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International validation of a behavioral scale in Parkinson's disease without dementia
Authors:Isabelle Rieu  Pablo Martinez‐Martin  Bruno Pereira  Ingrid De Chazeron  Leo Verhagen Metman  Marjan Jahanshahi  Claire Ardouin  Isabelle Chéreau  Christine Brefel‐Courbon  Fabienne Ory‐Magne  Helene Klinger  Fleur Peyrol  Michael Schupbach  Kathy Dujardin  François Tison  Jean Luc Houeto  Paul Krack  Franck Durif
Affiliation:1. CHU Clermont‐Ferrand, Neurology Department;2. CHU Gabriel Montpied, Clermont‐Ferrand, France;3. Université Clermont 1, UFR Medecine, EA7280, Clermont‐Ferrand, France;4. Alzheimer Centre Reina Sofia Foundation and CIBERNED, Carlos III Institute of Health, Madrid, Spain;5. CHU Clermont‐Ferrand, DRCI, Biostatistics Unit, Clermont‐Ferrand F, France;6. CHU Clermont‐Ferrand, Department of Psychiatry B, CHU Gabriel Montpied, Clermont‐Ferrand F‐63000, France;7. Rush University, Department of neurological Sciences, Section of Movement Disorders, Chicago, Illinois, USA;8. Sobell Department of Motor Neuroscience & Movement Disorders, UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK;9. Movement Disorder Unit, Department of Psychiatry and Neurology, CHU de Grenoble, Joseph Fourier University and INSERM, Unité 836, Grenoble Institut des Neurosciences, Grenoble, France;10. University, Hospital Toulouse, Neurology Department, CHU Purpan, Toulouse, France;11. Hospices Civils de Lyon, Hopital Neurologique Pierre Wertheimer, Neurologie C, Lyon, France;12. Santé publique, CHU de Clermont‐Ferrand, 63058 Clermont‐Ferrand, France;13. UPMC Paris 6, Inserm CRICM UMR‐S975, Neurology Department, H?pital de la Salpêtrière, Assistance Publique H?pitaux de Paris, France;14. Neurology and Movement Disorders Department, Lille University Medical Center, Lille, France;15. University of Bordeaux, Institut des Maladies Neurodégénératives, CNRS UMR 5293 et CHU de Bordeaux, France;16. Neurology Department, CIC INSERM‐0802CHU de Poitiers 86021 Poitiers cedex;17. INSERM U 1084, Laboratoire de Neurosciences Expérimentales et Cliniques, Université de Poitiers
Abstract:The “Ardouin Scale of Behavior in Parkinson's Disease” is a new instrument specifically designed for assessing mood and behavior with a view to quantifying changes related to Parkinson's disease, to dopaminergic medication, and to non‐motor fluctuations. This study was aimed at analyzing the psychometric attributes of this scale in patients with Parkinson's disease without dementia. In addition to this scale, the following measures were applied: the Unified Parkinson's Disease Rating Scale, the Montgomery and Asberg Depression Rating Scale, the Lille Apathy Rating Scale, the Bech and Rafaelsen Mania Scale, the Positive and Negative Syndrome Scale, the MacElroy Criteria, the Patrick Carnes criteria, the Hospital Anxiety and Depression Scale, and the Mini‐International Neuropsychiatric Interview. Patients (n = 260) were recruited at 13 centers across four countries (France, Spain, United Kingdom, and United States). Cronbach's alpha coefficient for domains ranged from 0.69 to 0.78. Regarding test–retest reliability, the kappa coefficient for items was higher than 0.4. For inter‐rater reliability, the kappa values were 0.29 to 0.81. Furthermore, most of the items from the Ardouin Scale of Behavior in Parkinson's Disease correlated with the corresponding items of the other scales, depressed mood with the Montgomery and Asberg Depression Rating Scale (ρ = 0.82); anxiety with the Hospital Anxiety and Depression Scale—anxiety (ρ = 0.56); apathy with the Lille Apathy Rating Scale (ρ = 0.60). The Ardouin Scale of Behavior in Parkinson's disease is an acceptable, reproducible, valid, and precise assessment for evaluating changes in behavior in patients with Parkinson's disease without dementia. © 2015 International Parkinson and Movement Disorder Society
Keywords:clinical trials  observational study  Parkinson's disease  neuropsychological and behavioral assessments  psychiatric disorders
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