Nonpharmacological Management of Apathy in Dementia: A Systematic Review

被引：110

作者：

Brodaty, Henry ^{[1
,2
]}

Burns, Kim ^{[1
]}

机构：

[1] Prince Wales Hosp, Acad Dept Old Age Psychiat ADfOAP, Randwick, NSW 2031, Australia

[2] Univ New S Wales, Dementia Collaborat Res Ctr, Fac Med, Sch Psychiat, Randwick, NSW, Australia

来源：

AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY | 2012年 / 20卷 / 07期

关键词：

Abulia; amotivation; apathy; nonpharmacological; passivity; psychosocial; MILD COGNITIVE IMPAIRMENT; SIMULATED PRESENCE THERAPY; NURSING-HOME RESIDENTS; QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; EMOTION-ORIENTED CARE; ALZHEIMERS-DISEASE; NEUROPSYCHIATRIC-SYMPTOMS; PSYCHOLOGICAL SYMPTOMS; NEGATIVE SYMPTOMS;

D O I：

10.1097/JGP.0b013e31822be242

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 one of the most challenging and prevalent behavioral symptoms of dementia. It is associated with increased disability and caregiver frustration as well as reduced quality of life, rehabilitation outcomes and survival after nursing home admission. A literature search to set criteria yielded 56 nonpharmacological intervention studies with outcomes relevant to apathy in dementia. Studies were rated according to quality and categorized into 7 groups: exercise, music, multisensory, animals, special care programming, therapeutic activities and miscellaneous. Despite a lack of methodological rigor, it is apparent that nonpharmacological interventions have the potential to reduce apathy. This review indicates that therapeutic activities, particularly those provided individually, have the best available evidence for effectiveness in dementia. Recommendations are provided for quality research. (Am J Geriatr Psychiatry 2012; 20:549-564)

引用

页码：549 / 564

页数：16

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