Title: Emotional reaction in nursing home residents with dementia-associated apathy: a pilot study
Authors : Treusch, Yvonne
Page, Julie
van der Luijt, Cornelis
Beciri, Mina
Benitez, Rebeca
Stammler, Maria
Marcar, Valentine Leslie
Published in : Geriatric Mental Health Care
Volume(Issue) : 3
Issue : 1
Pages : 1
Pages to: 6
Publisher / Ed. Institution : Elsevier
Issue Date: Aug-2015
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subject (DDC) : 302: Social interaction
610.73: Nursing
618.97: Geriatrics
Abstract: Introduction: Conventionally apathy is defined as a symptom primarily characterized by loss of feelings and emotional display and is the most common behavioural symptom in dementia patients. Neuronal network of emotions has ceased to function in patients suffering from dementia associated apathy. Objective and methods: We measured changes in skin conductance and heart rate from n = 12 demented nursing home residents with clinical significant apathy (sumscore > 40 in the Apathy Evaluation Scale, AES) to images taken from the International Affective Picture System (IAPS, Lang et al., 2008). Additionally we used autobiographical material to study the responsiveness of the neuronal network of emotions and the adequacy of somatic indicators to demonstrate emotional reactions in individuals diagnosed with dementia and apathy. Results: Analysis of the EDA data revealed a significant difference in the change of skin conductance between the different image categories. The autobiographical material generated the largest change in skin conductance. Analysis of the heart rate did not yield any significant difference between the image categories. Conclusions: Our findings demonstrate that the neuronal network underlying emotion is still responsive in patients diagnosed with dementia associated apathy, although residents don׳t seem to be involved emotionally from an extraneous visual focus. Non pharmacological therapy approaches should deal with individual, familiar, autobiographic material to ensure a high level of emotional response and therefore reduce apathy severity.
Departement: Gesundheit
Organisational Unit: Institute of Occupational Therapy (IER)
Publication type: Article in scientific Journal
DOI : 10.1016/j.gmhc.2015.04.001
ISSN: 2212-9693
URI: https://digitalcollection.zhaw.ch/handle/11475/4805
Appears in Collections:Publikationen Gesundheit

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