Evidence map›Paper›PMID 30121084›Full record

ArticleAlzheimer's research & therapy2018

Apathy is associated with faster global cognitive decline and early nursing home admission in dementia with Lewy bodies.

Monica H Breitve, Kolbjørn Brønnick, Luiza J Chwiszczuk, Minna J Hynninen, Dag Aarsland, Arvid Rongve

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. The prevalence of apathy in Lewy body dementia: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Behavioral disorders in dementia with Lewy bodies: old and new knowledge.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  12. Article
  13. Co-Occurrence of Apathy and Impulse Control Disorders in Parkinson Disease: Variation across Multiple Measures.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2024
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Diagnostic criteria for apathy in neurocognitive disorders.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    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

6 authors at 4 institutions in 2 countries.

Monica H BreitveDepartment of Research and Innovation, Helse Fonna HF Haugesund Hospital, Postbox 2170, N-5504, Haugesund, Norway. monica.breitve@helse-fonna.no.ORCID 0000-0001-9042-164X
Kolbjørn BrønnickTIPS - Centre for Clinical Research in Psychosis, Stavanger University Hospital, 4011, Stavanger, Norway.
Luiza J ChwiszczukDepartment of Research and Innovation, Helse Fonna HF Haugesund Hospital, Postbox 2170, N-5504, Haugesund, Norway.
Minna J HynninenDepartment of Clinical Psychology, University of Bergen, Christies gate 12, 5015, Bergen, Norway.
Dag AarslandCenter for Age-Related Diseases (SESAM), Stavanger University Hospital, Armauer Hansens vei 20, 4011, Stavanger, Norway.
Arvid RongveDepartment of Research and Innovation, Helse Fonna HF Haugesund Hospital, Postbox 2170, N-5504, Haugesund, Norway.
Privatsykehuset Haugesund · NOKing's College London · GBStavanger University Hospital · NOSt Olav's University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the consequences of apathy in dementia with Lewy bodies (DLB), because previous research on apathy in dementia focused mainly on Alzheimer's disease (AD).

methodsIn this longitudinal study, we included patients with AD (n = 128) and patients with DLB (n = 81). At baseline, we analyzed the associations between apathy and cognition in the total sample and in AD and DLB separately. Generalized linear mixed models were used to investigate the association between apathy and Mini Mental State Examination (MMSE) over 4 years, and the Kaplan-Meier method was used to assess the association between apathy and survival or nursing home admission.

resultsIn patients with DLB, apathy was associated with a faster global cognitive decline (MMSE) over 4 years. Patients with DLB and apathy had shorter time until nursing home admission than DLB patients without apathy and patients with AD, regardless of apathy. At baseline, patients with apathy had decreased performance on the Stroop color test and a composite executive function score. Neurocognition was unaffected by apathy in AD, but DLB patients with apathy had more verbal learning difficulties.

conclusionsApathy seems to be associated with more serious symptomatology in DLB than in AD. It is important to focus on apathy in dementia because it is one of the most prevalent and disturbing behavioral and psychological symptoms.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseApathyCognitive DysfunctionFemaleHumansKaplan-Meier EstimateLewy Body DiseaseLongitudinal StudiesMaleMental Status ScheduleNeuropsychological TestsNursing HomesAlzheimer’s diseaseApathyDementiaDementia with Lewy bodiesLongitudinalNeuropsychologySurvival

Identifiers

PMID30121084
PMCPMC6098842
OpenAlexW2885042050

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.