Quality of Life in Community-Dwelling Older Persons with Apathy
Quality of Life in Community-Dwelling Older Persons with Apathy
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DOI：
10.1016/j.jagp.2012.10.024
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发表时间：
2014-02-01
影响因子：
7.2
通讯作者：
van der Mast, Roos C.
中科院分区：
文献类型：
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作者：
Groeneweg-Koolhoven, Isis;de Waal, Margot W. M.;van der Mast, Roos C.
目的：要调查冷漠和感知的生活质量的团体和没有抑郁症状或cognitive impairment.Methods之间的关系：我们进行了一项横断面研究，比较老年人的生活质量，并没有冷漠，在19荷兰的一般做法。参与者是1，118名年龄至少75岁的老年人，目前没有接受抑郁症治疗，并且简易精神状态检查评分至少为19分。使用Cantril's Ladder测定整体生活质量，使用EuroQol（EQ）-5D温度计测定主观健康质量，使用De Jong-Gierveld Longland问卷测定孤独感。结果：在1,118名老年人中，有122人（11%）表现出冷漠。总体而言，冷漠与没有工作，教育水平较低，抑郁症状的存在，认知障碍，以及所有生活质量指标得分下降有关。在979名（88%）没有抑郁症状和认知障碍的老年人中，73名（7.5%）存在冷漠，与总人口中的相关性相似。在77名（7%）仅存在认知障碍的患者中，情感淡漠与EQ-5D温度计的较低评分相关。然而，在51（5%）抑郁症的人没有认知功能障碍，冷漠的存在并没有导致他们的生活质量下降。结论：冷漠经常发生在社区居住的老年人，也在没有抑郁症状和认知功能障碍。在这些人中，冷漠导致人们在日常生活的各个方面感觉到生活质量下降。
Objective: To investigate the relationship between apathy and perceived quality of life in groups both with and without depressive symptoms or cognitive impairment.Methods: We conducted a cross-sectional study comparing quality of life in older persons with and without apathy in 19 Dutch general practices. Participants were 1,118 older persons aged at least 75 years without current treatment for depression and a Mini-Mental State Examination score of at least 19. Perceived quality of life was determined using Cantril's Ladder for overall quality of life, EuroQol (EQ)-5D thermometer for subjective health quality, and De Jong-Gierveld Loneliness questionnaire for perceived loneliness. Apathy was assessed with the Apathy Scale.Results: Of the 1,118 older persons, apathy was present in 122 (11%) of them. Overall, apathy was associated with having no work, lower level of education, presence of depressive symptoms, cognitive impairment, and decreased scores on all quality of life measures. Among the 979 (88%) older persons without depressive symptoms and cognitive impairment, apathy was present in 73 (7.5%) of them, showing similar associations as in the total population. In the 77 (7%) persons with cognitive impairment only, apathy was correlated to a lower score on the EQ-5D thermometer. However, in the 51 (5%) depressed persons without cognitive impairment, presence of apathy did not contribute to their decreased quality of life.Conclusion: Apathy frequently occurred in community-dwelling older persons, also in the absence of depressive symptoms and cognitive impairment. In them, apathy contributed to the perception of a diminished quality of life in various aspects of daily life.