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American Journal of Alzheimer's Disease and Other Dementias®
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Apathy and Depressive Mood in Nursing Home Patients With Early-Onset Dementia

Ruslan Leontjevas, MSc

Radboud University Nijmegen Medical Centre, Nijmegen, Department of Psychology, Open University of the Netherlands, Heerlen

Susan van Hooren, PhD

Department of Psychology, Open University of the Netherlands, Heerlen, susan.vanhooren{at}ou.nl, Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht

Wim Waterink, PhD

Department of Psychology, Open University of the Netherlands, Heerlen

Ans Mulders, MD

Department of Psychology, Open University of the Netherlands, Heerlen, Radboud University Nijmegen Medical Centre, Nijmegen, SVVE De Archipel, Eindhoven The Netherlands

The study explored whether apathy and depressive mood symptoms (DMS) are related to cognitive and functional features of dementia in 63 nursing home (NH) residents with early-onset dementia (EOD). All EOD residents from one NH (n = 41) and a random sample from another NH were assessed for depressive symptoms (Montgomery Asberg Depression Rating Scale [MADRS]), apathy (Neuropsychiatric Inventory [NPI]), global cognitive functions (Mini-Mental State Examination [MMSE]), activities of daily living (ADL, Minimum Data Set—Resident Assessment Instrument [MDS-RAI]), and overall dementia severity (Global Deterioration Scale [GDS]). DMS were not associated with apathy and dementia severity. Regression analyses adjusted for age, gender, the type of dementia, and DMS revealed that dementia severity measures accounted, respectively, for 14% (ADL), 13% (GDS), and 9% (MMSE) of the variance in apathy. In line with previous research in older patients, the higher apathy scores were associated with more cognitive and functional problems in EOD.

Key Words: early-onset dementia • apathy • depressive mood • depressive symptoms

This version was published on August 1, 2009

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 24, No. 4, 341-348 (2009)
DOI: 10.1177/1533317509333905
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