Can Neuropsychological Assessment Predict Capacity to Manage Personal Finances? A Comparison Between Brain Impaired Individuals With and Without Administrators

Hoskin, Kathryn M.; Jackson, Martin; Crowe, Simon F.

doi:10.1375/pplt.2005.12.1.56

Cited by 16 publications

(14 citation statements)

References 17 publications

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“…This may be one reason for the numerous studies which utilised the veridicality approach (see Burgess, Alderman, Evans, Emslie, & Wilson, 1998;Chaytor, Schmitter-Edgecombe, & Burr, 2006;Hoskin, Jackson, & Crowe, 2005;Manchester, Priestley, & Jackson, 2004;Mitchell & Miller, 2008;Odhuba, van den Broek, & Johns, 2005;Ready, Stierman, & Paulsen, 2001;Semkovska, Bedard, Godbout, Limoge, & Stip, 2004;Van der Elst, Van Boxtel, Van Breukelen, & Jolles, 2008;Wood & Liossi, 2006). Despite this extensive research, the ecological validity of traditional measures of executive functioning tends to remain in the low to moderate range, with Pearson's correlations ranging from .24 to .50 (Burgess et al, 1998;Chaytor et al, 2006;Manchester et al, 2004).…”

Section: Focus Of Traditional Neuropsychological Testsmentioning

confidence: 99%

Assessing executive performance during cognitive rehabilitation

Lewis

Babbage

Leathem

2011

Neuropsychological Rehabilitation

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Executive functioning influences a host of other cognitive processes and people who attend neuropsychological services are more likely to display executive dysfunction than any other cognitive deficit (Stuss & Levine, 2002). Impairment in executive functioning disrupts a person's ability to effectively employ their intact areas of functioning, and undermines effective self-management of other areas of dysfunction, hampering attempts to employ compensatory strategies. Therefore, assessment of a person's executive functioning is a high priority as part of a comprehensive neurorehabilitation plan. Guided by the International Classification of Functioning, Disability, and Health model (ICF model; Peterson, 2005), we suggest that an important development in the field is moving to formal assessment of executive performance in functional contexts, in addition to more traditional assessment of executive impairment. We outline a number of existing studies in this area, review current measures that can provide clinicians with useful information on these issues, and discuss how this research could be further advanced.

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Section: Focus Of Traditional Neuropsychological Testsmentioning

confidence: 99%

Assessing executive performance during cognitive rehabilitation

Lewis

Babbage

Leathem

2011

Neuropsychological Rehabilitation

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“…Decisional capacity is a topic of ethical and clinical importance and increasing scientific interest in the field of traumatic brain injury (TBI) (Anderson & Fearey, 1989; Haffey, 1989; Hoskin, Jackson, & Crowe, 2006; Marson et al, 2005; Reid-Proctor, Galin, & Cummings, 2001). The abrupt cognitive, emotional, and behavioral changes following TBI can devastate decisional capacity, substantially impair everyday functioning and independence (Fisk, Schneider, & Novack, 1998; Lundqvist, 2001; Marson et al, 2005), and persist long after acute hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Financial capacity following traumatic brain injury: A six-month longitudinal study.

