The perception of apathy by caregivers of patients with dementia in Parkinson's disease
ABSTRACT Background: Apathy is one of the main neuropsychiatric symptoms in patients with Parkinson's disease (PD) and is associated with Parkinson's disease dementia (PDD). Objective: To identify the characteristics of apathy in individuals with PDD according to caregiver perception. M...
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Associação Neurologia Cognitiva e do Comportamento
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doaj-4f7ead442d27430baf750ad57b0ce0ae2020-11-24T23:56:33ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-576410433934310.1590/s1980-5764-2016dn1004014S1980-57642016000400339The perception of apathy by caregivers of patients with dementia in Parkinson's diseaseCarlos Henrique Ferreira CamargoRafael Arthur SerpaThiago MatneiJivago Szpoganicz SabatiniHélio Afonso Ghizoni TeiveABSTRACT Background: Apathy is one of the main neuropsychiatric symptoms in patients with Parkinson's disease (PD) and is associated with Parkinson's disease dementia (PDD). Objective: To identify the characteristics of apathy in individuals with PDD according to caregiver perception. Methods: Thirty-nine patients with PD according to MDS criteria for PDD were included. The following scales were used: the Hoehn and Yahr, the Unified Parkinson's Disease Rating Scale III, Scales for Outcomes in Parkinson's Disease-Cognition (SCOPA Cog), the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Apathy Evaluation Scale (AES). Results: A total of 97.4% of the patients showed results consistent with apathy. Analysis of question 14 of the AES revealed no correlation with the total result of all the questions [r=-1293, r²=0.0167, 95%CI (-0.4274 to 0.1940), P=0.2162], however, there was a correlation of responses to the same question with depression data on the MADRS scale [r=-0.5213, r²=0.2718, 95%CI (-0.7186 to -0.2464), P=0.00033]. Conclusion: Apathy is a disorder associated with PDD. However, the scoring scheme of the AES questions can lead to different interpretations of caregiver responses, highlighting limitations of the tool for use in studies of PDD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400339&lng=en&tlng=endoença de Parkinsondemência na doença de Parkinsonapatiadepressão |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carlos Henrique Ferreira Camargo Rafael Arthur Serpa Thiago Matnei Jivago Szpoganicz Sabatini Hélio Afonso Ghizoni Teive |
spellingShingle |
Carlos Henrique Ferreira Camargo Rafael Arthur Serpa Thiago Matnei Jivago Szpoganicz Sabatini Hélio Afonso Ghizoni Teive The perception of apathy by caregivers of patients with dementia in Parkinson's disease Dementia & Neuropsychologia doença de Parkinson demência na doença de Parkinson apatia depressão |
author_facet |
Carlos Henrique Ferreira Camargo Rafael Arthur Serpa Thiago Matnei Jivago Szpoganicz Sabatini Hélio Afonso Ghizoni Teive |
author_sort |
Carlos Henrique Ferreira Camargo |
title |
The perception of apathy by caregivers of patients with dementia in Parkinson's disease |
title_short |
The perception of apathy by caregivers of patients with dementia in Parkinson's disease |
title_full |
The perception of apathy by caregivers of patients with dementia in Parkinson's disease |
title_fullStr |
The perception of apathy by caregivers of patients with dementia in Parkinson's disease |
title_full_unstemmed |
The perception of apathy by caregivers of patients with dementia in Parkinson's disease |
title_sort |
perception of apathy by caregivers of patients with dementia in parkinson's disease |
publisher |
Associação Neurologia Cognitiva e do Comportamento |
series |
Dementia & Neuropsychologia |
issn |
1980-5764 |
description |
ABSTRACT Background: Apathy is one of the main neuropsychiatric symptoms in patients with Parkinson's disease (PD) and is associated with Parkinson's disease dementia (PDD). Objective: To identify the characteristics of apathy in individuals with PDD according to caregiver perception. Methods: Thirty-nine patients with PD according to MDS criteria for PDD were included. The following scales were used: the Hoehn and Yahr, the Unified Parkinson's Disease Rating Scale III, Scales for Outcomes in Parkinson's Disease-Cognition (SCOPA Cog), the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Apathy Evaluation Scale (AES). Results: A total of 97.4% of the patients showed results consistent with apathy. Analysis of question 14 of the AES revealed no correlation with the total result of all the questions [r=-1293, r²=0.0167, 95%CI (-0.4274 to 0.1940), P=0.2162], however, there was a correlation of responses to the same question with depression data on the MADRS scale [r=-0.5213, r²=0.2718, 95%CI (-0.7186 to -0.2464), P=0.00033]. Conclusion: Apathy is a disorder associated with PDD. However, the scoring scheme of the AES questions can lead to different interpretations of caregiver responses, highlighting limitations of the tool for use in studies of PDD. |
topic |
doença de Parkinson demência na doença de Parkinson apatia depressão |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000400339&lng=en&tlng=en |
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