Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease

Aim:It has been shown that motor symptoms, as well as non-motor symptoms, significantly affect the quality of life of patients with idiopathic Parkinson’s disease. In our study, the association of apathy, one of the NMS, with motor and non-motor symptoms was investigated.Methods:Patients with stage...

Full description

Bibliographic Details
Main Authors: Melek Gürbüz, Gönül Akdağ, Özge Arıcı Düz, Feriha Özer, Özlem Çokar, Lütfü Hanoğlu
Format: Article
Language:English
Published: Galenos Yayinevi 2019-06-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/relation-of-apathy-to-motor-and-non-motor-findings/26205
_version_ 1828015793640570880
author Melek Gürbüz
Gönül Akdağ
Özge Arıcı Düz
Feriha Özer
Özlem Çokar
Lütfü Hanoğlu
author_facet Melek Gürbüz
Gönül Akdağ
Özge Arıcı Düz
Feriha Özer
Özlem Çokar
Lütfü Hanoğlu
author_sort Melek Gürbüz
collection DOAJ
description Aim:It has been shown that motor symptoms, as well as non-motor symptoms, significantly affect the quality of life of patients with idiopathic Parkinson’s disease. In our study, the association of apathy, one of the NMS, with motor and non-motor symptoms was investigated.Methods:Patients with stage 1-3 IPH according to the Hoehn-Yahr Scale (H&Y) were included in the study. Patients who received dementia diagnosis according to the DSM IV criteria were excluded from the study. The patients were evaluated using the Unified Parkinson’s Disease Rating Scale (UPDRS), non-motor symptoms Questionnaire (NMSQ), Geriatric Depression Scale (GDS), and the revised diagnostic criteria for apathy.Results:Apathy was found in 26 of 68 patients who were included in the study. Patients with and without apathy were compared in terms of age, clinical and demographic characteristics, L-dopa equivalent doses, depression, and NMSQ scores. The group of patients with apathy consisted of nine females and 17 males and the mean age was 64.3±7.7 years. The non-apathy group included 25 females and 17 males and the mean age was 66.8±9.1 years. There was no statistically significant difference between the groups in terms of age, education, age at onset, duration of illness and L-dopa equivalent doses. The male-to-female ratio was significantly higher in the apathy group. The mean GDS and NMSQ scores in the apathy group were significantly higher than in the non-apathy group. There was a statistically significant difference between the groups in H&Y stage and total UPDRS and subscales scores. It was noteworthy that the rate of stage 3 patients was higher in the group of patients with apathy. The number of patients having bradykinesia in the apathy group and the number of patients having tremor in the group without apathy was higher.Conclusion:Our study showed that apathy, one of the non-motor symptoms, was more prominent in male gender, associated with UPDRS scores, clinical stage and bradykinesia, and accompanied by depression.
first_indexed 2024-04-10T10:24:16Z
format Article
id doaj.art-693fac9ef9254eac9b943854ff930544
institution Directory Open Access Journal
issn 1302-0072
2147-2688
language English
last_indexed 2024-04-10T10:24:16Z
publishDate 2019-06-01
publisher Galenos Yayinevi
record_format Article
series Haseki Tıp Bülteni
spelling doaj.art-693fac9ef9254eac9b943854ff9305442023-02-15T16:21:27ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882019-06-0157212913410.4274/haseki.galenos.2018.445713049054Relation of Apathy to Motor and Non-motor Findings in Parkinson’s DiseaseMelek Gürbüz0Gönül Akdağ1Özge Arıcı Düz2Feriha Özer3Özlem Çokar4Lütfü Hanoğlu5 Atatürk Devlet Hastanesi, Nöroloji Kliniği, Sinop, Türkiye Kütahya Sağlık Bilimleri Üniversitesi, Evliya Çelebi Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Kütahya, Türkiye Medipol Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye Koç Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul, Türkiye İstanbul Haseki Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, İstanbul, Türkiye Kütahya Sağlık Bilimleri Üniversitesi, Evliya Çelebi Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Kütahya, Türkiye Aim:It has been shown that motor symptoms, as well as non-motor symptoms, significantly affect the quality of life of patients with idiopathic Parkinson’s disease. In our study, the association of apathy, one of the NMS, with motor and non-motor symptoms was investigated.Methods:Patients with stage 1-3 IPH according to the Hoehn-Yahr Scale (H&Y) were included in the study. Patients who received dementia diagnosis according to the DSM IV criteria were excluded from the study. The patients were evaluated using the Unified Parkinson’s Disease Rating Scale (UPDRS), non-motor symptoms Questionnaire (NMSQ), Geriatric Depression Scale (GDS), and the revised diagnostic criteria for apathy.Results:Apathy was found in 26 of 68 patients who were included in the study. Patients with and without apathy were compared in terms of age, clinical and demographic characteristics, L-dopa equivalent doses, depression, and NMSQ scores. The group of patients with apathy consisted of nine females and 17 males and the mean age was 64.3±7.7 years. The non-apathy group included 25 females and 17 males and the mean age was 66.8±9.1 years. There was no statistically significant difference between the groups in terms of age, education, age at onset, duration of illness and L-dopa equivalent doses. The male-to-female ratio was significantly higher in the apathy group. The mean GDS and NMSQ scores in the apathy group were significantly higher than in the non-apathy group. There was a statistically significant difference between the groups in H&Y stage and total UPDRS and subscales scores. It was noteworthy that the rate of stage 3 patients was higher in the group of patients with apathy. The number of patients having bradykinesia in the apathy group and the number of patients having tremor in the group without apathy was higher.Conclusion:Our study showed that apathy, one of the non-motor symptoms, was more prominent in male gender, associated with UPDRS scores, clinical stage and bradykinesia, and accompanied by depression. http://www.hasekidergisi.com/archives/archive-detail/article-preview/relation-of-apathy-to-motor-and-non-motor-findings/26205 Parkinson’s diseasemotor symptomsnon-motor symptomsapathy
spellingShingle Melek Gürbüz
Gönül Akdağ
Özge Arıcı Düz
Feriha Özer
Özlem Çokar
Lütfü Hanoğlu
Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease
Haseki Tıp Bülteni
Parkinson’s disease
motor symptoms
non-motor symptoms
apathy
title Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease
title_full Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease
title_fullStr Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease
title_full_unstemmed Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease
title_short Relation of Apathy to Motor and Non-motor Findings in Parkinson’s Disease
title_sort relation of apathy to motor and non motor findings in parkinson s disease
topic Parkinson’s disease
motor symptoms
non-motor symptoms
apathy
url http://www.hasekidergisi.com/archives/archive-detail/article-preview/relation-of-apathy-to-motor-and-non-motor-findings/26205
work_keys_str_mv AT melekgurbuz relationofapathytomotorandnonmotorfindingsinparkinsonsdisease
AT gonulakdag relationofapathytomotorandnonmotorfindingsinparkinsonsdisease
AT ozgearıcıduz relationofapathytomotorandnonmotorfindingsinparkinsonsdisease
AT ferihaozer relationofapathytomotorandnonmotorfindingsinparkinsonsdisease
AT ozlemcokar relationofapathytomotorandnonmotorfindingsinparkinsonsdisease
AT lutfuhanoglu relationofapathytomotorandnonmotorfindingsinparkinsonsdisease