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Dementia & Neuropsychologia

Print version ISSN 1980-5764

Dement. neuropsychol. vol.3 no.4 São Paulo Oct./Dec. 2009

https://doi.org/10.1590/S1980-57642009DN30400010 

Original Articles

Brazilian caregiver version of the Apathy Scale

Versão brasileira direcionada ao cuidador da Escala de Apatia

Henrique Cerqueira Guimarães1  2 

Patricia Paes Araujo Fialho1 

Viviane Amaral Carvalho1 

Etelvina Lucas dos Santos1 

Paulo Caramelli1  2 

1Behavioral and Cognitive Neurology Unit, Department of Internal Medicine, Faculty of Medicine of the Federal University of Minas Gerais, Belo Horizonte MG, Brazil.

2Post-graduate Program in Neurology, University of São Paulo School of Medicine, São Paulo SP, Brazil.


Abstract

No Brazilian version of a specific scale for evaluating apathy in dementia is available.

Objectives:

To introduce a translated version of the Apathy Scale (AS) for use with caregivers.

Methods:

The instrument was formally translated and then administered to the caregivers of a small sample of dementia patients, in order to assess scale comprehensibility and make final adjustments. The scale was subsequently administered to the caregivers of a second, independent sample of Alzheimer's disease (AD) patients. The content validity of the scale was tested by correlating the AS scores with the Neuropsychiatric Inventory (NPI) - apathy sub-score and Disability Assessment in Dementia (DAD) total scores.

Results:

The first sample consisted of eleven subjects with dementia, most of whom had AD. The second sample comprised twenty patients with probable or possible AD (10 with mild dementia), a mean age of 84.1±5.8 years, and 2.2±1.6 years of schooling. The AS scores correlated with both NPI-apathy sub-score (r=0.756, p=0.001) and DAD total scores (r=-0.793, p=0.0005).

Conclusions:

The final version had good comprehensibility and correlated strongly with standardized apathy and functional activities of daily living measures.

Key words: apathy; diagnosis; evaluation; dementia; Alzheimer's disease.

Resumo

Não há versão brasileira de qualquer escala especificamente dedicada à avaliação de apatia nas demências.

Objetivos:

Apresentar uma versão traduzida da Escala de Apatia direcionada ao cuidador.

Métodos:

O instrumento foi formalmente traduzido e administrado aos cuidadores de uma pequena amostra de pacientes com demência, para avaliar a compreensibilidade da versão e realizar ajustes finais. Em seguida a escala foi administrada aos cuidadores de uma segunda amostra independente de pacientes com doença de Alzheimer (DA). A validade de conteúdo da escala foi testada correlacionando-se os escores da Escala de Apatia com os subescores de apatia do Inventário Neuropsiquiátrico (NPI) e com os escores totais da escala DAD de incapacidade na demência.

Resultados:

A primeira amostra consistia de onze pacientes com demência, a maioria com doença de Alzheimer (DA). A segunda amostra possuía vinte pacientes com DA provável ou possível (10 com demência leve), média de idade de 84,1±5,8 anos e escolaridade média de 2,2±1,6 anos. Os escores na Escala de Apatia correlacionaram-se com o subescore apatia do NPI (r=0,756; p=0,001) e com os escores totais da DAD (r=-0,793; p=0,0005).

Conclusões:

A versão final apresentou boa compreensibilidade e correlacionou-se fortemente com medidas padronizadas de apatia e atividades de vida diária.

Palavras-chave: apatia; diagnóstico; avaliação; demência; doença de Alzheimer.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

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Received: September 20, 2009; Accepted: November 03, 2009

Henrique Cerqueira Guimarães - Rua Orenoco 137 / apto 101 - 30310-060 Belo Horizonte MG - Brazil. E-mail: hcerqueirag@usp.br

Disclosure: The authors report no conflicts of interest.

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