Artículos de revistas
Recommendations for the Nonpharmacological Treatment of Apathy in Brain Disorders
Fecha
2019-01-01Registro en:
American Journal of Geriatric Psychiatry.
1545-7214
1064-7481
10.1016/j.jagp.2019.07.014
2-s2.0-85071696154
Autor
CoBTeK lab
Association Innovation Alzheimer
University of Edinburgh
Hospital Universitario 12 de Octubre & CIBERSAM
Sophia Antipolis
CMRR
VA Palo Alto Health Care System
Stanford University School of Medicine
Sorbonne Paris Cité
John Radcliffe Hospital Oxford OX3 9DU
University of Oxford
Sorbonne Paris Cite
University of East Anglia
Université de Rennes1
University of Chile
ICBM
Clínica Alemana-Universidad del Desarrollo
Universidade de São Paulo (USP)
Universidade Estadual Paulista (Unesp)
University of Lyon 1
SSIAD Quimper
IRCCS Fondazione Don Carlo Gnocchi
Alzheimer Center Limburg
Institución
Resumen
Apathy is a common neuropsychiatric syndrome observed across many neurocognitive and psychiatric disorders. Although there are currently no definitive standard therapies for the treatment of apathy, nonpharmacological treatment (NPT) is often considered to be at the forefront of clinical management. However, guidelines on how to select, prescribe, and administer NPT in clinical practice are lacking. Furthermore, although new Information and Communication Technologies (ICT) are beginning to be employed in NPT, their role is still unclear. The objective of the present work is to provide recommendations for the use of NPT for apathy, and to discuss the role of ICT in this domain, based on opinions gathered from experts in the field. The expert panel included 20 researchers and healthcare professionals working on brain disorders and apathy. Following a standard Delphi methodology, experts answered questions via several rounds of web-surveys, and then discussed the results in a plenary meeting. The experts suggested that NPT are useful to consider as therapy for people presenting with different neurocognitive and psychiatric diseases at all stages, with evidence of apathy across domains. The presence of a therapist and/or a caregiver is important in delivering NPT effectively, but parts of the treatment may be performed by the patient alone. NPT can be delivered both in clinical settings and at home. However, while remote treatment delivery may be cost and time-effective, it should be considered with caution, and tailored based on the patient's cognitive and physical profile and living conditions.