title: [Post-stroke apathy].
abstract: Apathy is a motivational disturbance that can be defined as a quantitative reduction of goal-directed behaviour. Patients present with loss of motivation, concern, interest, and emotional response, resulting in a loss of initiative, decreased interaction with their environment, and a reduced interest in social life. Apathy not only appears to be common in stroke patients, but it has also been related to a wide range of negative consequences for the patients and their caregivers, including poor functional recovery, loss of social independence, and caregiver distress. Clear definition and consensus diagnostic criteria for apathy are needed to accomplish an accurate assessment and an individualised treatment plan. Although there have been reports of successful behavioural therapy treatment of apathetic states, there is a paucity of controlled clinical trials on the efficacy of apathetic behaviours using pharmacotherapy.
authors.affiliation: Unidad de Neuro-rehabilitación, Hospital La Fuenfría, Cercedilla, Madrid, España. Electronic address: plopezdoriga@gmail.com.
authors.forename: Pedro
authors.initials: P
authors.lastname: López-Dóriga Bonnardeaux
authors.affiliation: Servicio de Rehabilitación, Hospital Universitario de Getafe, Getafe, Madrid, España.
authors.forename: Nuria
authors.initials: N
authors.lastname: Andrino Díaz
mesh_terms: D057565:Apathy; D006801:Humans; D001523:Mental Disorders; D020127:Recovery of Function; D012919:Social Behavior; D020521:Stroke / Q000150:complications / Q000523:psychology*
keywords: Accidente cerebrovascular agudo; Apathy; Apatía; Basal ganglia; Corteza prefrontal; Ganglios basales; Prefrontal cortex; Rehabilitación; Rehabilitation; Stroke