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Exploring apathy components and their relationship in cognitive decline: insights from a network cross-sectional study

Authors: Sarti P.; Varrasi S.; Guerrera C. S.; Platania G. A.; Furneri G.; Torre V.; Boccaccio F. M.; +7 Authors

Exploring apathy components and their relationship in cognitive decline: insights from a network cross-sectional study

Abstract

Abstract Background Apathy worsens with age and cognitive decline, particularly in Alzheimer’s, leading to functional and cognitive deterioration. Comprehending its broad impact is vital for customized, preventive treatments. Methods The study examined 214 adults divided in three groups—Mild Cognitive Impairment, mild Alzheimer’s, and controls—using neuropsychological tests and questionnaires, with statistical and network analysis to explore apathy’s links with other group variables related to demographics and treatment. Results Notable differences were observed among the groups' performance of administered tests. While inferential statistics failed to return a predictive model of apathy in mild Alzheimer’s, networks and cluster analyses indicate that the demographic variables analysed have different importance at different times of disease progression and that cognitive apathy is particularly prominent in AD-related decline. Conclusions Network analysis revealed insights into dementia risk differentiation, notably the impact of sex and demographic factors, beyond the scope of traditional statistics. It highlighted cognitive apathy as a key area for personalized intervention strategies more than behavioural and emotional, emphasizing the importance of short-term goals and not taking away the person's autonomy when not strictly necessary.

Keywords

Male, Aged, 80 and over, Humans; Apathy/physiology; Male; Female; Cognitive Dysfunction/psychology; Cognitive Dysfunction/physiopathology; Aged; Cross-Sectional Studies; Alzheimer Disease/psychology; Alzheimer Disease/physiopathology; Neuropsychological Tests; Middle Aged; Aged, 80 and over; Disease Progression; Alzheimer’s disease; Cognition; Cognitive apathy; Dementia; Intervention strategies; MCI; Network analysis, Research, Apathy, Neuropsychological Tests, Middle Aged, MCI, BF1-990, Cognitive apathy, Cognition, Cross-Sectional Studies, Alzheimer Disease, Disease Progression, Psychology, Humans, Network analysis, Dementia, Female, Cognitive Dysfunction, Network analysis Dementia Alzheimer’s disease MCI Cognition Intervention strategies Cognitive apathy, Alzheimer’s disease, Intervention strategies, Aged

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
Green
gold