Mild cognitive impairment is associated with poorer decision-making in community-based older persons.
Mild cognitive impairment is associated with poorer decision-making in community-based older persons.
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DOI：
10.1111/jgs.13346
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发表时间：
2015-04
影响因子：
6.3
通讯作者：
Bennett DA
中科院分区：
文献类型：
--
作者：
Han SD;Boyle PA;James BD;Yu L;Bennett DA
财务和医疗保健决策对于维持老年人的健康和独立非常重要。我们测试了轻度认知障碍（MCI）与财务和医疗保健问题上较差的决策有关的假设。社区流行病学队列研究。伊利诺斯州东北部的社区。参与者是来自拉什记忆和衰老项目的730名老年非痴呆患者。所有参与者都进行了详细的临床评估和决策评估，使用的测量方法与现实世界金融和医疗保健环境中使用的材料非常接近。这允许测量总体决策，以及财务和医疗保健决策。回归模型用于检验MCI的存在是否与较低的决策水平相关。在随后的分析中，我们探讨了MCI患者特定认知系统（即情景记忆、语义记忆、工作记忆、知觉速度和视觉空间能力）与决策的关系。结果显示，在考虑了年龄、教育程度和性别的影响后，MCI分别与较低的决策总分以及财务和医疗保健得分相关。MCI对总体决策的影响相当于年龄增加10岁以上的影响。其他模型表明，当考虑多种认知系统时，感知速度在MCI参与者的决策中占最大的差异。结果表明，MCI患者在现实世界中可能表现出较差的财务和医疗决策，而感知速度可能是导致MCI患者决策较差的重要因素。
Financial and healthcare decision making are important for maintaining wellbeing and independence in old age. We tested the hypothesis that Mild Cognitive Impairment (MCI) is associated with poorer decision making in financial and healthcare matters. Community-based epidemiologic cohort study. Communities throughout Northeastern Illinois. Participants were 730 older nondemented persons from the Rush Memory and Aging Project. All participants underwent a detailed clinical evaluation and decision making assessment using a measure that closely approximates materials utilized in real world financial and healthcare settings. This allowed for measurement of total decision making, as well as financial and healthcare decision making. Regression models were used to examine whether the presence of MCI was associated with a lower level of decision making. In subsequent analyses, we explored the relation of specific cognitive systems (i.e., episodic memory, semantic memory, working memory, perceptual speed, and visuospatial ability) with decision making in those with MCI. Results showed that MCI was associated with lower decision making total scores as well as financial and healthcare scores, respectively, after accounting for the effects of age, education, and sex. The effect of MCI on total decision making was equivalent to the effect of more than 10 additional years of age. Additional models showed that when considering multiple cognitive systems, perceptual speed accounted for the most variance in decision making among participants with MCI. Results suggest that persons with MCI may exhibit poorer financial and healthcare decision making in real world situations, and that perceptual speed may be an important contributor to poorer decision making among persons with MCI.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.7
作者：
Boyle PA;Yu L;Wilson RS;Gamble K;Buchman AS;Bennett DA
通讯作者：
Bennett DA
DOI：
10.1017/s1355617711001299
发表时间：
2012-01
影响因子：
2.6
作者：
Han, S. Duke;Arfanakis, Konstantinos;Fleischman, Debra A.;Leurgans, Sue E.;Tuminello, Elizabeth R.;Edmonds, Emily C.;Bennett, David A.
通讯作者：
Bennett, David A.
影响因子：
3.5
作者：
James BD;Boyle PA;Bennett JS;Bennett DA
通讯作者：
Bennett DA
影响因子：
17.7
作者：
Kim, SYH;Cox, C;Caine, ED
通讯作者：
Caine, ED