Impaired Financial Capacity in Late-Life Depression: Revisiting Associations with Cognitive Functioning.
Impaired Financial Capacity in Late-Life Depression: Revisiting Associations with Cognitive Functioning.
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DOI：
10.1017/s1355617719000705
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发表时间：
2019-11
影响因子：
2.6
通讯作者：
Mackin, R. Scott
中科院分区：
文献类型：
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作者：
Morin, Ruth T.;Gonzales, Mitzi M.;Bickford, David;Catalinotto, Daniel;Nelson, Craig;Mackin, R. Scott
经济能力受损是晚年认知能力下降和功能障碍的早期迹象。认知障碍，如执行功能障碍，在晚年抑郁症中得到了很好的记录，但在评估这些障碍与经济能力丧失的相关性方面进展甚微。参与者包括95名临床患有抑郁症的老年人和41名没有痴呆的非抑郁症老年人。财务能力(用独立生活量表的理财能力量表评估)、认知功能(综合神经心理评估)和抑郁严重程度(汉密尔顿抑郁评定量表-24)被评估。采用t检验评估组间差异。数据分析采用线性回归方法。抑郁的参与者在财务能力上的表现明显较低(t=2.98，p<；.01)。在抑郁的参与者中，执行功能(B=0.24，p<；0.05)与经济能力下降有关，控制了年龄、性别、教育程度、抑郁严重程度和其他认知领域。我们的结果强调了评估老年抑郁症成年人财务能力的重要性，因为即使在没有痴呆症的情况下，他们也可能容易受到财务滥用的影响。评估抑郁症治疗是否是改善结果的有效干预措施将是有价值的。
Impairment in financial capacity is an early sign of cognitive decline and functional impairment in late life. Cognitive impairments such as executive dysfunction are well documented in late life major depression, however little progress has been made in assessing associations of these impairments with financial incapacity. Participants included 95 clinically depressed and 41 non-depressed older adults without dementia. Financial capacity (assessed with the Managing Money scale of the Independent Living Scale), cognitive functioning (comprehensive neuropsychological evaluation), and depression severity (Hamilton Depression Rating Scale – 24) were assessed. T-tests were used to assess group differences. Linear regression was used to analyze data. Depressed participants performed significantly lower on financial capacity (t = 2.98, p < .01). Among depressed participants, executive functioning (B = 0.24, p< .05) was associated with reduced financial capacity, controlling for age, gender, education, depression severity and other cognitive domains. Our results underscore the importance of assessing financial capacity in older depressed adults as they are likely vulnerable to financial abuse even in the absence of dementia. It will be valuable to assess whether treatment for depression is an effective intervention to improve outcomes.