Evidence map›Paper›PMID 42135916›Full record

Observational studyBrain and behavior2026

The Correlation Between Apathy and the Efficacy of Rehabilitation in Patients With Parkinson's Disease: A Retrospective Observational Study.

Jinping Fang, Keke Chen, Yonghong Liu, Ruidan Wang, Yixuan Wang, Detao Meng, Hongyu Zhang, Tingting Hou, Hongjiao Yan, Xia An and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Jinping FangParkinson Medical Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-1205-7181
Keke ChenDepartment of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Yonghong LiuParkinson Medical Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Ruidan WangParkinson Medical Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Yixuan WangParkinson Medical Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Detao MengParkinson Medical Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Hongyu ZhangBeijing Rehabilitation Medical College, Capital Medical University, Beijing, China.
Tingting HouBeijing Rehabilitation Medical College, Capital Medical University, Beijing, China.
Hongjiao YanDepartment of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Xia AnDepartment of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Yi ZhenDepartment of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Zhenzhen LiDepartment of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Cuiping XueDepartment of Rehabilitation, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.
Boyan FangParkinson Medical Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, China.

Funding

National Key R&D Program of China 2020-069National Key R&D Program of China 2022YFC3602603Science and Technology Development Project 2023R-03
6 · The paper itself

Abstract

backgroundApathy impacts mood and social functioning in patients with Parkinson's disease (PWP), and its effect on motor rehabilitation outcomes remains unexplored.

objectiveThis study evaluates whether the presence of apathy (apathy status) is associated with rehabilitation outcomes in PWP.

methodsWe retrospectively analyzed records of 122 PWP (Hoehn-Yahr stage ≤ 3) who underwent a 2-week multidisciplinary intensive rehabilitation treatment (MIRT) between April 2020 and July 2024, dividing them into Parkinson's disease with apathy (PDA+, score > 14) and without apathy (PDA-, score ≤ 14) based on Modified Apathy Evaluation Scale (MAES). The outcome measures included the Movement Disorder Society Unified Parkinson's Disease Rating Scale part III (MDS-UPDRS III), the Modified Parkinson Activity Scale (M-PAS), the Five Times Sit to Stand Test (FTSTS), the Timed Up and Go Test (TUG), and the 10-Meter Walk Test (10MWT). We conducted group comparisons and employed multiple linear regression analyses, treating the MAES both as a dichotomous variable and as a continuous predictor. In these analyses, we adjusted for baseline measures of MDS-UPDRS III, FTSTS, and TUG. Additionally, we performed sensitivity analyses using alternative cutoffs (MAES > 13 and > 15).

resultsFollowing MIRT, the PDA- group (n = 75) showed significant improvements in MDS-UPDRS III, M-PAS, FTSTS, and TUG (p < 0.001, p < 0.001, p = 0.011, and p < 0.001, respectively). In contrast, no such improvements were observed in the PDA+ group (n = 47). The improvements in MDS-UPDRS III, FTSTS, and TUG scores exhibited significant differences between the groups (p = 0.018, p = 0.046, and p = 0.042, respectively). In multivariable linear regression with MAES as a continuous variable, higher MAES was independently associated with smaller ΔMDS-UPDRS III (β = 0.147, 95% CI 0.017-0.277, p = 0.027; R

conclusionsBaseline apathy severity was associated with attenuated motor improvement after MIRT in PWP; understanding its mechanisms is crucial for personalized rehabilitation and treatment effectiveness.

trial registrationClinicalTrials.gov identifier: ChiCTR2000033768, 2020/06/11.

Indexed as

ApathyOutcome Assessment, Health CareParkinson DiseaseAgedFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTreatment OutcomeapathymechanismsParkinson's diseaserehabilitation

Identifiers

PMID42135916
PMCPMC13176092

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.