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社会功能障碍与冷漠:老年期认知障碍的跨诊断领域

Social Dysfunction and Apathy: Transdiagnostic Domains in Late-Life Cognitive Disorders.

作者信息

Lozupone Madia, Dibello Vittorio, Sardone Rodolfo, Altamura Mario, Bellomo Antonello, Daniele Antonio, Solfrizzi Vincenzo, Resta Emanuela, Panza Francesco

机构信息

Department of Translational Biomedicine and Neuroscience "DiBrain", University of Bari Aldo Moro, Bari, Italy.

"Cesare Frugoni" Internal and Geriatric Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.

出版信息

J Alzheimers Dis. 2024;100(s1):S57-S61. doi: 10.3233/JAD-240556.

Abstract

Social dysfunction is a maladaptive process of coping, problem solving, and achieving one's goals. A new definition of apathy was cross-linked to social dysfunction, with a reduced goal-directed behavior and social interaction as a separate dimension. We hypothesized that these two neuropsychiatric symptoms may be included in the mild behavioral impairment diagnostic framework, operationalizing and standardizing late-life neuropsychiatric symptom assessment, to improve risk determination of dementia. Social dysfunction and apathy were transdiagnostic and prodromic for late-life cognitive disorders. A transdiagnostic approach could provide a useful mean for a better understanding of apathy and related conditions such as social behavior.

摘要

社会功能障碍是应对、解决问题和实现个人目标的适应不良过程。冷漠的新定义与社会功能障碍相关联,以目标导向行为减少和社会互动作为一个独立维度。我们假设这两种神经精神症状可能包含在轻度行为损害诊断框架中,使晚年神经精神症状评估得以操作化和标准化,以改善痴呆症的风险判定。社会功能障碍和冷漠是晚年认知障碍的跨诊断和前驱症状。一种跨诊断方法可为更好地理解冷漠及诸如社会行为等相关状况提供有用手段。

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