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Neural correlates of apathy in patients with neurodegenerative disorders, acquired brain injury, and psychiatric disorders
Open accessAbstract
Apathy can be described as a loss of goal-directed purposeful behavior and is common in a variety of neurological and psychiatric disorders. Although previous studies investigated associations between abnormal brain functioning and apathy, it is unclear whether the neural basis of apathy is similar across different pathological conditions. The purpose of this systematic review was to provide an extensive overview of the neuroimaging literature on apathy including studies of various patient populations, and evaluate whether the current state of affairs suggest disorder specific or shared neural correlates of apathy. Results suggest that abnormalities within fronto-striatal circuits are most consistently associated with apathy across the different pathological conditions. Of note, abnormalities within the inferior parietal cortex were also linked to apathy, a region previously not included in neuroanatomical models of apathy. The variance in brain regions implicated in apathy may suggest that different routes towards apathy are possible. Future research should investigate possible alterations in different processes underlying goal-directed behavior, ranging from intention and goal-selection to action planning and execution.
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“Concerning apathy, it is the case that limbic-frontal-subcortical circuits are frequently implicated in the pathophysiology of this condition in clinical populations (van Reekum et al., 2005; Kos et al., 2016).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Kos et al., 2016
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“Concerning apathy, it is the case that limbic-frontal-subcortical circuits are frequently implicated in the pathophysiology of this condition in clinical populations (van Reekum et al., 2005; Kos et al., 2016).”
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“Studies examining the neuroimaging correlates of the apathetic syndrome have identified consistent associations between apathy and disruption of specific medial frontal cortex and subcortical structures—see refs 7 8 for reviews.”
Diagnostic criteria for apathy in neurocognitive disorders
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Metadata
- Authors
- Kos, C., van Tol, M.-J., Marsman, J.-B. C., Knegtering, H., & Aleman, A.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Kos, Claire
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 69
- Pages
- 381-401
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2514186414
- Cited by
- 101
- References
- 130
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 6 · 2023: 10 · 2022: 8 · 2021: 11 · 2020: 15 · 2019: 5 · 2018: 15 · 2017: 12 · 2016: 1
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (312787, 453-11-004, 016156077)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- apathy, neural correlates, neurodegenerative diseases, acquired brain injury, mental illness, frontostriatal circuits, inferior parietal cortex, goal-directed behavior, intention, goal selection, action planning
- MeSH terms
- Mental Disorders, Brain, Brain Injuries, Humans, Neurodegenerative Diseases, Apathy
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