A multidimensional approach to apathy after traumatic brain injury

Apathy; Depression; Executive functions; Motivation; Self-esteem; Traumatic brain injury; Affect; Brain Injuries; Cognition; Culture; Humans; Neuropsychological Tests; Prevalence

Abstract :

[en] Apathy is commonly described following traumatic brain injury (TBI) and is associated with serious consequences, notably for patients' participation in rehabilitation, family life and later social reintegration. There is strong evidence in the literature of the multidimensional nature of apathy (behavioural, cognitive and emotional), but the processes underlying each dimension are still unclear. The purpose of this article is first, to provide a critical review of the current definitions and instruments used to measure apathy in neurological and psychiatric disorders, and second, to review the prevalence, characteristics, neuroanatomical correlates, relationships with other neurobehavioural disorders and mechanisms of apathy in the TBI population. In this context, we propose a new multidimensional framework that takes into account the various mechanisms at play in the facets of apathy, including not only cognitive factors, especially executive, but also affective factors (e.g.; negative mood), motivational variables (e.g.; anticipatory pleasure) and aspects related to personal identity (e.g.; self-esteem). Future investigations that consider these various factors will help improve the understanding of apathy. This theoretical framework opens up relevant prospects for better clinical assessment and rehabilitation of these frequently described motivational disorders in patients with brain injury. © 2013 Springer Science+Business Media New York.

Disciplines :

Neurosciences & behavior

Author, co-author :

Arnould, Annabelle; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, Geneva, Switzerland, AP-HP, Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, 104, boulevard Raymond Poincaré, 92380 Garches, France, University of Versailles-Saint-Quentin-en-Yvelines, Versailles, France

Rochat, Lucien; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, Geneva, Switzerland, Swiss Centre for Affective Sciences, University of Geneva, Geneva, Switzerland

Azouvi, Philippe; AP-HP, Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, 104, boulevard Raymond Poincaré, 92380 Garches, France, University of Versailles-Saint-Quentin-en-Yvelines, Versailles, France, ER 6, UPMC, Paris, France

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Language :

English

Title :

A multidimensional approach to apathy after traumatic brain injury

Publication date :

2013

Journal title :

Neuropsychology Review

ISSN :

1040-7308

eISSN :

1573-6660

Publisher :

Kluwer Academic/Plenum Publishers, New York, United States - New York

Volume :

Issue :

Pages :

210-233

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 29 December 2019

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