Dreer

DeVivo²,

Novack³

et al. 2012

Rehabilitation Psychology

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Objective To longitudinally investigate financial capacity (FC) following traumatic brain injury (TBI). Design Longitudinal study comparing FC in cognitively healthy adults and persons with moderate to severe TBI at time of acute hospitalization (Time 1) and at six months post injury (Time 2). Setting Inpatient brain injury rehabilitation unit. Participants Twenty healthy adult controls and 24 adult persons with moderate to severe TBI. Main Outcome Measures Participants were administered the Financial Capacity Instrument (FCI-9), a standardized instrument that measures performance on eighteen financial tasks, nine domains, and two global scores. Between and within group differences were examined for each FCI-9 domain and global scores. Using control group referenced cut scores, participants with TBI were also assigned an impairment rating (intact, marginal, or impaired) on each domain and global score. Results At Time 1, participants with TBI performed significantly below controls on the majority of financial variables tested. At Time 2, participants with TBI demonstrated within group improvement on both simple and complex financial skills, but continued to perform below adult controls on complex financial skills and both global scores. Group by time interactions were significant for five domains and both global scores. At Time 1, high percentages of participants with TBI were assigned either ‘marginal’ or ‘impaired’ ratings on the domains and global scores, with significant percentage increases of ‘intact’ ratings at Time 2. Conclusions Immediately following acute injury, persons with moderate to severe TBI show global impairment of FC. Findings indicate improvement of both simple and complex financial skills over a six month period, but continued impairment on more complex financial skills. Future studies should examine loss and recovery of FC following TBI over longer time periods and a wider range of injury severity.

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“…8, 9 In a recent review paper, Lillie et al 10 cited statistics estimating that upwards of 30% of persons suffering from TBI experienced long lasting compromise of financial capacity. In a series of studies Crowe and colleagues 11–13 noted that persons with acquired brain injury (including TBI patients) were more likely to exhibit money management problems in everyday life compared to healthy adults in the forms of automated teller machine misuse 12 , making more late bill payments, and displaying higher rates of inappropriate spending. 13 …”

Section: Introductionmentioning

confidence: 99%

“…In a series of studies Crowe and colleagues 11–13 noted that persons with acquired brain injury (including TBI patients) were more likely to exhibit money management problems in everyday life compared to healthy adults in the forms of automated teller machine misuse 12 , making more late bill payments, and displaying higher rates of inappropriate spending. 13 …”

Section: Introductionmentioning

confidence: 99%

“…Prior studies have found that money mismanagement behaviors are associated with neuropsychological measures of executive function and attention. 12, 13 Interestingly, both studies found that brain-injured patients’ performance on verbal memory tests was not related to the clinician’s judgment of the patient’s money management ability. No prior studies, however, have sought to identify cognitive models of FC in a longitudinal sample of TBI patients using a performance-based measure.…”

Section: Introductionmentioning

confidence: 99%

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Neurocognitive Predictors of Financial Capacity in Traumatic Brain Injury

Martin

Triebel

Dreer

et al. 2012

Journal of Head Trauma Rehabilitation

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Objective To develop cognitive models of financial capacity (FC) in patients with traumatic brain injury (TBI). Design Longitudinal design. Setting Inpatient brain injury rehabilitation unit. Participants 20 healthy controls, and 24 adults with moderate-to-severe TBI were assessed at baseline (30 days postinjury) and 6 months postinjury. Main Outcome Measures The Financial Capacity Instrument (FCI) and a neuropsychological test battery. Univariate correlation and multiple regression procedures were employed to develop cognitive models of FCI performance in the TBI group, at baseline and 6 month time follow-up. Results Three cognitive predictor models of FC were developed. At baseline, measures of mental arithmetic/working memory and immediate verbal memory predicted baseline FCI performance (R2=.72). At 6 month follow-up, measures of executive function and mental arithmetic/working memory predicted 6 month FCI performance (R2=.79), and a third model found that these two measures, at baseline predicted 6 month FCI performance (R2=.71). Conclusions Multiple cognitive functions are associated with initial impairment and partial recovery of FC in moderate-to-severe TBI patients. In particular, arithmetic, working memory, and executive function skills appear critical to recovery of FC in TBI. The study results represent an initial step towards developing a neurocognitive model of FC in patients with TBI.

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Can Neuropsychological Assessment Predict Capacity to Manage Personal Finances? A Comparison Between Brain Impaired Individuals With and Without Administrators

Cited by 16 publications

References 17 publications

Assessing executive performance during cognitive rehabilitation

Assessing executive performance during cognitive rehabilitation

Financial capacity following traumatic brain injury: A six-month longitudinal study.

Neurocognitive Predictors of Financial Capacity in Traumatic Brain Injury

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