Cognitive Correlates of Financial Abilities in Mild Cognitive Impairment

Okonkwo, Ozioma C.; Wadley, Virginia G.; Griffith, H. Randall; Ball, Karlene K.; Marson, Daniel C.

doi:10.1111/j.1532-5415.2006.00916.x

Cited by 130 publications

(129 citation statements)

References 20 publications

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“…Because it is highly factually intensive, successful performance on understanding demands that the individual be able to mentally process, comprehend, encode, organize, and initially consolidate fairly complex medical information presented to them, and to recall this information on demand shortly thereafter. Disruption of any of these cognitive abilities, either as a function of normal cognitive aging (Dodge et al, 2006;Salthouse, 1996) or of a dementing disorder (Okonkwo et al, 2006;Tuokko et al, 2005) threatens the integrity of this consent ability.…”

Section: Discussionmentioning

confidence: 99%

Cognitive models of medical decision-making capacity in patients with mild cognitive impairment

Okonkwo

Griffith

Belue

et al. 2008

J. Inter. Neuropsych. Soc.

112

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This study investigated cognitive predictors of medical decision-making capacity (MDC) in patients with amnestic mild cognitive impairment (MCI). A total of 56 healthy controls, 60 patients with MCI, and 31 patients with mild Alzheimer's disease (AD) were administered the Capacity to Consent to Treatment Instrument (CCTI) and a neuropsychological test battery. The CCTI assesses MDC across four established treatment consent standards-S1 (expressing choice), S3 (appreciation), S4 (reasoning), and S5 (understanding)-and one experimental standard [S2] (reasonable choice). Scores on neuropsychological measures were correlated with scores on each CCTI standard. Significant bivariate correlates were subsequently entered into stepwise regression analyses to identity group-specific multivariable predictors of MDC across CCTI standards. Different multivariable cognitive models emerged across groups and consent standards. For the MCI group, measures of short-term verbal memory were key predictors of MDC for each of the three clinically relevant standards (S3, S4, and S5). Secondary predictors were measures of executive function. In contrast, in the mild AD group, measures tapping executive function and processing speed were primary predictors of S3, S4, and S5. MDC in patients with MCI is supported primarily by short-term verbal memory. The findings demonstrate the impact of amnestic deficits on MDC in patients with MCI. (JINS, 2008, 14, 297-308.)

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Section: Discussionmentioning

confidence: 99%

Cognitive models of medical decision-making capacity in patients with mild cognitive impairment

Okonkwo

Griffith

Belue

et al. 2008

J. Inter. Neuropsych. Soc.

112

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“…10 The FCI has demonstrated high levels of reliability, and content and construct validity, in previous studies of healthy controls and persons with AD and MCI. 1,10,18 The current version of the FCI directly assesses financial abilities across 20 tasks, 9 domains, and 2 global scores (domains 1-7 total score; domains 1-7 and 9 total score). Trained technicians administer and score the FCI using well-operationalized criteria described elsewhere.…”

Section: Subgroups Of Converters and Nonconvertersmentioning

confidence: 99%

Declining financial capacity in mild cognitive impairment

et al. 2009

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Objective: To investigate 1-year change in financial capacity in relation to conversion from amnestic mild cognitive impairment (MCI) to dementia.Methods: Seventy-six cognitively healthy older controls, 25 patients with amnestic MCI who converted to Alzheimer-type dementia during the study period (MCI converters), and 62 patients with MCI who did not convert to dementia (MCI nonconverters) were administered the Financial Capacity Instrument (FCI) at baseline and 1-year follow-up. Performance on the FCI domain and global scores was compared within and between groups using multivariate repeated-measures analyses.Results: At baseline, controls performed better than MCI converters and nonconverters on almost all FCI domains and on both FCI total scores. MCI converters performed below nonconverters on domains of financial concepts, cash transactions, bank statement management, and bill payment and on both FCI total scores. At 1-year follow-up, MCI converters showed significantly greater decline than controls and MCI nonconverters for the domain of checkbook management and for both FCI total scores. The domain of bank statement management showed a strong trend. For both the checkbook and bank statement domains, MCI converters showed declines in procedural skills, such as calculating the correct balance in a checkbook register, but not in conceptual understanding of a checkbook or a bank statement. Conclusions:

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“…For instance, MCI patients have been recently shown to experience problems in understanding numerical information concerning health care (Delazer, Kemmler & Benke, 2013;Pertl et al, 2014). Moreover, impairments in tasks tapping financial capacities such as financial conceptual knowledge, bank statement management and bill payment have been also reported in these patients (Griffith et al, 2003 ;Griffith et al, 2010;Marson et al, 2009;Okonkwo, Wadley, Griffith, Ball & Marson, 2006;Sherod et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

Anatomical substrates and neurocognitive predictors of daily numerical abilities in mild cognitive impairment

Benavides-Varela

Burgio

Meneghello

et al. 2015

Cortex

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Patients with mild cognitive impairment experience difficulties in mathematics that affect their functioning in the activities of everyday life. What are the associated anatomical brain changes and the cognitive correlates underlying such deficits? In the present study, 33 patients with Mild Cognitive Impairments (MCI) and 29 cognitively normal controls underwent volumetric MRI, and completed the standardized battery of Numerical Activities of Daily Living (NADL) along with a comprehensive clinical neuropsychological assessment. Group differences were examined on the numerical tasks and volumetric brain measures. The gray (GM) and white matter (WM) volume correlates were also evaluated. The results showed that relative to controls, the MCI group had impairments in number comprehension, transcoding, written operations, and in daily activities involving time estimation and money usage. In the volumetric measures, group differences emerged for the transcoding subtask in the left insula and left superior temporal gyrus. Among MCI patients, number comprehension and formal numerical performance were correlated with volumetric variability in the right middle occipital areas and right frontal gyrus. Money-usage scores showed significant correlations with left mesial frontal cortex, right superior frontal and right superior temporal cortex. Regression models revealed that neuropsychological measures of long-term memory, language, visuo-spatial abilities, and abstract reasoning were predictive of the patients' decline in daily activities. The present findings suggest that early neuropathology in distributed cortical regions of the brain including frontal, temporal and occipital areas leads to a breakdown of cognitive abilities in MCI that impacts on numerical daily functioning. The findings have implications for diagnosis, clinical and domestic care of patients with MCI

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Cognitive Correlates of Financial Abilities in Mild Cognitive Impairment

Cited by 130 publications

References 20 publications

Cognitive models of medical decision-making capacity in patients with mild cognitive impairment

Cognitive models of medical decision-making capacity in patients with mild cognitive impairment

Declining financial capacity in mild cognitive impairment

Anatomical substrates and neurocognitive predictors of daily numerical abilities in mild cognitive impairment

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