Theoretical Analysis of the Apathy Diagnostical Measurement

The article lays out a theoretical analysis of the problem with diagnosing apathy in today's research. Apathy is a state characterized by a simultaneous decrease in the behavioral, cognitive and emotional concomitants of goal-directed behavior due to loss of motivation [15]. Behavioral changes lie in a declining everyday problem-solving effectiveness at home or work. Cognitive changes result in reduced cognitive functioning and a lack of plans and life strategies. Emotional changes manifest in a decrease in affective response to events that previously elicited either a positive or negative emotional response. Diagnostic criteria, or the 'gold standard' for apathy, identify behavioral, cognitive, emotional, and social symptoms of apathy that cause clinically significant disorders in personal, social, professional, or other important areas of life. The differential diagnosis of apathy involves its clinical distinction from syndromes such as delirium, dementia, depression, abulia, akinesia, and demoralization. The review can be useful for psychiatrists, psychologists, social workers and all practitioners who interact with people at risk of developing apathetic states.