Working Paper Article Version 1 This version is not peer-reviewed

Behavioral, Emotional and Social Apathy in Alcohol-Related Cognitive Disorders

Version 1 : Received: 31 March 2021 / Approved: 8 April 2021 / Online: 8 April 2021 (10:12:13 CEST)

How to cite: van Dorst, M.E.; Rensen, Y.C.; Husain, M.; Kessels, R.P. Behavioral, Emotional and Social Apathy in Alcohol-Related Cognitive Disorders. Preprints 2021, 2021040226 van Dorst, M.E.; Rensen, Y.C.; Husain, M.; Kessels, R.P. Behavioral, Emotional and Social Apathy in Alcohol-Related Cognitive Disorders. Preprints 2021, 2021040226

Abstract

Apathy is a fundamental neuropsychiatric symptom of Korsakoff’s syndrome (KS) and has also been reported in patients with alcohol use disorder with no (AUD) or less severe cognitive disorders (ALC). However, research on the nature of apathy is limited in these groups. Aim of this study was to examine the multidimensional nature of apathy in patients with KS, ALC and AUD. Moreover, we examined differences between apathy ratings by patients and their professional caregivers, and related apathy to everyday functioning and overall cognition. Twenty-four patients with KS, 24 patients with ALC and 21 patients with AUD participated in this study. Apathy was measured using the Apathy Motivation Index (AMI), which distinguishes behavioral, emotional and social apathy. Both patients and professional caregivers reported social apathy as most prominent symptom, compared to behavioral and emotional apathy. Apathy ratings did not differ across the three patient groups. Discrepancies between patient and caregiver ratings were observed in patients with KS and ALC, with more severe apathy reported by caregivers. Caregiver-reported behavioral and social, but not emotional, apathy was related to everyday functioning. These results show that apathy is present in a substantial proportion of patients with alcohol addiction with or without cognitive impairments.

Subject Areas

apathy; neuropsychology; Korsakoff’s syndrome; alcohol use disorder; alcohol-related cognitive disorders

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