Evidence map›Paper›PMID 37489323›Full record

ReviewGeriatrics (Basel, Switzerland)2023

An Update on Apathy in Alzheimer's Disease.

Helena Dolphin, Adam H Dyer, Cathy McHale, Sean O'Dowd, Sean P Kennelly

Open access · goldAbstract readReview
In one paragraph

Review in Geriatrics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Apathy Associated with Alzheimer's Disease.Current Alzheimer research · 2024
    Pooled it
  3. [Progress on prognostic assessment methods for mild cognitive impairment].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
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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

5 authors at 2 institutions in 1 country.

Helena DolphinTallaght Institute of Memory and Cognition, Tallaght University Hospital, D24NR0A Dublin, Ireland.
Adam H DyerTallaght Institute of Memory and Cognition, Tallaght University Hospital, D24NR0A Dublin, Ireland.ORCID 0000-0003-1356-510X
Cathy McHaleTallaght Institute of Memory and Cognition, Tallaght University Hospital, D24NR0A Dublin, Ireland.
Sean O'DowdTallaght Institute of Memory and Cognition, Tallaght University Hospital, D24NR0A Dublin, Ireland.
Sean P KennellyTallaght Institute of Memory and Cognition, Tallaght University Hospital, D24NR0A Dublin, Ireland.ORCID 0000-0002-3721-0197
Trinity College Dublin · IETallaght University Hospital · IE

Funding

Meath Foundation RG118/2020
6 · The paper itself

Abstract

Apathy is a complex multi-dimensional syndrome that affects up to 70% of individuals with Alzheimer's disease (AD). Whilst many frameworks to define apathy in AD exist, most include loss of motivation or goal-directed behaviour as the central feature. Apathy is associated with significant impact on persons living with AD and their caregivers and is also associated with accelerated cognitive decline across the AD spectrum. Neuroimaging studies have highlighted a key role of fronto-striatial circuitry including the anterior cingulate cortex (ACC), orbito-frontal cortex (OFC) and associated subcortical structures. Importantly, the presence and severity of apathy strongly correlates with AD stage and neuropathological biomarkers of amyloid and tau pathology. Following from neurochemistry studies demonstrating a central role of biogenic amine neurotransmission in apathy syndrome in AD, recent clinical trial data suggest that apathy symptoms may improve following treatment with agents such as methylphenidate-which may have an important role alongside emerging non-pharmacological treatment strategies. Here, we review the diagnostic criteria, rating scales, prevalence, and risk factors for apathy in AD. The underlying neurobiology, neuropsychology and associated neuroimaging findings are reviewed in detail. Finally, we discuss current treatment approaches and strategies aimed at targeting apathy syndrome in AD, highlighting areas for future research and clinical trials in patient cohorts.

Indexed as

Alzheimer’s diseaseapathybehavioural and psychological symptomsdementianeurobiologyneuroimagingneuropsychiatric symptoms

Identifiers

PMID37489323
PMCPMC10366907
OpenAlexW4384301406

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.