Evidence map›Paper›PMID 40289592›Full record

ArticleThe Journal of neuropsychiatry and clinical neurosciences2025

Apathy in Parkinson's Disease: A Diagnostic Conundrum Explored in a Cohort Characterization Study.

Adrianna M Ratajska, Katie Rodriguez, Hannah Appleton, Rachel N Schade, Joshua Gertler, Lauren E Kenney, Gregory M Pontone, Dawn Bowers

Abstract read
In one paragraph

Article in The Journal of neuropsychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Adrianna M RatajskaDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Katie RodriguezDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Hannah AppletonDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Rachel N SchadeDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Joshua GertlerDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Lauren E KenneyDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Gregory M PontoneDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.
Dawn BowersDepartment of Clinical and Health Psychology (Ratajska, Rodriguez, Appleton, Schade, Gertler, Kenney, Bowers) and Department of Neurology, Norman Fixel Institute for Neurological Diseases (Pontone, Bowers), University of Florida, Gainesville.

Funding

Interdisciplinary Training in Movement Disorders and NeurorestorationT32NS082168 · NINDS · UNIVERSITY OF FLORIDA · PI Melissa Jo Armstrong, David E Vaillancourt · 2015 to 2026
$2.8M
Clinical and Translational Predoctoral training in Alzheimers Disease and Related DementiasT32AG061892 · NIA · UNIVERSITY OF FLORIDA · PI PARAMITA CHAKRABARTY, JADA M LEWIS · 2018 to 2026
$1.8M
Brain Drivers, Cognition, and Parkinson's Disease: A Psychometric ApproachF31AG081047 · NIA · UNIVERSITY OF FLORIDA · PI KENNEY, LAUREN · 2023 to 2024
$62k
Cognition in Essential Tremor: A Neuroimaging and Biomarker StudyF31NS131000 · NINDS · UNIVERSITY OF FLORIDA · PI RATAJSKA, ADRIANNA MARTA · 2023 to 2024
$58k
NIA NIH HHS F31 AG081047NIA NIH HHS T32 AG061892NINDS NIH HHS F31 NS131000NINDS NIH HHS T32 NS082168
6 · The paper itself

Abstract

objectiveApathy is a prevalent neuropsychiatric feature of Parkinson's disease (PD), marked by reduced goal-directed behavior. Apathy is distinct from depression and significantly affects daily functioning and quality of life. Despite this, the DSM-5 does not acknowledge apathy as its own diagnostic category. The authors sought to examine how individuals with PD who score high on a self-report apathy scale are diagnostically classified by psychiatrists within a clinical setting.

methodsFifty-five individuals with "pure apathy" were identified from a larger clinical convenience sample of 458 patients with PD. The pure-apathy group consisted of patients who scored above the clinical cutoff on a self-report measure of apathy but whose symptoms were below the cutoffs for depression and anxiety measures. These patients also received a standard clinical psychiatric evaluation using DSM-5 criteria. The authors examined the diagnoses provided by psychiatrists who were unaware of results of the mood scales.

resultsMore than half (53%) of the pure-apathy group had received no psychiatric diagnosis. The remainder had received the following diagnoses: anxiety (27%), depression (5%), comorbid depression and anxiety (5%), and other psychiatric diagnoses (9%). The most common anxiety diagnoses were unspecified or other specified anxiety disorders and generalized anxiety disorder. The most common depression diagnoses were unspecified or other specified depressive disorders.

conclusionsThis study highlights a gap in diagnosing psychiatric conditions in PD, specifically for individuals with primarily apathetic presentations. More than 50% of PD patients in the pure-apathy group had received no psychiatric diagnosis, possibly resulting in unmet clinical needs.

Indexed as

ApathyParkinson DiseaseAgedCohort StudiesDepressionFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesSelf ReportApathyDepressionMood DisordersParkinson’s Disease

Identifiers

PMID40289592
PMCPMC12261265

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.