Synthetic review of financial capacity in cognitive disorders: Foundations, interventions, and innovations.
Synthetic review of financial capacity in cognitive disorders: Foundations, interventions, and innovations.
复制标题
认知障碍财务能力的合成回顾：基础，干预和创新。
DOI：
10.1007/s13670-019-00304-7
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发表时间：
2019-12
影响因子：
1.2
通讯作者：
Kamath V
中科院分区：
文献类型：
--
作者：
Nowrangi MA;Sevinc G;Kamath V
财务能力（FC）是一个复杂的、多维的结构，在人的一生中会发生变化，并且通常会随着个人年龄的增长和痴呆症而受到损害。 FC 受损会导致一些重要的负面结果，包括丧失独立性以及增加受害和虐待。本次审查的目的是综合当前对受损财务能力的评估和干预的知识，以便在技术进步的背景下提出其进一步发展的建议。当前评估 FC 的方法基于概念基础，包括判断、程序和其他实用技能。 FC 的神经认知相关因素包括基本算术技能、注意力和视觉记忆。目前，这些认知领域是通过临床和神经心理学评估以及专门设计用于评估财务能力的工具来评估的。尽管具有坚实的概念和神经认知基础，但目前的 FC 评估方法仍因其灵活性、个性化或可扩展性而受到限制。人工智能、虚拟现实和物联网等计算机和软件技术是令人兴奋的工具，可实现制定措施使患者保持或支持财务功能最大独立性的最终目标。这些工具将允许进行同步且生态有效的评估，并且对于法律专业人士和临床医生确定财务能力和能力很有用。此外，需要提供安全和监测的干预措施，同时允许患者在保留经济能力的情况下获得最大的自主权。
Financial capacity (FC) is a complex, multi-dimensional construct that changes over the lifespan and commonly becomes impaired as individuals age and develop dementia. Impaired FC results in several important negative outcomes including loss of independence and increased victimization and abuse. The goal of this review is to synthesize current knowledge of the assessment and intervention of impaired financial capacity in order to propose its further development in the context of technological advancements. Current methods of assessing FC are based on conceptual foundations that include judgment, procedural, and other pragmatic skills. The neurocognitive correlates of FC include basic arithmetic skills, attention, and visual memory. These cognitive domains are presently assessed through clinical and neuropsychological evaluation as well as instruments specifically designed to assess financial capacity. Despite having a firm conceptual and neurocognitive foundation, current assessment methods of FC are limited by their ability to be flexible, individualizable, or scalable. Computer and software technologies such as artificial intelligence, virtual reality, and the internet of things are exciting tools to achieve the ultimate goal of developing measures that allow patients to maintain or support maximal independence in financial functioning. These tools will allow for contemporaneous and ecologically valid assessment and would be useful to legal professionals and clinicians in determinations of financial competency and capacity. Moreover, interventions that provide safety and monitoring while allowing patients maximal autonomy of preserved financial abilities are needed.
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影响因子：
14
作者：
通讯作者：
--
影响因子：
2.8
作者：
Niccolai, Lindsay M.;Triebel, Kristen L.;Marson, Daniel C.
通讯作者：
Marson, Daniel C.
DOI：
10.1111/j.1532-5415.2009.02221.x
发表时间：
2009-05-01
影响因子：
6.3
作者：
Garre-Olmo, Josep;Planas-Pujol, Xenia;Vilalta-Franch, Joan
通讯作者：
Vilalta-Franch, Joan
影响因子：
5.7
作者：
Lachs, MS;Williams, C;Horwitz, R
通讯作者：
Horwitz, R
影响因子：
7.2
作者：
Boyle, PA;Malloy, PF;Cummings, JL
通讯作者：
Cummings, JL