Apathy among institutionalized stroke patients: prevalence and clinical correlates

Apathy is a frequent neuropsychiatric consequence of stroke. In the under-researched population of institutionalized stroke patients, we aimed to explore the prevalence of apathy, its clinical correlates, and the relation to the amount of stimulating activities in the nursing home (NH). A cross-sect...

Full description

Saved in:
Bibliographic Details
Published inThe American journal of geriatric psychiatry Vol. 23; no. 2; p. 180
Main Authors van Almenkerk, Suzanne, Smalbrugge, Martin, Depla, Marja F I A, Eefsting, Jan A, Hertogh, Cees M P M
Format Journal Article
LanguageEnglish
Published England 01.02.2015
Subjects
Online AccessGet more information

Cover

Loading…
Abstract Apathy is a frequent neuropsychiatric consequence of stroke. In the under-researched population of institutionalized stroke patients, we aimed to explore the prevalence of apathy, its clinical correlates, and the relation to the amount of stimulating activities in the nursing home (NH). A cross-sectional, observational study. Dutch NHs. 274 chronic stroke patients. Data were collected through observation lists that were filled out in structured interviews with qualified nurse assistants who knew the residents well. The lists comprised the NH-version of the Apathy Evaluation Scale (AES10), the Barthel Index, the Neuropsychiatric Inventory Questionnaire, and sections of the Resident Assessment Instrument for Long-Term Care Facilities. Attending physicians and therapists provided additional information. Apathy (AES10 score ≥30) was present in 28% of residents. Multilevel regression analyses revealed that this apathy was independently related to (moderate, severe) cognitive impairment (odds ratio [OR] 11.30 [95% confidence interval (CI): 4.96-25.74], OR 5.54 [95% CI: 2.48-12.40]), very severe ADL-dependency (OR 12.10 [95% CI: 1.35-108.66]), and being >12 hours per day in bed (OR 2.10 [95% CI: 1.07-4.13]). It was not related to depressive mood symptoms (OR 1.75 [95% CI: 0.91-3.37]). Only in residents aged less than 80 years were a higher amount of activities independently related to a lower AES10 score (-0.70 [95% CI: -1.18 to -0.20] points per four extra activities in a 4-week period). Apathy is prevalent in largely one-quarter of institutionalized stroke patients, and that is most strongly related to cognitive impairment in this explorative study. We discuss the need for research on the relation with distinct dimensions of depression and fatigue as partly overlapping constructs, and on (individualized) stimulating activities as a possible intervention method.
AbstractList Apathy is a frequent neuropsychiatric consequence of stroke. In the under-researched population of institutionalized stroke patients, we aimed to explore the prevalence of apathy, its clinical correlates, and the relation to the amount of stimulating activities in the nursing home (NH). A cross-sectional, observational study. Dutch NHs. 274 chronic stroke patients. Data were collected through observation lists that were filled out in structured interviews with qualified nurse assistants who knew the residents well. The lists comprised the NH-version of the Apathy Evaluation Scale (AES10), the Barthel Index, the Neuropsychiatric Inventory Questionnaire, and sections of the Resident Assessment Instrument for Long-Term Care Facilities. Attending physicians and therapists provided additional information. Apathy (AES10 score ≥30) was present in 28% of residents. Multilevel regression analyses revealed that this apathy was independently related to (moderate, severe) cognitive impairment (odds ratio [OR] 11.30 [95% confidence interval (CI): 4.96-25.74], OR 5.54 [95% CI: 2.48-12.40]), very severe ADL-dependency (OR 12.10 [95% CI: 1.35-108.66]), and being >12 hours per day in bed (OR 2.10 [95% CI: 1.07-4.13]). It was not related to depressive mood symptoms (OR 1.75 [95% CI: 0.91-3.37]). Only in residents aged less than 80 years were a higher amount of activities independently related to a lower AES10 score (-0.70 [95% CI: -1.18 to -0.20] points per four extra activities in a 4-week period). Apathy is prevalent in largely one-quarter of institutionalized stroke patients, and that is most strongly related to cognitive impairment in this explorative study. We discuss the need for research on the relation with distinct dimensions of depression and fatigue as partly overlapping constructs, and on (individualized) stimulating activities as a possible intervention method.
Author Depla, Marja F I A
Hertogh, Cees M P M
van Almenkerk, Suzanne
Eefsting, Jan A
Smalbrugge, Martin
Author_xml – sequence: 1
  givenname: Suzanne
  surname: van Almenkerk
  fullname: van Almenkerk, Suzanne
  email: s.vanalmenkerk@vumc.nl
  organization: VU University Medical Center, Department of General Practice and Elderly Care Medicine and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. Electronic address: s.vanalmenkerk@vumc.nl
– sequence: 2
  givenname: Martin
  surname: Smalbrugge
  fullname: Smalbrugge, Martin
  organization: VU University Medical Center, Department of General Practice and Elderly Care Medicine and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands
– sequence: 3
  givenname: Marja F I A
  surname: Depla
  fullname: Depla, Marja F I A
  organization: VU University Medical Center, Department of General Practice and Elderly Care Medicine and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands
– sequence: 4
  givenname: Jan A
  surname: Eefsting
  fullname: Eefsting, Jan A
  organization: VU University Medical Center, Department of General Practice and Elderly Care Medicine and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands
– sequence: 5
  givenname: Cees M P M
  surname: Hertogh
  fullname: Hertogh, Cees M P M
  organization: VU University Medical Center, Department of General Practice and Elderly Care Medicine and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands
BackLink https://www.ncbi.nlm.nih.gov/pubmed/24823894$$D View this record in MEDLINE/PubMed
BookMark eNo1j8tKw0AYRgdR7EVfwIXMCyTOPYm7UqwKBUF0Xf7M_KkT00nITIX69AbU1dl8HL6zIOehD0jIDWc5Z9zctXkL-yEXjKucyZxxfkbmXCudFYKrGVnE2DLGTGXUJZkJVQpZVmpOXlcDpI8ThUMf9tSHmHw6Jt8H6Pw3OhrT2H8inUYeQ4r3dBjxCzoMFikER23ng7fQUduPI3aQMF6Riwa6iNd_XJL3zcPb-inbvjw-r1fbzKqSp6zWykoAoRtVMVubEqtGy8qpWoI0UwhruNAOi9rBdFxhUUrJahRGoOYgxZLc_nqHY31AtxtGf4DxtPuPEz-h4VOO
CitedBy_id crossref_primary_10_1016_j_jagp_2017_09_022
crossref_primary_10_1038_nrneurol_2016_46
crossref_primary_10_1016_j_jagp_2020_03_005
crossref_primary_10_1007_s11065_021_09501_8
crossref_primary_10_1177_25166085231186492
crossref_primary_10_1177_0269215519859621
crossref_primary_10_1080_09638288_2021_2019840
crossref_primary_10_1016_j_jagp_2017_12_002
crossref_primary_10_1016_j_enfcli_2015_09_006
crossref_primary_10_1007_s13760_018_0910_3
crossref_primary_10_1016_j_jpsychores_2023_111478
crossref_primary_10_1111_jgs_15007
crossref_primary_10_1007_s11136_018_2041_y
crossref_primary_10_1016_j_neuropsychologia_2022_108244
crossref_primary_10_1371_journal_pone_0287952
crossref_primary_10_1093_brain_awx278
crossref_primary_10_1051_medsci_20183403012
crossref_primary_10_1177_21582440241241882
ContentType Journal Article
Copyright Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
Copyright_xml – notice: Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
DBID CGR
CUY
CVF
ECM
EIF
NPM
DOI 10.1016/j.jagp.2014.03.011
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
DatabaseTitleList MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
EISSN 1545-7214
ExternalDocumentID 24823894
Genre Research Support, Non-U.S. Gov't
Journal Article
Observational Study
