Cited by 241Traumatic Brain Injury ResearchPsychological Testing and AssessmentCognitive Functions and Memory

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Disorders of Diminished Motivation

Marin, Robert S., Wilkosz, Patricia A.·2005·Journal of Head Trauma Rehabilitation

DOI 10.1097/00001199-200507000-00009

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Abstract

Disorders of diminished motivation occur frequently in individuals with traumatic brain injury. Motivation is an ever-present, essential determinant of behavior and adaptation. The major syndromes of diminished motivation are apathy, abulia, and akinetic mutism. Depending on their etiology, disorders of diminished motivation may be a primary clinical disturbance, a symptom of another disorder, or a coexisting second disorder. This article presents a biopsychosocial approach to the assessment and management of motivational impairments in patients with traumatic brain injury. The recognition and differential diagnosis of disorders of diminished motivation, as well as the mechanism and clinical pathogenesis, are discussed.

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practicenosological position of apathy in clinical
STARKSTEIN, S. E., & Leentjens, A. F. G. (2010)

Authors: Marin, R. S., & Wilkosz, P. A.
Affiliations: University of Pittsburgh (US)
Venue: Journal of Head Trauma Rehabilitation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2005-07
Volume: 20
Issue: 4
Pages: 377-388
ISSN: 0885-9701 (ISSN-L)
DOI: 10.1097/00001199-200507000-00009
OpenAlex: W1973014562
Cited by: 241
References: 37
Citations by year: 2026: 9 · 2025: 7 · 2024: 13 · 2023: 11 · 2022: 8 · 2021: 7 · 2020: 17 · 2019: 10 · 2018: 11 · 2017: 20 · 2016: 11 · 2015: 12 · 2014: 17 · 2013: 21 · 2012: 14
FWCI: 0.85
Type: journal article
Language: en
Open access: closed
Locations: Journal of Head Trauma Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords: traumatic brain injury, apathy, abulia, akinetic mutism, motivational impairment, differential diagnosis, pathogenesis, biopsychosocial assessment, rehabilitation management
MeSH terms: Adaptation, Psychological, Mental Disorders, Brain Injuries, Central Nervous System Agents, Humans, Motivation, Neuropsychological Tests, Socioenvironmental Therapy

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