Evidence map›Paper›PMID 33196105›Full record

ArticleAlcoholism, clinical and experimental research2021

Unraveling Apathy in Korsakoff Syndrome Patients Receiving Long-Term Care With and Without Cerebrovascular Comorbidity.

Misha J Oey, Veerle H E W Brouwer, Marie J Buijs, Jan Watze Wijnia, Albert Postma, Erik Oudman

Open access · hybridAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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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 1 institution in 1 country.

Misha J OeyFrom the, Experimental Psychology, (MJO, VHEWB, MJB, AP, EO), Helmholtz Institute, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0002-5885-272X
Veerle H E W BrouwerFrom the, Experimental Psychology, (MJO, VHEWB, MJB, AP, EO), Helmholtz Institute, Utrecht University, Utrecht, The Netherlands.
Marie J BuijsFrom the, Experimental Psychology, (MJO, VHEWB, MJB, AP, EO), Helmholtz Institute, Utrecht University, Utrecht, The Netherlands.
Jan Watze WijniaLelie Care Group, (MJO, JWW, AP, EO), Slingedael Korsakoff Center, Rotterdam, The Netherlands.
Albert PostmaFrom the, Experimental Psychology, (MJO, VHEWB, MJB, AP, EO), Helmholtz Institute, Utrecht University, Utrecht, The Netherlands.
Erik OudmanFrom the, Experimental Psychology, (MJO, VHEWB, MJB, AP, EO), Helmholtz Institute, Utrecht University, Utrecht, The Netherlands.
Utrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKorsakoff syndrome (KS) is a severe neuropsychiatric disorder caused by acute deficiency of vitamin B1 and concomitant alcoholism. Patients with KS are particularly vulnerable for cerebrovascular comorbidity. KS is characterized by cognitive and neuropsychiatric symptoms, one of which is apathy. Apathy is a pathological lack of goal-directed behaviors, goal-directed cognitions, and goal-directed emotions. Cerebrovascular accidents are known to carry a risk for developing apathy. Apathy has a dramatic effect on the autonomy and daily lives of patients suffering from this condition.

methodsWe assessed general apathy and related subconstructs in fifteen patients with KS, fifteen patients with KS and cerebrovascular comorbidity who reside in a 24-hour care facility, and fifteen healthy controls.

resultsCompared with healthy controls, both KS patient groups showed higher levels of apathy as rated by a close informant. We found no difference between both KS patient groups and the healthy control group on the self-report section of the Pleasant Activities List, suggesting that motivation is still intact in KS patients. It is important to note a discrepancy was found between self-reporting and proxy reporting on this list. KS patients with cerebrovascular comorbidity showed more severe emotional blunting compared to both KS patients without cerebrovascular comorbidity and healthy controls. The competency to consent was lower in patients compared with healthy controls, but no difference was found between KS patients with cerebrovascular comorbidity and those without.

conclusionsOur results suggest that KS patients show increased levels of general apathy compared with healthy controls. Patients show a diminished competency to consent and increased emotional blunting, while motivation is not compromised. Cerebrovascular comorbidity in KS forms a high risk for emotional blunting. The results of this study suggest that apathy is a severe problem in KS. More attention in both the literature and clinical practice would benefit this complex patient population.

Indexed as

ApathyAgedCase-Control StudiesCerebrovascular DisordersFemaleHumansInpatientsKorsakoff SyndromeMaleMiddle AgedApathyCerebrovascular ComorbidityKorsakoff SyndromeNeuropsychiatric Symptoms

Identifiers

PMID33196105
PMCPMC7898846
OpenAlexW3100305963

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.