Dergiler / Sakarya Tıp Dergisi / 2026 / Volume: 16 Issue: 1

Evaluation of the Relationship Between Apathy and UPDRS, H&Y Scores, Levodopa Dose, Prodromal Stage Findings, Disease Stage, and Disease Type in Parkinson’s Disease

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Yayın Tarihi
2026-03-28
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Our findings underline the need for increased awareness and further investigation into the pathophysiology and clinical management of apathy in PD.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: This study aimed to investigate the prevalence of apathy in Parkinson’s Disease (PD) and explore its potential clinical correlates.
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Temel Bulgular & Veri:Results: Apathy was detected in 59.2% of the participants.
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Sonuç & Katkı:Our findings underline the need for increased awareness and further investigation into the pathophysiology and clinical management of apathy in PD.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Parkinson’s disease · Apathy · Non-motor symptoms

Abstract

Objective: This study aimed to investigate the prevalence of apathy in Parkinson’s Disease (PD) and explore its potential clinical correlates. Methods: Ninety-eight patients diagnosed with PD based on MDS clinical criteria and followed at the Movement Disorders Clinic of Sakarya University were included. Apathy was assessed using the Starkstein Apathy Scale. Clinical features including disease stage, motor subtype, prodromal symptoms, and daily total levodopa dosage were evaluated in relation to apathy status. Results: Apathy was detected in 59.2% of the participants. The apathy-positive group had significantly higher UPDRS III and H&Y scores (p<0.05), as well as longer disease duration and higher daily levodopa dosages. Although apathy was more frequent in advanced-stage patients and in the akinetic-rigid subtype, these differences did not reach statistical significance. Constipation and REM sleep behavior disorder were more commonly observed in the apathy group, though again without statistical significance. Conclusion: Apathy is a common and clinically relevant non-motor symptom in PD, particularly associated with greater motor impairment and longer disease duration. Our findings underline the need for increased awareness and further investigation into the pathophysiology and clinical management of apathy in PD.

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Bu Makaleye Atıf Yap

Can, N. U., Ulaş, S. B. (2026). Evaluation of the Relationship Between Apathy and UPDRS, H&Y Scores, Levodopa Dose, Prodromal Stage Findings, Disease Stage, and Disease Type in Parkinson’s Disease. Sakarya Tıp Dergisi, Volume: 16 Issue: 1. https://doi.org/10.31832/smj.1749226

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Kaynakça (22)

