Latent class analysis of the Apathy Scale does not identify subtypes of apathy in general population-based older persons.

Objectives: To identify clinically relevant subtypes of apathy in older persons using latent class analysis (LCA) and investigate the distribution of different characteristics across these subtypes.Measurements: Cross-sectional data of 122 older persons (mean age 84 years, 60% female) participating...

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Published in:International Journal of Geriatric Psychiatry Vol. 31; no. 9; pp. 1021 - 1029
Main Authors: Groeneweg‐Koolhoven, Isis, Huitema, Lotte J., Waal, Margot W. M., Stek, Max L., Gussekloo, Jacobijn, Mast, Roos C., Rhebergen, Didi
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Sep2016
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Geriatric Psychiatry
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      dt: Sep2016
      vid: 31
      iid: 9
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        117418852
        117418852
        NLM26807552
        117418852
        10.1002/gps.4413
        NLM26807552
        117418852
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        atl: Latent class analysis of the Apathy Scale does not identify subtypes of apathy in general population-based older persons.
      aug:
        au:
          Groeneweg‐Koolhoven, Isis
          Huitema, Lotte J.
          Waal, Margot W. M.
          Stek, Max L.
          Gussekloo, Jacobijn
          Mast, Roos C.
          Rhebergen, Didi
        affil: Elderly Psychiatry Hospital Parnassia Bavo Group, Rotterdam the Netherlands
      sug:
        subj:
          Depression Psychosocial Factors
          Apathy
          Geriatric Assessment Methods
          Models, Statistical
          Cross Sectional Studies
          Female
          Cognition
          Aged, 80 and Over
          Educational Status
          Aged
          Male
          Quality of Life
          Residence Characteristics
          Logistic Regression
          Scales
          Human
          Aged, 80 & over
          Aged: 65+ years
          Female
          Male
      ab: Objectives: To identify clinically relevant subtypes of apathy in older persons using latent class analysis (LCA) and investigate the distribution of different characteristics across these subtypes.Measurements: Cross-sectional data of 122 older persons (mean age 84 years, 60% female) participating in the general population-based PROactive Management Of Depression in the Elderly study, with apathy according to a score of 14 or higher on the Apathy Scale, were included for LCA. All 14 items of the Apathy Scale were used as indicator variables. Several characteristics were examined including sociodemographics, depressive, and anxiety symptoms; global cognitive function; quality of life indicators; hazardous alcohol intake (drinking ≥ 14 consumptions per week); and perceived chronic pain.Results: Three distinct LCA classes were found classifying 17%, 7%, and 76% of the participants respectively. Individuals in the first class had a higher level of education and were less likely to live alone. Those in the second class had higher apathy and depression scores, lived more frequently alone and used more alcohol. Individuals in the third class showed a lower level of education and worse cognitive function. In multivariable multinomial analyses, only a lower educational level and higher scores on the Apathy Scale were significant predictors for class membership.Conclusion: Differences between LCA-derived classes were minimal, suggesting that in a general population-based cohort the Apathy Scale measures a homogeneous construct. Copyright © 2016 John Wiley & Sons, Ltd.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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