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A Systematic Review of Non‐pharmacological Treatments for Apathy in Dementia

International Journal of Geriatric Psychiatry(2017)

Univ Athens

Cited 60|Views15
Abstract
ObjectiveApathy is one of the most frequent neuropsychiatric symptoms encountered in dementia. Early diagnosis and timely treatment of apathy in dementia are crucial because apathy has been associated with poor disease outcome, reduced daily functioning, and caregiver distress. DesignExtensive electronic search from the databases included in the National Library of Medicine as well as PsychInfo and Google Scholar for studies which have investigated the effect of non-pharmacological treatments of apathy in dementia. Quality of the studies was appraised. ResultsA total of 1303 records were identified and 120 full-texts assessed. Forty-three unique studies were reviewed. A variety of interventions were found to be effective in reducing apathy in demented patients, particularly when provided in a multidisciplinary manner. However, quantification of the effect was limited by the marked methodological heterogeneity of the studies and the small number of studies where apathy was the primary outcome measure. ConclusionsTreatment of apathy in dementia is a complex and underexplored field. Certain studies suggest promise for a variety of non-pharmacological interventions. Standardized and systematic efforts primarily focusing on apathy may establish a benefit from individualized treatments for specific disease groups.
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apathy,dementia,non-pharmacological,systematic review,treatment
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要点】:本文系统回顾了非药物治疗对痴呆症中的淡漠症状的疗效,指出多学科干预方法在减轻痴呆症患者淡漠症状上具有潜力,但该领域研究方法异质性大且研究数量有限,需进一步标准化研究以确立个性化治疗的效益。

方法】:通过国家图书馆医学数据库、PsychInfo和Google Scholar等电子数据库进行广泛搜索,评估了非药物治疗对痴呆症淡漠症状效果的研究,并对这些研究的质量进行了评价。

实验】:共检索到1303条记录,评估了120篇全文,回顾了43项独特研究。研究发现多种干预方式对减轻痴呆症患者的淡漠症状有效,但受限于研究方法异质性和以淡漠为主要结局指标的研究数量较少,未能量化治疗效果。