Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches

Apathy is a neurobehavioral syndrome characterized by impaired motivation for goal-directed behaviors and cognitive activity, alongside blunted affect. Apathy is a common neuropsychiatric syndrome in Alzheimer’s disease (AD), with a 5-year prevalence over 70%. Apathy also serves as a prognostic indi...

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Main Authors: Antonio L. Teixeira, Mitzi M. Gonzales, Leonardo Cruz de Souza, Sara L. Weisenbach
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2021/6319826
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author Antonio L. Teixeira
Mitzi M. Gonzales
Leonardo Cruz de Souza
Sara L. Weisenbach
author_facet Antonio L. Teixeira
Mitzi M. Gonzales
Leonardo Cruz de Souza
Sara L. Weisenbach
author_sort Antonio L. Teixeira
collection DOAJ
description Apathy is a neurobehavioral syndrome characterized by impaired motivation for goal-directed behaviors and cognitive activity, alongside blunted affect. Apathy is a common neuropsychiatric syndrome in Alzheimer’s disease (AD), with a 5-year prevalence over 70%. Apathy also serves as a prognostic indicator, correlating with the progression of AD. Despite advances in its conceptualization and understanding of its neural basis, there is very limited empirical evidence to support the available strategies for the treatment of apathy in AD. Given its complex pathophysiology, including distinct substrates for different apathy dimensions (affective, cognitive, and behavioral), it is unlikely that a single pharmacological or nonpharmacological strategy will be effective for all cases of apathy in AD. High-quality evidence research is needed to better understand the role of specific strategies aiming at a personalized approach.
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spelling doaj-art-47485c66a95a45e7aa882985416c26052025-02-03T06:12:00ZengWileyBehavioural Neurology0953-41801875-85842021-01-01202110.1155/2021/63198266319826Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic ApproachesAntonio L. Teixeira0Mitzi M. Gonzales1Leonardo Cruz de Souza2Sara L. Weisenbach3Neuropsychiatry Program, UT Health Science Center at Houston, USAGlenn Biggs Institute for Alzheimer’s & Neurodegenerative Diseases, UT Health Science Center at San Antonio, USAPrograma de Pós-Graduação em Neurociências, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, BrazilDepartment of Psychiatry & Behavioral Health, Stony Brook University, Stony Brook, New York, USAApathy is a neurobehavioral syndrome characterized by impaired motivation for goal-directed behaviors and cognitive activity, alongside blunted affect. Apathy is a common neuropsychiatric syndrome in Alzheimer’s disease (AD), with a 5-year prevalence over 70%. Apathy also serves as a prognostic indicator, correlating with the progression of AD. Despite advances in its conceptualization and understanding of its neural basis, there is very limited empirical evidence to support the available strategies for the treatment of apathy in AD. Given its complex pathophysiology, including distinct substrates for different apathy dimensions (affective, cognitive, and behavioral), it is unlikely that a single pharmacological or nonpharmacological strategy will be effective for all cases of apathy in AD. High-quality evidence research is needed to better understand the role of specific strategies aiming at a personalized approach.http://dx.doi.org/10.1155/2021/6319826
spellingShingle Antonio L. Teixeira
Mitzi M. Gonzales
Leonardo Cruz de Souza
Sara L. Weisenbach
Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches
Behavioural Neurology
title Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches
title_full Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches
title_fullStr Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches
title_full_unstemmed Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches
title_short Revisiting Apathy in Alzheimer’s Disease: From Conceptualization to Therapeutic Approaches
title_sort revisiting apathy in alzheimer s disease from conceptualization to therapeutic approaches
url http://dx.doi.org/10.1155/2021/6319826
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