Abstract
The choice of a scale has important implications for the results of clinical research,
including epidemiological and treatment studies. In addition to the requirements for
any clinical scale, evaluation of rating scales for depression and apathy in Parkinson's
disease (PD) faces additional challenges, reflecting the overlap of syndromes, controversies
on the concept particularly of apathy, fluctuations related to medication, and difficulties
in assessment. However, a number of rating scales are available which have been assessed
for use in patients with PD, and the evidence for the use of these scales is discussed.
A number of scales fulfil the basic requirements but further studies on their properties
are required. Scales for screening need to have different properties than scales for
rating severity. Overall, there is no perfect scale, but the choice of scale needs
to take into account clinimetric properties, validity in the sample examined, content
and purpose.
Keywords
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Article info
Publication history
Published online: June 20, 2011
Accepted:
May 27,
2011
Received in revised form:
May 23,
2011
Received:
March 15,
2011
Identification
Copyright
© 2011 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
