Groeneweg-Koolhoven Isis, de Waal Margot W M, van der Weele Gerda M, Gussekloo Jacobijn, van der Mast Roos C
Elderly Psychiatry Hospital Parnassia Bavo Group, Rotterdam, The Netherlands; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Am J Geriatr Psychiatry. 2014 Feb;22(2):186-94. doi: 10.1016/j.jagp.2012.10.024. Epub 2013 Sep 3.
To investigate the relationship between apathy and perceived quality of life in groups both with and without depressive symptoms or cognitive impairment.
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.
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.
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.
研究有无抑郁症状或认知障碍人群中淡漠与感知生活质量之间的关系。
我们在荷兰19家全科诊所开展了一项横断面研究，比较有无淡漠的老年人的生活质量。参与者为1118名至少75岁的老年人，目前未接受抑郁症治疗，简易精神状态检查表得分至少为19分。使用坎特里尔阶梯量表评估总体生活质量，使用欧洲五维度健康量表（EQ-5D）温度计评估主观健康质量，使用德容-吉尔维尔德孤独感问卷评估感知孤独感。采用淡漠量表评估淡漠情况。
在1118名老年人中，122人（11%）存在淡漠。总体而言，淡漠与无工作、低教育水平、存在抑郁症状、认知障碍以及所有生活质量指标得分降低相关。在979名（88%）无抑郁症状和认知障碍的老年人中，73人（7.5%）存在淡漠，其关联情况与总体人群相似。在仅患有认知障碍的77人（7%）中，淡漠与EQ-5D温度计得分较低相关。然而，在51名（5%）无认知障碍的抑郁症患者中，淡漠的存在并未导致其生活质量下降。
淡漠在社区居住的老年人中经常出现，即使在没有抑郁症状和认知障碍的情况下也是如此。在这些老年人中，淡漠导致他们在日常生活的各个方面都感觉生活质量下降。
