtitle><description>Apathy is a common motivational deficit in neurodegenerative diseases, but lacks a culturally sensitive tool accounting for ethnic Chinese culture's impact on motivation initiation. This study developed and validated the Geriatric Apathy Scale (GAS), comprehensively incorporating cultural nuances, setting diagnostic cutoffs, and examining apathy's multi-dimensional aspects in a neurodegenerative cohort.
The 16-item GAS was developed by considering ethnic Chinese cultural characteristics and conducting a literature review. The study involved 296 participants, comprising 113 with Parkinson’s disease (PD), 66 with Alzheimer’s disease (AD), and 117 healthy controls (HC). All participants completed the GAS, Apathy Evaluation Scale (AES), Geriatric Depression Scale (GDS-15), Mini-Mental State Examination, and Activities of Daily Living (ADLs).
The GAS showed good internal consistency (r = 0.862) and test-retest reliability (r = 0.767). It correlated moderately with the AES (r = 0.639, p < .001), weakly with GDS-15 (r = 0.166, p < .01), and negatively with ADLs (r = −1.19, p < .05). Clinical diagnosis cutoff scores were identified at 15.5 for PD (sensitivity: 0.789; specificity: 0.693) and 12.5 for AD (sensitivity: 0.821; specificity: 0.632). Noteworthy disparities were observed in the Cognition and Social Motivation dimension, with elevated severity in both PD and AD compared to HC (p < .01). Interestingly, within-group comparisons revealed greater apathy severity in the Cognition and Social Motivation dimension for PD (p < .001) and AD (p = .001) versus Emotional Response and Expression and Spontaneous Behavioral Activation.
The GAS, a psychometrically validated scale, assesses apathy in neurodegenerative populations, accounting for ethnic Chinese culture's influence. It establishes clinical cutoff points and explores the multi-dimensional nature of apathy.
•Geriatric Apathy Scale: Practical, culturally sensitive, psychometrically sound for ethnic Chinese apathy instrument.•Geriatric Apathy Scale explores cognitive, social, emotional, and behavioral facets through multidimensional assessment.•Geriatric Apathy Scale establishes cut-offs for Parkinson’s (15.5) and Alzheimer’s disease (12.5) in clinical diagnosis.</description><subject>Activities of Daily Living - psychology</subject><subject>Aged</subject><subject>Alzheimer Disease - diagnosis</subject><subject>Apathy</subject><subject>Apathy - physiology</subject><subject>Culturally sensitive</subject><subject>Humans</subject><subject>Inventory</subject><subject>Neurodegenerative diseases</subject><subject>Parkinson Disease - psychology</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychometrically validated</subject><subject>Psychometrics - methods</subject><subject>Reproducibility of Results</subject><issn>1876-2018</issn><issn>1876-2026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhSMEoj_wAGyQl2wy-CfxJLBCpRSkSmxgbd3YNzMeOXawnSl9Hx4UD2m7ZOXrq--ce-1TVW8Y3TDK5PvDBg7zhlPelLvoefOsOmfdVtalJZ8_1aw7qy5SOlAqO9FsX1ZnouOCN017Xv35jEd0YZ7QZwLekCM4ayDb4EkYSd4j2WG0kKPVBGbI-3uSNDj8QK5_w2S99TsyLS7b2thikooQ3CM5xzBah4lYT4B4XGIwuEOPsUw4IpnDvLh12J3Ne6KL0RKLXofiZP5hpXpVvRjBJXz9cF5WP79c_7j6Wt9-v_l29em21qKXue40a83YD2LswAzDuKV027dSj5KbgQpAbqBF4Lz8Q9_1orTEUEqQjelp04vL6t3qW_b-tWDKarJJo3PgMSxJ8Z7JhnayPaFsRXUMKUUc1RztBPFeMapO4aiDKuGoUzhqDado3j7YL8OE5knxmEYBPq4AlkceLUaVtEWv0diIOisT7H_s_wIvo6Rq</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Yi, Hsin-Jou</creator><creator>Tan, Chun-Hsiang</creator><creator>Hong, Wei-Pin</creator><creator>Yu, Rwei-Ling</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0006-3382-266X</orcidid><orcidid>https://orcid.org/0000-0001-6950-4678</orcidid><orcidid>https://orcid.org/0000-0001-5836-1237</orcidid></search><sort><creationdate>202403</creationdate><title>Development and validation of the geriatric apathy scale: Examining multi-dimensional apathy profiles in a neurodegenerative population with cultural considerations</title><author>Yi, Hsin-Jou ; Tan, Chun-Hsiang ; Hong, Wei-Pin ; Yu, Rwei-Ling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-8c15df9b3f8adbbf7007956cf62db03ae2da5ea22068989303a3b689a64d90493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Activities of Daily Living - psychology</topic><topic>Aged</topic><topic>Alzheimer Disease - diagnosis</topic><topic>Apathy</topic><topic>Apathy - physiology</topic><topic>Culturally sensitive</topic><topic>Humans</topic><topic>Inventory</topic><topic>Neurodegenerative diseases</topic><topic>Parkinson Disease - psychology</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychometrically validated</topic><topic>Psychometrics - methods</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yi, Hsin-Jou</creatorcontrib><creatorcontrib>Tan, Chun-Hsiang</creatorcontrib><creatorcontrib>Hong, Wei-Pin</creatorcontrib><creatorcontrib>Yu, Rwei-Ling</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yi, Hsin-Jou</au><au>Tan, Chun-Hsiang</au><au>Hong, Wei-Pin</au><au>Yu, Rwei-Ling</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and validation of the geriatric apathy scale: Examining multi-dimensional apathy profiles in a neurodegenerative population with cultural considerations</atitle><jtitle>Asian journal of psychiatry</jtitle><addtitle>Asian J Psychiatr</addtitle><date>2024-03</date><risdate>2024</risdate><volume>93</volume><spage>103924</spage><epage>103924</epage><pages>103924-103924</pages><artnum>103924</artnum><issn>1876-2018</issn><eissn>1876-2026</eissn><abstract>Apathy is a common motivational deficit in neurodegenerative diseases, but lacks a culturally sensitive tool accounting for ethnic Chinese culture's impact on motivation initiation. This study developed and validated the Geriatric Apathy Scale (GAS), comprehensively incorporating cultural nuances, setting diagnostic cutoffs, and examining apathy's multi-dimensional aspects in a neurodegenerative cohort.
The 16-item GAS was developed by considering ethnic Chinese cultural characteristics and conducting a literature review. The study involved 296 participants, comprising 113 with Parkinson’s disease (PD), 66 with Alzheimer’s disease (AD), and 117 healthy controls (HC). All participants completed the GAS, Apathy Evaluation Scale (AES), Geriatric Depression Scale (GDS-15), Mini-Mental State Examination, and Activities of Daily Living (ADLs).
The GAS showed good internal consistency (r = 0.862) and test-retest reliability (r = 0.767). It correlated moderately with the AES (r = 0.639, p < .001), weakly with GDS-15 (r = 0.166, p < .01), and negatively with ADLs (r = −1.19, p < .05). Clinical diagnosis cutoff scores were identified at 15.5 for PD (sensitivity: 0.789; specificity: 0.693) and 12.5 for AD (sensitivity: 0.821; specificity: 0.632). Noteworthy disparities were observed in the Cognition and Social Motivation dimension, with elevated severity in both PD and AD compared to HC (p < .01). Interestingly, within-group comparisons revealed greater apathy severity in the Cognition and Social Motivation dimension for PD (p < .001) and AD (p = .001) versus Emotional Response and Expression and Spontaneous Behavioral Activation.
The GAS, a psychometrically validated scale, assesses apathy in neurodegenerative populations, accounting for ethnic Chinese culture's influence. It establishes clinical cutoff points and explores the multi-dimensional nature of apathy.
•Geriatric Apathy Scale: Practical, culturally sensitive, psychometrically sound for ethnic Chinese apathy instrument.•Geriatric Apathy Scale explores cognitive, social, emotional, and behavioral facets through multidimensional assessment.•Geriatric Apathy Scale establishes cut-offs for Parkinson’s (15.5) and Alzheimer’s disease (12.5) in clinical diagnosis.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38232445</pmid><doi>10.1016/j.ajp.2024.103924</doi><tpages>1</tpages><orcidid>https://orcid.org/0009-0006-3382-266X</orcidid><orcidid>https://orcid.org/0000-0001-6950-4678</orcidid><orcidid>https://orcid.org/0000-0001-5836-1237</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Asian journal of psychiatry, 2024-03, Vol.93, p.103924-103924, Article 103924 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Activities of Daily Living - psychology Aged Alzheimer Disease - diagnosis Apathy Apathy - physiology Culturally sensitive Humans Inventory Neurodegenerative diseases Parkinson Disease - psychology Psychiatric Status Rating Scales Psychometrically validated Psychometrics - methods Reproducibility of Results |
| title | Development and validation of the geriatric apathy scale: Examining multi-dimensional apathy profiles in a neurodegenerative population with cultural considerations |
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