Neuropathologic correlates of apathy in Alzheimer's disease

被引:112
作者
Marshall, GA
Fairbanks, LA
Tekin, S
Vinters, HV
Cummings, JL
机构
[1] Univ Calif Los Angeles, Dept Neurol, Reed Neurol Res Ctr, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Dept Psychiat & Biobehav Neurosci, Los Angeles, CA 90095 USA
[3] Univ Calif Los Angeles, Dept Pathol & Lab Med Neuropathol, Los Angeles, CA 90095 USA
关键词
apathy; Alzheimer's disease; behavioral disturbances; neuritic plaques; neurofibrillary tangles;
D O I
10.1159/000090674
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Apathy is the most commonly observed behavioral disturbance in Alzheimer's disease (AD) and has been suggested to be frontally mediated. Neuritic plaque (NP) and neurofibrillary tangle (NFT) counts were performed for 8 brain regions in 29 subjects with definite AD. Neuropsychiatric Inventory (NPI) for autopsied subjects was obtained from questioning of caregivers of subjects included in the study. Chronic apathy and total NPI composite scores correlated with anterior cingulate NFT counts (r = 0.518, p = 0.01, and r = 0.438, p = 0.032). This analysis suggests that chronic apathy in AD correlates with a greater anterior cingulate NFT burden and that chronic behavioral changes are more reflective than acute changes of disease pathology. Copyright (c) 2006 S. Karger AG, Basel.
引用
收藏
页码:144 / 147
页数:4
相关论文
共 14 条
[1]   Brain perfusion correlates of the Apathy Inventory dimensions of Alzheimer's disease [J].
Benoit, M ;
Clairet, S ;
Koulibaly, PM ;
Darcourt, J ;
Robert, PH .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2004, 19 (09) :864-869
[2]   Cerebral blood flow correlates of apathy in Alzheimer disease [J].
Craig, AH ;
Cummings, JL ;
Fairbanks, L ;
Itti, L ;
Miller, BL ;
Li, J ;
Mena, I .
ARCHIVES OF NEUROLOGY, 1996, 53 (11) :1116-1120
[3]   THE NEUROPSYCHIATRIC INVENTORY - COMPREHENSIVE ASSESSMENT OF PSYCHOPATHOLOGY IN DEMENTIA [J].
CUMMINGS, JL ;
MEGA, M ;
GRAY, K ;
ROSENBERGTHOMPSON, S ;
CARUSI, DA ;
GORNBEIN, J .
NEUROLOGY, 1994, 44 (12) :2308-2314
[4]   Increased neocortical neurofibrillary tangle density in subjects with Alzheimer disease and psychosis [J].
Farber, NB ;
Rubin, EH ;
Newcomer, JW ;
Kinscherf, DA ;
Miller, JP ;
Morris, JC ;
Olney, JW ;
McKeel, DW .
ARCHIVES OF GENERAL PSYCHIATRY, 2000, 57 (12) :1165-1173
[5]   NEUROPATHOLOGICAL CORRELATES OF BEHAVIORAL DISTURBANCE IN CONFIRMED ALZHEIMERS-DISEASE [J].
FORSTL, H ;
BURNS, A ;
LEVY, R ;
CAIRNS, N ;
LUTHERT, P ;
LANTOS, P .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 163 :364-368
[6]   Neuropsychological correlates of apathy and depression in patients with dementia [J].
Kuzis, G ;
Sabe, L ;
Tiberti, C ;
Dorrego, F ;
Starkstein, SE .
NEUROLOGY, 1999, 52 (07) :1403-1407
[7]   Mental and behavioral disturbances in dementia: Findings from the Cache County Study on Memory in Aging [J].
Lyketsos, CG ;
Steinberg, M ;
Tschanz, JT ;
Norton, MC ;
Steffens, DC ;
Breitner, JCS .
AMERICAN JOURNAL OF PSYCHIATRY, 2000, 157 (05) :708-714
[8]   Apathy and executive function in Alzheimer's disease [J].
McPherson, S ;
Fairbanks, L ;
Tiken, S ;
Cummings, JL ;
Back-Madruga, C .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2002, 8 (03) :373-381
[9]   The spectrum of behavioral changes in Alzheimer's disease [J].
Mega, MS ;
Cummings, JL ;
Fiorello, T ;
Gornbein, J .
NEUROLOGY, 1996, 46 (01) :130-135
[10]   Perfusion brain SPECT and statistical parametric mapping analysis indicate that apathy is a cingulate syndrome: A study in Alzheimer's disease and nondemented patients [J].
Migneco, O ;
Benoit, M ;
Koulibaly, PM ;
Dygai, I ;
Bertogliati, C ;
Desvignes, P ;
Robert, PH ;
Malandain, G ;
Bussiere, F ;
Darcourt, J .
NEUROIMAGE, 2001, 13 (05) :896-902