Reduced daytime activity in patients with acquired brain damage and apathy:: A study with ambulatory actigraphy
Reduced daytime activity in patients with acquired brain damage and apathy:: A study with ambulatory actigraphy
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DOI：
10.1080/02699050500443467
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发表时间：
2006-02-01
期刊：
影响因子：
1.9
通讯作者：
Von Cramon, DY
中科院分区：
文献类型：
--
作者：
Müller, U;Czymmek, J;Von Cramon, DY
主要目标：冷漠在临床实践中很难评估。使用动态体动记录仪的目的是测量白天的运动活动，作为患有冷漠的脑损伤患者的自我发起动作的相关性。研究设计：采用平行组设计对 24 名获得性脑损伤且高水平冷漠或低水平冷漠的患者以及 12 名健康对照进行调查。方法和程序：在临床观察后诊断冷漠，并使用冷漠评估量表进行评估。使用腕戴式活动记录仪测量 3 天的运动活动。结果：高度冷漠患者的运动活动显着减少，并且白天不活动（小睡）次数增多。自评冷漠与日间活动、午睡频率和认知（执行）缺陷相关。结论：动态体动记录仪是评估冷漠患者自我发起行为的一种有前途的方法。
Primary objective: Apathy is difficult to assess in clinical practice. Ambulatory actigraphy was used with the aim to measure locomotor activity during the daytime as a correlate of self-initiated action in brain-damaged patients with apathy.Research design: Twenty-four patients with acquired brain damage and high levels of apathy or low levels of apathy as well as 12 healthy controls were investigated using a parallel group design.Methods and procedures: Apathy was diagnosed after clinical observation and evaluated with the apathy evaluation scale. Locomotor activity was measured with a wrist-worn actigraph over 3 days.Results: High apathy patients showed significantly reduced locomotor activity and more episodes of inactivity ( naps) during the daytime. Self-rated apathy correlated with daytime activity, nap frequency and cognitive ( executive) deficits.Conclusions: Ambulatory actigraphy is a promising method to evaluate self-initiated action in patients with apathy.