GeographicLocations Netherlands
GeographicLocations_xml – name: Netherlands
GroupedDBID ---
-~X
.-D
.1-
.FO
0-V
0R~
1P~
23M
3V.
4.4
457
4Q1
53G
5GY
5RE
5VS
71W
7X7
88E
8AO
8FI
8FJ
8R4
8R5
AAEDT
AAEDW
AAKAS
AALRI
AAQQT
AAQXK
AAWTL
AAXUO
ABBQC
ABIVO
ABJNI
ABMAC
ABUWG
ACGFO
ACGFS
ACHQT
ADBBV
ADBIZ
ADFPA
ADMUD
ADPAM
ADZCM
AE3
AENEX
AEVXI
AFCTW
AFJKZ
AFKRA
AFRHN
AFTJW
AFTRI
AHMBA
AHVBC
AITUG
AIZYK
AJUYK
ALIPV
ALMA_UNASSIGNED_HOLDINGS
ALSLI
AMRAJ
ARALO
ASPBG
AVWKF
AWKKM
AZFZN
AZQEC
BELOY
BENPR
BPHCQ
BS7
BVXVI
C1A
CCPQU
CGR
CS3
CUY
CVF
DWQXO
EBS
ECM
EFJIC
EIF
EJD
EX3
F5P
FDB
FEDTE
FGOYB
FYUFA
GNUQQ
HVGLF
HZ~
JG8
JK3
JK8
K8S
KD2
KOM
M1P
M2M
M2R
M41
N9A
NEJ
NPM
N~M
O9-
OAG
ODA
OD~
OLG
OMB
OMG
OO0
OVD
OWV
OWZ
P-K
P2P
PQQKQ
PROAC
PSQYO
PSYQQ
Q2X
R2-
R58
ROL
RWL
S0X
S4R
TAE
TEORI
U5U
V2I
W3M
WH7
WOQ
WOW
XYM
Z5R
ID FETCH-LOGICAL-c481t-b54c3aa25f490cb68e9f539d4b3a362010f125de7bda0064e78330be262e51a32
IngestDate Sat Sep 28 07:53:59 EDT 2024
IsPeerReviewed true
IsScholarly true
Issue 2
Keywords Apathy
neuropsychiatry
stroke
long-term care
Language English
License Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c481t-b54c3aa25f490cb68e9f539d4b3a362010f125de7bda0064e78330be262e51a32
PMID 24823894
ParticipantIDs pubmed_primary_24823894
PublicationCentury 2000
PublicationDate 2015-02-01
PublicationDateYYYYMMDD 2015-02-01
PublicationDate_xml – month: 02
  year: 2015
  text: 2015-02-01
  day: 01
PublicationDecade 2010
PublicationPlace England
PublicationPlace_xml – name: England
PublicationTitle The American journal of geriatric psychiatry
PublicationTitleAlternate Am J Geriatr Psychiatry
PublicationYear 2015
SSID ssj0006964
Score 2.2829988
Snippet Apathy is a frequent neuropsychiatric consequence of stroke. In the under-researched population of institutionalized stroke patients, we aimed to explore the...
SourceID pubmed
SourceType Index Database
StartPage 180
SubjectTerms Activities of Daily Living - psychology
Aged, 80 and over
Apathy
Cognition Disorders - complications
Cognition Disorders - epidemiology
Cognition Disorders - psychology
Cross-Sectional Studies
Dependency (Psychology)
Female
Humans
Institutionalization - statistics & numerical data
Male
Motor Activity
Netherlands - epidemiology
Nursing Homes - statistics & numerical data
Prevalence
Regression Analysis
Stroke - complications
Stroke - epidemiology
Stroke - psychology
Title Apathy among institutionalized stroke patients: prevalence and clinical correlates
URI https://www.ncbi.nlm.nih.gov/pubmed/24823894
Volume 23
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1BT9swFLbKJk1cpo1tMMaQD9xQEElsN9mtQiBAgsMoEjdkO3ZFaUNV0gP9NfxU3ovtJiobAi5RZEtuk_fl5T3nve8jZCeTRtsUGQCEhgRFax5lXMiIx5mxopuoIsZG4bNzcXzJTq_4Vafz2KpamlVqT8__2VfyHqvCGNgVu2TfYNnFojAA52BfOIKF4fgqG_dQT_jBCwbd-M_-9d7ezRwCyftqendrAnVqXfs2mSK9twltAou-SI0iHSOMO9vRar9pOynbHBMDvDik9l8qlg79UL3R2JS3xlVhX8zmsmw-3l-M5UhNZwMv6V6zGCyiaTMZST88lLtHuyfNVuuhsfeVF2A5xd9o71fEPJQ44-vG-1iGCrqudzQ4Ydd07MGWtDxq7ISennl6t-kw3BvKAdKOxqzmqnWOu2X6ybi2fcIyiE2cnPLLs0vs22Fqhax0M_Sg57gb5N_0IhfMN2K5msHlP4NU036BpbSlDl_6X8hnn3fQngPRV9Ix5Rr5dOYrK76Rvw5LtMYSfYYl6rBEA5b-0AZJFJBEA5Jog6Tv5PLosH9wHHm9jUizLK4ixZlOpUy4Zfm-ViIzueVpXjCVSohzIHO3EA4XpqsKiaGs6WZpuq9MIhLDY5kmP8iH8q40G4QyXRQCtTbAfIxZoYq8EJZLyOWkgAV_knV3N64njlTlOtynzf_O_CKrDZ62yEcLT7H5DSFhpbZruzwBHKpkhg
link.rule.ids 786
linkProvider National Library of Medicine
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Apathy+among+institutionalized+stroke+patients%3A+prevalence+and+clinical+correlates&rft.jtitle=The+American+journal+of+geriatric+psychiatry&rft.au=van+Almenkerk%2C+Suzanne&rft.au=Smalbrugge%2C+Martin&rft.au=Depla%2C+Marja+F+I+A&rft.au=Eefsting%2C+Jan+A&rft.date=2015-02-01&rft.eissn=1545-7214&rft.volume=23&rft.issue=2&rft.spage=180&rft_id=info:doi/10.1016%2Fj.jagp.2014.03.011&rft_id=info%3Apmid%2F24823894&rft_id=info%3Apmid%2F24823894&rft.externalDocID=24823894