Apathy
Inventory
How
to
score
the
Apathy
Inventory
Clinician
version
Lack
of
initiative
Lack
of
interest
Emotional
blunting
2
Scores
This
assessment
should
be
carried
out
directly
by
the
clinician
(physician,
psychologist,
member
of
the
care
team
)
with
the
patient
during
an
interview
or
a
more
prolonged
observation
day
hospitalization
or
during
the
day
for
patients
living
in
institution.
The
clinician
must
for
each
dimension
have
to
perform
an
overall
assessment
considering:
Observation
during
a
consultation
or
visit
Bedside
/
during
activities
outside
consultation
or
visit
/
during
daytime
activities
in
the
day
care
center
/
when
realization
of
neuropsychological
tests
assessing
executive
function
and
capacity
for
initiative
The
information
given
by
the
accompanying
(
when
present
)
Responses
of
the
subject
to
self-assessment
(quantitative
and
qualitative
aspects)
Interpretation
of
results
In
clinical
practice,
a
score
equal
to
or
greater
than
4
is
pathological
Emotional
blunting
For
Emotional
blunting,
please
take
into
account:
Facial
mimicry,
presence
of
gestures
accompanying
conversation;
Presence
of
appropriate
emotional
reactions
during
conversations
concerning
humoristic
or
sad
topics;
Emotional
reactions
following
the
diagnosis
disclosure,
or
the
disclosure
of
results
of
complementary
medical
tests/exams;
Presence
of
appropriate
reward-related
responses
(for
instance
during
a
test)
Lack
of
Initiative
For
the
Lack
of
initiative,
please
take
into
account:
The
ability
to
spontaneously
initiate
the
conversation,
to
respect
turn
taking,
to
ask
for
clarifications,
and
the
kind
interactions
with
the
caregiver,
when
present
(for
instance,
when
the
patient
is
asked
a
question,
does
he/she
turns
toward
the
caregiver
and
ask
him/her
to
respond)
The
initiative
taken
when
entering
and
going
out
from
the
consultation
office,
and
the
responses
to
activities
proposals;
if
the
patient
undergoes
an
activity
only
after
external
prompts/
stimulation,
this
should
be
taken
into
account
the
performance
in
cognitive
tests
assessing
proactive
behavior
and
the
ability
to
take
the
initiative
For
severe
patients
make
sure
you
do
not
score
as
initatives
repetitive
behaviors
Lack
of
Interest
For
the
Lack
of
interest,
please
take
into
account:
Interest
towards
the
consultation
topics,
as
shown
by
mimicry,
attention
and
visual
contact
with
the
clinician;
Interest
towards
the
staff
(does
the
patient
try
to
understand
the
role
of
the
different
health
professionals,
or
to
learn
their
names?);
Interest
towards
the
other
patients
or
residents;
Questions
asked
concerning
his/her
own
health,
test
results,
duration
of
the
stay
and
time
of
discharge
(for
temporary
residents);
The
number
and
quality
of
the
details
provided
when
talking
about
personal
interests;
Questions
concerning
family
members
and
home
environment;
Willingness
to
participate
to
workshops
and
group
activities,
and
active
participation
to
them;
Number
of
interests
listed
during
an
objective
interest
tests
(eg.
TILT
test).
For
patients
living
in
nursing
home
take
into
account
the
agreement
to
participate
in
workshops
and
Entertainment
/
the
Active
participation
in
workshops
Score
for
each
dimension
0
=
no
problem
2
=
Moderate
problem:
one
or
more
of
the
listed
features
are
present,
but
not
all
the
time
during
the
consultation/
assessment
4=
Major
problem:
most
of
the
listed
features
are
present
for
most
of
the
time
during
the
consultation/assessment
Total
score
/
12
Total
score
=
or
Higher
than
4
is
pathologic
Apathy
Inventory
Relation
with
the
Apathy
Diagnostic
Criteria
Apathy
Inventory
Diagnostic
Criteria
Lack
of
initiative
Behavior
Lack
of
interest
Cognition
Emotional
blunting
Emotion
- Robert PH, Clairet S, Benoit M, Koutaich J, Bertogliati C, Tible O, Caci H, Borg M, Brocker P,
Bedoucha P. The Apathy Inventory : assessment of apathy and awareness in Alzheimers
disease Parkinsons disease and Mild cognitive impairment. International Journal of Geriatric
Psychiatry, 17 : 1099 1105, 2002
- Benoit M, Clairet S, Koulibaly P.M., Darcourt J, Robert P.H. Brain perfusion correlates of the
Apathy Inventory dimensions of Alzheimers disease. International Journal of Geriatric
Psychiatry ;19 : 864-869, 2004
- Robert,P.H., Berr,C., Volteau,M., Bertogliati,M., Benoit,M., Mahieux,F., - Legrain,S.,Dubois,B.
Neuropsychological performance in mild cognitive impairment with and without apathy.
Dementia and Geriatric cognitive dis. 21 : 192-197, 2006
- Robert PH, Berr C, Volteau M, Bertogliati-Fileau C, Benoit M, Guerin O,Sarazin M, Legrain S,
Dubois B; PrAL Study Group. Importance of lack of interest in patients with mild cognitive
impairment. Am J Geriatr Psychiatry.16(9):770-6, 2008
- Juliana M. Kennedy, Dora A. Granato, Andrew M. Goldfine. Natural History of
Poststroke .Apathy During Acute Rehabilitation. JNP in Advance (doi: 10.1176/appi.neuropsych
15010001)
LIA is validated in french, English, Italian and Spanish with the helps of the EADC teams
(European Alzheimers Disease consortium).
Copyrights : CoBTeK Association Innovation Alzheimer. Email : contact@innovation-
alzheimer.fr