  1. Thompson N, MacAskill M, Pascoe M, Anderson T, Heron CL. Dimensions of apathy in Parkinson's disease. Brain Behav. 2023;13(6):e2862. doi:10.1002/brb3.2862.
  2. Boncuk S, Güzey Aras Y. Evaluation of the frequency of non-motor symptoms in idiopathic Parkinson’s disease by gender and disease stage. Sakarya Med J. 2024;14(1):47-53. doi:10.31832/smj.1273461.
  3. Béreau M, Van Waes V, Servant M, Magnin E, Tatu L, Anheim M. Apathy in Parkinson's disease: clinical patterns and neurobiological basis. Cells. 2023;12(12):1599. doi:10.3390/cells12121599.
  4. Mele B, Van S, Holroyd-Leduc J, Ismail Z, Pringsheim T, Goodarzi Z. Diagnosis, treatment and management of apathy in Parkinson's disease: a scoping review. BMJ Open. 2020;10(9):e037632. doi:10.1136/bmjopen-2020-037632.
  5. Postuma RB, Berg D, Stern M, Poewe W, Olanow CW, Oertel W, et al. MDS clinical diagnostic criteria for Parkinson's disease. Mov Disord. 2015;30(12):1591-601. doi:10.1002/mds.26424.
  6. Stebbins GT, Goetz CG, Burn DJ, Jankovic J, Khoo TK, Tilley BC. How to identify tremor dominant and postural instability/gait difficulty groups with the movement disorder society unified Parkinson's disease rating scale: comparison with the unified Parkinson's disease rating scale. Mov Disord. 2013;28(5):668-70. doi:10.1002/mds.25383.
  7. Martínez-Martín P, Rodríguez-Blázquez C, Alvarez M, Arakaki T, Arillo VC, Chaná P, et al. Parkinson's disease severity levels and MDS-Unified Parkinson's disease rating scale. Parkinsonism Relat Disord. 2015;21(1):50-4. doi:10.1016/j.parkreldis.2014.10.026.
  8. Starkstein SE, Mayberg HS, Preziosi TJ, Andrezejewski P, Leiguarda R, Robinson RG. Reliability, validity, and clinical correlates of apathy in Parkinson’s disease. J Neuropsychiatry Clin Neurosci. 1992;4:134-9
  9. den Brok MG, van Dalen JW, van Gool WA, Moll van Charante EP, de Bie RM, Richard E. Apathy in Parkinson's disease: a systematic review and meta-analysis. Mov Disord. 2015;30(6):759-69. doi:10.1002/mds.26208.
  10. Sousa M, Moreira F, Jesus-Ribeiro J, Marques I, Cunha F, Canário N, Freire A, Januário C. Apathy profile in Parkinson's and Huntington's disease: a comparative cross-sectional study. Eur Neurol. 2018;79(1-2):13-20. doi:10.1159/000481981.
  11. Varanese S, Perfetti B, Ghilardi MF, Di Rocco A. Apathy, but not depression, reflects inefficient cognitive strategies in Parkinson's disease. PLoS One. 2011;6(3):e17846. doi:10.1371/journal.pone.0017846.
  12. Guo X, Song W, Chen K, Chen X, Zheng Z, Cao B, et al. Disease duration-related differences in non-motor symptoms: a study of 616 Chinese Parkinson's disease patients. J Neurol Sci. 2013;330(1-2):32-7. doi:10.1016/j.jns.2013.03.022.
  13. Leroi I, Andrews M, McDonald K, Harbishettar V, Elliott R, Byrne EJ, et al. Apathy and impulse control disorders in Parkinson’s disease: a direct comparison. Parkinsonism Relat Disord. 2012;18:198-203.
  14. Ziropadja L, Stefanova E, Petrovic M, Stojkovic T, Kostic VS. Apathy and depression in Parkinson’s disease: the Belgrade PD study report. Parkinsonism Relat Disord. 2012;18:339-42.
  15. Benito-Leon J, Cubo E, Coronell C. Impact of apathy on health-related quality of life in recently diagnosed Parkinson’s disease: the ANIMO study. Mov Disord. 2012;27:211-8.
  16. Rodriguez-Violante M, Gonzalez-Latapi P, Cervantes-Arriaga A, Martınez-Ramırez D, Velazquez-Osuna S, Camacho-Ordonez A. Apathy and associated factors in Mexican patients with Parkinson’s Disease. Neurol Sci. 2014;35:729-34.
  17. Moretti R, Torre P, Antonello RM, Rosin MV, Esposito F, Furman MR, Bellini G. Apathy: a complex symptom specific to the clinical pattern of presentation of Parkinson's disease? Am J Alzheimers Dis Other Demen. 2012;27(3):196-201. doi:10.1177/1533317512445502.
  18. Reijnders JS, Ehrt U, Lousberg R, Aarsland D, Leentjens AF. The association between motor subtypes and psychopathology in Parkinson's disease. Parkinsonism Relat Disord. 2009;15(5):379-82. doi:10.1016/j.parkreldis.2008.09.003.
  19. Picillo M, Palladino R, Erro R, Alfano R, Colosimo C, Marconi R, et al. The PRIAMO study: age- and sex-related relationship between prodromal constipation and disease phenotype in early Parkinson's disease. J Neurol. 2021;268(2):448-54. doi:10.1007/s00415-020-10156-3.
  20. Bargiotas P, Ntafouli M, Lachenmayer ML, Krack P, Schüpbach WMM, Bassetti CLA. Apathy in Parkinson's disease with REM sleep behavior disorder. J Neurol Sci. 2019;399:194-8. doi:10.1016/j.jns.2019.02.028.
  21. Martinez-Nunez AE, Latack K, Situ-Kcomt M, Mahajan A. Olfaction and apathy in early idiopathic Parkinson's disease. J Neurol Sci. 2022;439:120314. doi:10.1016/j.jns.2022.120314.
  22. Yoo HS, Lee S, Jeong SH, Ye BS, Sohn YH, Yun M, et al. Clinical and dopamine depletion patterns in hyposmia- and dysautonomia-dominant Parkinson's disease. J Parkinsons Dis. 2021;11(4):1703-13. doi:10.3233/JPD-212747.