Neurocognitive Predictors of Declining Financial Capacity in Persons with Mild Cognitive Impairment
Neurocognitive Predictors of Declining Financial Capacity in Persons with Mild Cognitive Impairment
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DOI：
10.1080/07317115.2016.1228022
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发表时间：
2017-01-01
影响因子：
2.8
通讯作者：
Marson, Daniel C.
中科院分区：
文献类型：
--
作者：
Niccolai, Lindsay M.;Triebel, Kristen L.;Marson, Daniel C.
目的：确定轻度认知障碍 (MCI) 患者财务能力 (FC) 下降的认知预测因子。方法：参与者包括 66 名认知正常的老年人和 49 名 MCI 患者，他们在基线和两年随访时完成了神经心理学测试和财务能力绩效衡量（财务能力工具；FCI）。我们计算了神经心理学测试和 FCI 总分的两年变化分数。我们检查了人口统计/临床变量与 FCI 变化评分之间以及神经心理学和 FCI 变化评分之间的双变量相关性。将五个最强的双变量相关性纳入线性回归分析，以确定组内财务下降的纵向预测因子。结果：患有 MCI 的人在 FCI 和大多数认知变量上表现出显着下降，而对照组则表现出相对稳定的表现。对于 MCI 患者，教育程度与 FCI 评分变化相关。认知变量与 FCI 变化分数相关性最高的四个是书面算术、对抗命名、即时视觉记忆和视觉注意力。在回归模型中，书面算术是两年 FCI 变化分数的主要预测因素，视觉记忆和视觉注意力是两年 FCI 变化分数的次要预测因素。结论：语义算术知识，以及较小程度上的视觉记忆和注意力，是 MCI 患者财务技能下降的关键纵向认知预测因素。临床意义：临床医生在评估 MCI 患者的财务能力时，应考虑书面算术、视觉记忆和处理速度的神经认知能力。
Objective: To identify cognitive predictors of declining financial capacity (FC) in persons with mild cognitive impairment (MCI).Methods: Participants were 66 cognitively normal older adults and 49 persons with MCI who completed neuropsychological testing and a performance measure of financial capacity (Financial Capacity Instrument; FCI) at baseline and two-year follow-up. We calculated two-year change scores for neuropsychological tests and FCI total score. We examined bivariate correlations between demographic/clinical variables and FCI change score, and between neuropsychological and FCI change scores. The five strongest bivariate correlates were entered into a linear regression analysis to identify longitudinal predictors of financial decline within group.Results: Persons with MCI showed significant decline on the FCI and most cognitive variables, while controls demonstrated relatively stable performance. For persons with MCI, education correlated with FCI change score. The top four cognitive variable-FCI change score correlations were written arithmetic, confrontation naming, immediate visual memory, and visual attention. In the regression model, written arithmetic was the primary predictor and visual memory and visual attention were secondary predictors of two-year FCI change scores.Conclusion: Semantic arithmetic knowledge, and to a lesser extent visual memory and attention, are key longitudinal cognitive predictors of financial skill decline in individuals with MCI.Clinical Implications: Clinicians should consider neurocognitive abilities of written arithmetic, visual memory, and processing speed in their assessments of financial capacity in person with MCI.