Declining Financial Capacity in Mild Cognitive Impairment: A Six-Year Longitudinal Study

Martin, Roy C.; Gerstenecker, Adam; Triebel, Kristen L.; Falola, Michael; McPherson, Tarrant; Cutter, Gary; Marson, Daniel C.

doi:10.1093/arclin/acy030

Cited by 38 publications

(35 citation statements)

References 40 publications

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“…Although most individuals with CIND will not go on to develop dementia, CIND is an important outcome in its own right. Individuals with even mild impairments have greater limitations in daily functioning and functional disability and greater declines in financial capacity over time …”

Section: Discussionmentioning

confidence: 99%

Verbal fluency and risk of dementia

Sutin

Stéphan

Terracciano

2019

Int J Geriat Psychiatry

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Objective: Verbal fluency is a common neuropsychological test that is impaired in dementia. We test whether verbal fluency is a prospective risk factor for incident dementia, cognitive impairment not dementia (CIND), and conversion from CIND to dementia.Methods: Participants (N = 18 189) from the Health and Retirement Study were administered a standard test of verbal fluency and were assessed for cognitive status every 2 years between baseline and 6 years' follow-up.Results: Every standard deviation increase in verbal fluency was associated with an approximately 60% reduced risk of incident dementia, an approximately 25% reduced risk of incident CIND, and an approximately 25% reduced risk of conversion from CIND to dementia. These associations were independent of age, gender, education, race, ethnicity, and APOE risk status. The associations were slightly weaker (but still significant) for African Americans and individuals with lower education. There was no interaction between verbal fluency and APOE risk status. Conclusion:Verbal fluency is an easily administered task that is predictive of incident cognitive impairment.

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Section: Discussionmentioning

confidence: 99%

Verbal fluency and risk of dementia

Sutin

Stéphan

Terracciano

2019

Int J Geriat Psychiatry

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“…In contrast, the diagnosis of Mild Cognitive Impairment (MCI) requires the presence of both subjectively reported and objectively measured cognitive deficits which are not yet sufficient to significantly interfere with capacity for independence in everyday activities [7]. Nonetheless, there is evidence that subtle deficits in functional abilities such as shopping, driving, and financial management exist in the context of MCI [6, 8, 9], or even earlier than MCI [10, 11]. The time at which functional changes, and ultimately functional deficits, emerge in a given individual likely reflects a combination of factors including the degree and domain of cognitive impairment, the individual’s premorbid level of functioning, the presence of psychiatric or physical comorbidities, and the extent of support by other family members, among other things.…”

Section: Introductionmentioning

confidence: 99%

Modification of everyday activities and its association with self-awareness in cognitively diverse older adults

et al. 2019

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Cognitive impairment (CI) in older adults is frequently accompanied by difficulty performing complex everyday activities (e.g., managing finances). However, it is unclear if and how older adults with CI modify their activities (i.e., Do individuals continue, monitor, seek help with, change their approach to, or stop different activities?). In the current study, we examined if older adults with CI are concerned about their ability to carry out complex activities, if and how they modify activities based on their concern, and the factors associated with activity modification. We hypothesized that older adults with CI will more frequently be concerned about, and modify, everyday activities than cognitively healthy (HE) older adults, and that higher awareness of memory loss in the CI group would relate to more frequent modification. The sample included 81 older adults (51 HEs; mean age 70.02 (7.34) and 30 CI; mean age 75.97 (8.12)). Compared to HEs, the CI group reported having more concern about, F(3,77) = 5.50, p = 0.02, and modifying a greater number of activities, F(3,77) = 5.02, p = 0.03. Medication management (30%) and completing taxes (33.3%) were among the most frequently modified activities for the CI and HE groups, respectively. In the CI group, higher memory awareness was associated with more concern (r = .53, p = .005) and activity modification (r = 0.55, p = .003). Findings provide novel information about how cognitively diverse older adults navigate complex activities in daily life. We propose a preliminary theoretical model by which self-awareness may influence navigation of everyday activities in the context of CI.

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“…There are myriad forms of neurodegenerative disease (Manning and Ducharme 2010), with Alzheimer's disease (a progressive mental deterioration occurring in middle or old age, due to generalized degeneration of the brain) being the most recognizable and most prevalent form (Alzheimer's Association 2015). Individuals afflicted with Alzheimer's disease, and even mild cognitive impairment (subjective and objective memory decline greater than expected given a person's age and education level insufficient to meet criteria for dementia), perform worse than controls on most domains of financial capacity (Griffith et al 2003;Martin et al 2018).…”

Section: Financial Abuse Risk Factors In An Ecological Contextmentioning

confidence: 99%

Recognizing the Trauma Experienced by Community-Dwelling Older Victims of Financial Abuse Perpetrated by Trusted Others

Jackson¹

2020

Handbook of Interpersonal Violence and Abuse Across the Lifespan

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National prevalence studies find that over 5% of older adults annually experience financial exploitation by family members. While not robust, our understanding of financial exploitation is mounting. Upon providing a brief historical overview of financial exploitation, this chapter carves out distinctions between financial abuse perpetrated by trusted others and financial fraud perpetrated by strangers, devoting the remainder of the chapter to financial abuse. The most prominent

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Declining Financial Capacity in Mild Cognitive Impairment: A Six-Year Longitudinal Study

Abstract: Over a 6-year period, persons with MCI demonstrated significant declines in multiple financial skills and in particular financial judgment. The findings highlight the importance of ongoing oversight by family members and clinicians of financial skills and activities in persons with MCI.

Cited by 38 publications

References 40 publications

Verbal fluency and risk of dementia

Verbal fluency and risk of dementia

Modification of everyday activities and its association with self-awareness in cognitively diverse older adults

Recognizing the Trauma Experienced by Community-Dwelling Older Victims of Financial Abuse Perpetrated by Trusted Others

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