The effect of apathy on quality of life and caregiver burden in patients with dementia.

IF 1.5 4区医学 Q3 PSYCHIATRY Cognitive Neuropsychiatry Pub Date : 2025-01-15 DOI:10.1080/13546805.2025.2451283

Kimya Kılıçaslan, Zeliha Tulek, I Hakan Gurvit

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Abstract

Introduction: Apathy is one of the common neuropsychiatric symptoms in people with dementia (PwD). The aim of this study is to determine the impact of apathy on the patient's quality of life (QoL) and caregiver's burden among PwD.

Methods: Sample of this cross-sectional descriptive study consisted of 88 PwD attending the outpatient clinic of a university hospital in Istanbul and their family caregivers. The evaluation battery included Apathy Evaluation Scale (AES), Caregiver Burden Inventory (CBI) and Quality of Life in Alzheimer's Disease Scale (QoL-AD).

Results: The mean age of the patients was 73.1 ± 11.7, and the time since diagnosis was 3.9 ± 3.1 years; 64.8% had Alzheimer's type dementia, and 53.4% (n = 47) had mild dementia. The mean AES-C score was 52.9 ± 10.2, QoL-AD score was 28.4 ± 5.6 and CBI score 32.6 ± 25.9. Apathy was associated with medical comorbidity, stage of dementia, neuropsychiatric symptoms, functional status and depression. Apathy was found to be predictor of the QoL-AD and also related with CBI.

Conclusions: In dementia patients, apathy was associated with patients' functional status, quality of life, and caregiver burden. It is recommended that patients be evaluated for apathy and its impact on activities of daily living, quality of life and caregiver burden.

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冷漠对痴呆患者生活质量和照顾者负担的影响。

冷漠是痴呆症（PwD）患者常见的神经精神症状之一。本研究的目的是确定冷漠对PwD患者生活质量（QoL）和照顾者负担的影响。方法：本横断面描述性研究的样本包括伊斯坦布尔一所大学医院门诊就诊的88名残疾患者及其家庭护理人员。评估组包括冷漠量表（AES）、照顾者负担量表（CBI）和阿尔茨海默病生活质量量表（QoL-AD）。结果：患者平均年龄73.1±11.7岁，确诊时间3.9±3.1年；64.8%为阿尔茨海默氏型痴呆，53.4% （n = 47）为轻度痴呆。平均AES-C评分为52.9±10.2，QoL-AD评分为28.4±5.6，CBI评分为32.6±25.9。冷漠与医学合并症、痴呆分期、神经精神症状、功能状态和抑郁有关。冷漠是QoL-AD的预测因子，也与CBI相关。结论：在痴呆患者中，冷漠与患者的功能状态、生活质量和照顾者负担有关。建议评估患者的冷漠程度及其对日常生活活动、生活质量和照顾者负担的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cognitive Neuropsychiatry PSYCHIATRY-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： Cognitive Neuropsychiatry (CNP) publishes high quality empirical and theoretical papers in the multi-disciplinary field of cognitive neuropsychiatry. Specifically the journal promotes the study of cognitive processes underlying psychological and behavioural abnormalities, including psychotic symptoms, with and without organic brain disease. Since 1996, CNP has published original papers, short reports, case studies and theoretical and empirical reviews in fields of clinical and cognitive neuropsychiatry, which have a bearing on the understanding of normal cognitive processes. Relevant research from cognitive neuroscience, cognitive neuropsychology and clinical populations will also be considered. There are no page charges and we are able to offer free color printing where color is necessary.