Money Management After Acquired Brain Dysfunction: The Validity of Neuropsychological Assessment.

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

doi:10.1037/0090-5550.50.4.355

Cited by 15 publications

(10 citation statements)

References 42 publications

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“…1–3 Financial capacity (FC) is an important IADL integral to independent living that is often affected following TBI. 4, 5 FC represents a complex set of abilities ranging from simple monetary calculation abilities, to more complex financial tasks such as managing a checkbook or bank statement and to making judgments regarding investment decisions. Diminished capacity to perform these financial tasks can result in significant compromise and delay in returning to personal independence.…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

Neurocognitive Predictors of Financial Capacity in Traumatic Brain Injury

Martin

Triebel

Dreer

et al. 2012

Journal of Head Trauma Rehabilitation

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“…The MMS consists of questions related to using banking services, bill payment, and having adequate funds for essential items [16]. Participants and their informants reported the participants’ frequency of money management difficulties on a three‐point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

Self‐awareness in multiple sclerosis: Relationships with executive functions and affect

Chen

Goverover

2021

Euro J of Neurology

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Background and objectives Deficits in self‐awareness can be observed in persons with multiple sclerosis (pwMS). The present study aimed to investigate two types of self‐awareness (intellectual and online) among pwMS, which will inform clinical care. Intellectual awareness refers to knowledge of one's own abilities; online awareness refers to real‐time monitoring and regulation of one's performance. Methods The study sample consisted of 95 pwMS and 65 healthy controls (HCs). Intellectual awareness was defined as discrepancy between participant's and informant's reports of participant's functioning. Online awareness was operationalized by change in self‐assessment of performance after engaging in a functional task. Results PwMS had significantly worse intellectual awareness than HCs regarding money management (confidence interval [CI] 0.44 to 1.99), task performance (CI −0.01 to 2.5), social interaction (CI 0.29 to 2.45), and problem solving (CI 0.87 to 2.8) abilities, but not sensory symptoms. Executive functioning was positively associated with intellectual awareness in HCs, while depressive and anxiety symptoms were negatively related to intellectual awareness in pwMS. In contrast, online awareness was not significantly different between groups; both groups were able accurately to assess their performance after engaging in a functional task. Conclusions Intellectual awareness, but not online awareness, is impaired in pwMS. Among pwMS, affective symptomatology may distort their perception of functional status. Persons with MS may benefit from actually performing a functional task during the assessment and treatment process, which may lead to a more accurate estimate of their own abilities.

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“…Money management was also assessed by a self-report and an informant report questionnaire (16) that was designed for patients with acquired brain injury and their informant. The questionnaire includes 11 short, concrete questions.…”

Section: Methodsmentioning

confidence: 99%

“…Group differences for demographics, cognitive performance, affect symptomatology, and physical performance were each analyzed by one-way analysis of variance with age and education as covariates (ANCOVA) with Tukey post-hoc analyses. For each item/question on the money management survey, responses were divided into two, with responses of 0 indicating “no problems” and responses of 1 and 2 indicating there were “problems” [based on (16)]. Multiple planned comparisons were analyzed using likelihood ratios to examine the individual items related to money management where individuals with MS (Efficient vs.…”

Section: Methodsmentioning

confidence: 99%

Money Management in Multiple Sclerosis: The Role of Cognitive, Motor, and Affective Factors

2019

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Introduction: Few studies have examined the motor, cognitive, and emotional factors involved in effective money management in persons with multiple sclerosis (MS). The aim of this study was to assess money management in persons MS and examine whether cognitive, motor, and emotional processes can predict money management.Methods: This study included 72 persons with MS and 26 healthy controls (HC). Using an a priori definition of efficient vs. inefficient money management skills, based on the money management questionnaire (self and others), and performance on Actual Reality™ (AR) money management items, MS participants were divided into two groups: efficient or inefficient money management (MS Efficient- MM, n = 34 vs. MS Inefficient-MM, n = 38). These groups were compared on cognitive, motor, and emotional variables.Results: Participants in the MS efficient MM group performed significantly better on executive function and processing speed measures, as well as performance on the 25WT. The MS Efficient -MM group also showed significantly less affective symptomatology (depressive and state anxiety). Importantly, HC performed similarly to the Efficient MM group on these tests. Good executive functioning and low depressive symptomatology predicted efficient money management.Conclusions: This study characterizes some of the major problems and underlying impairments persons with MS are encountering in money management. Practitioners working with persons with MS should be aware that executive function impairments together with depressive symptomatology could signal possible money management dysfunction. The early identification of at-risk persons for money management difficulties could have a profound impact on the quality of life for this subsample of the MS population.

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Money Management After Acquired Brain Dysfunction: The Validity of Neuropsychological Assessment.

Cited by 15 publications

References 42 publications

Neurocognitive Predictors of Financial Capacity in Traumatic Brain Injury

Neurocognitive Predictors of Financial Capacity in Traumatic Brain Injury

Self‐awareness in multiple sclerosis: Relationships with executive functions and affect

Money Management in Multiple Sclerosis: The Role of Cognitive, Motor, and Affective Factors

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