Behavioral, emotional and social apathy in alcohol-related cognitive disorders

Apathy is a fundamental neuropsychiatric symptom of Korsakoff’s syndrome (KS) and has also been reported in patients with alcohol use disorder with no (AUD) or less severe cognitive impairments (ARCI). However, research on the nature of apathy is limited in these groups. Aim of this study was to exa...

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Main Authors: van Dorst, MEG, Rensen, YCM, Husain, M, Kessels, RPC
Format: Journal article
Language:English
Published: MDPI 2021
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author van Dorst, MEG
Rensen, YCM
Husain, M
Kessels, RPC
author_facet van Dorst, MEG
Rensen, YCM
Husain, M
Kessels, RPC
author_sort van Dorst, MEG
collection OXFORD
description Apathy is a fundamental neuropsychiatric symptom of Korsakoff’s syndrome (KS) and has also been reported in patients with alcohol use disorder with no (AUD) or less severe cognitive impairments (ARCI). However, research on the nature of apathy is limited in these groups. Aim of this study was to examine the multidimensional nature of apathy in patients with KS, ARCI and AUD. Moreover, we examined differences between apathy ratings by patients and their professional caregivers, and related apathy to everyday functioning and overall cognition. Twenty-five patients with KS, 25 patients with ARCI and 23 patients with AUD participated in this study. Apathy was measured using the apathy motivation index (AMI), which distinguishes behavioral, emotional and social apathy. Both patients and professional caregivers reported social apathy as the most prominent symptom, compared to behavioral and emotional apathy. Apathy ratings did not differ across the three patient groups. Discrepancies between patient and caregiver ratings were observed in patients with KS and ARCI, with more severe apathy reported by caregivers. Caregiver-reported behavioral and social, but not emotional, apathy was related to everyday functioning. These results show that apathy is present in a substantial proportion of patients with alcohol addiction with or without cognitive impairments.
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spelling oxford-uuid:f4bb0203-5ac6-4064-88b5-eacaf251885e2022-03-27T12:22:02ZBehavioral, emotional and social apathy in alcohol-related cognitive disordersJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f4bb0203-5ac6-4064-88b5-eacaf251885eEnglishSymplectic ElementsMDPI2021van Dorst, MEGRensen, YCMHusain, MKessels, RPCApathy is a fundamental neuropsychiatric symptom of Korsakoff’s syndrome (KS) and has also been reported in patients with alcohol use disorder with no (AUD) or less severe cognitive impairments (ARCI). However, research on the nature of apathy is limited in these groups. Aim of this study was to examine the multidimensional nature of apathy in patients with KS, ARCI and AUD. Moreover, we examined differences between apathy ratings by patients and their professional caregivers, and related apathy to everyday functioning and overall cognition. Twenty-five patients with KS, 25 patients with ARCI and 23 patients with AUD participated in this study. Apathy was measured using the apathy motivation index (AMI), which distinguishes behavioral, emotional and social apathy. Both patients and professional caregivers reported social apathy as the most prominent symptom, compared to behavioral and emotional apathy. Apathy ratings did not differ across the three patient groups. Discrepancies between patient and caregiver ratings were observed in patients with KS and ARCI, with more severe apathy reported by caregivers. Caregiver-reported behavioral and social, but not emotional, apathy was related to everyday functioning. These results show that apathy is present in a substantial proportion of patients with alcohol addiction with or without cognitive impairments.
spellingShingle van Dorst, MEG
Rensen, YCM
Husain, M
Kessels, RPC
Behavioral, emotional and social apathy in alcohol-related cognitive disorders
title Behavioral, emotional and social apathy in alcohol-related cognitive disorders
title_full Behavioral, emotional and social apathy in alcohol-related cognitive disorders
title_fullStr Behavioral, emotional and social apathy in alcohol-related cognitive disorders
title_full_unstemmed Behavioral, emotional and social apathy in alcohol-related cognitive disorders
title_short Behavioral, emotional and social apathy in alcohol-related cognitive disorders
title_sort behavioral emotional and social apathy in alcohol related cognitive disorders
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AT rensenycm behavioralemotionalandsocialapathyinalcoholrelatedcognitivedisorders
AT husainm behavioralemotionalandsocialapathyinalcoholrelatedcognitivedisorders
AT kesselsrpc behavioralemotionalandsocialapathyinalcoholrelatedcognitivedisorders