Evidence map›Paper›PMID 29659001›Full record

SynthesisJournal of the American Geriatrics Society2018

State of the Science: Apathy As a Model for Investigating Behavioral and Psychological Symptoms in Dementia.

Lauren Massimo, Helen C Kales, Ann Kolanowski

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
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  11. Article
  12. The contribution of behavioral features to caregiver burden in FTLD spectrum disorders.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Article
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  14. Article
  15. Article
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  17. Article
  18. Review
  19. Advances in geropsychiatric nursing: A decade in review.Archives of psychiatric nursing · 2020
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Lauren MassimoCollege of Nursing, Pennsylvania State University, University Park, Pennsylvania.
Helen C KalesProgram for Positive Aging, Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.
Ann KolanowskiCollege of Nursing, Pennsylvania State University, University Park, Pennsylvania.
Pennsylvania State University · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · US

Funding

The Impact of Gender Differences on Identification and Treatment of BPSD in Nursing Home Residents with DementiaR01NR015982 · NINR · UNIVERSITY OF MARYLAND BALTIMORE · PI KOLANOWSKI, ANN M, RESNICK, BARBARA · 2016 to 2020
$2.4M
Cognitive and Neural Moderators of Longitudinal Decline in Frontotemporal DegenerationK99AG056054 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI MASSIMO, LAUREN M · 2016 to 2017
$192k
The Neural Basis of Apathy in Frontotemporal Degeneration: A Longitudinal StudyF32NR014777 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI MASSIMO, LAUREN M · 2013 to 2016
$144k
State of the Future in Global Aging, Dementia & Mental Health: Bridging Leadership, Science, Practice and PolicyR13AG056140 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEPHENS, CAROLINE · 2017 to 2017
$40k
NIA NIH HHS K99 AG056054NIA NIH HHS R13 AG056140NINR NIH HHS F32 NR014777NINR NIH HHS R01 NR015982
6 · The paper itself

Abstract

Apathy is one of the most common and pervasive of the behavioral and psychological symptoms of dementia (BPSDs). Apathy has profound consequences for morbidity, mortality, and caregiver burden. Treatment of apathy has been hindered because of poor understanding of the mechanisms underlying this heterogeneous syndrome. Research has demonstrated that apathy is associated with disruption of the frontal-striatal system in individuals with neurodegenerative disease. As with other BPSDs, these neural mechanisms alone do not completely account for the syndrome; individual, caregiver, and environmental factors also contribute to apathy. In this article, we modify a current conceptual model of the factors contributing to BPSDs to examine determinants of apathy. This integrative model provides a more complete and theoretically informed understanding of apathy, allowing for greater insight into potential targets for research, intervention, and care. We end by proposing an agenda for moving the science of BPSDs in general, and apathy in particular, forward.

Indexed as

ApathyAdaptation, PsychologicalCaregiversDementiaDepressionHumansModels, PsychologicalNeurodegenerative DiseasesRisk Factorsapathybehavioral and psychological symptoms of dementiagoal-directed behavior

Identifiers

PMID29659001
PMCPMC5905718
OpenAlexW2800531778

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.