Awareness of financial skills in dementia
Awareness of financial skills in dementia
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DOI：
10.1080/13607860410001709728
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发表时间：
2004-07-01
影响因子：
3.4
通讯作者：
Hultsch, DF
中科院分区：
文献类型：
--
作者：
Van Wielingen, LE;Tuokko, HA;Hultsch, DF
本研究调查了42名社区痴呆患者的认知功能水平、执行功能障碍水平和财务管理能力意识水平之间的关系。基于皮亚杰儿童认知发展的操作水平，将财务技能意识测量中的财务任务分为简单和复杂两类。整体认知障碍和执行功能障碍的严重程度与财务能力的意识显著相关，这是通过maff上的举报人-参与者差异分数来衡量的。对于轻度和中度/重度痴呆患者，以及有和没有执行功能障碍的患者，在简单和复杂财务任务类别中的意识比例被制成表格。与简单任务相比，复杂任务对财务能力的意识明显较低。轻度痴呆患者对复杂项目能力的意识明显较低，而中度/重度痴呆患者无论任务复杂性如何，对能力的意识都较低。在有或没有执行功能障碍的个体中观察到类似的意识模式。这些发现支持了文献的观点，即与痴呆相关的缺陷首先发生在复杂的认知任务中，包括归纳推理或在新情况下的决策，并确定了金融领域的功能丧失可能首先发生在哪里。
The present study examined the relations among levels of cognitive functioning, executive dysfunction, and awareness of financial management capabilities among a sample of 42 community-dwelling persons with dementia. Financial tasks on the Measure of Awareness of Financial Skills (MAFS) were dichotomized as simple or complex based on Piaget's operational levels of childhood cognitive development. Severity of global cognitive impairment and executive dysfunction were significantly related to awareness of financial abilities as measured by informant-participant discrepancy scores on the MAFS. For persons with mild and moderate/severe dementia, and persons with and without executive dysfunction, proportions of awareness within simple and complex financial task categories were tabulated. Significantly less awareness of financial abilities occurred on complex compared with simple tasks. Individuals with mild dementia were significantly less aware of abilities on complex items, whereas persons with moderate/severe dementia were less aware of abilities, regardless of task complexity. Similar patterns of awareness were observed for individuals with and without executive dysfunction. These findings support literature suggesting that deficits associated with dementia first occur for complex cognitive tasks involving inductive reasoning or decision-making in novel situations, and identify where loss of function in the financial domain may first be expected.