Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-20T17:24:08.022Z Has data issue: false hasContentIssue false
  • English
  • Français

Impaired financial capacity in late life depression is associated with cognitive performance on measures of executive functioning and attention

Published online by Cambridge University Press:  01 September 2009

R. SCOTT MACKIN  and
PATRICIA A. AREÁN
R. SCOTT MACKIN*
Affiliation:
Department of Psychiatry, University of California, San Francisco, San Francisco, California
PATRICIA A. AREÁN
Affiliation:
Department of Psychiatry, University of California, San Francisco, San Francisco, California
*
*Correspondence and reprint requests to: R. Scott Mackin, Ph.D., University of California, San Francisco, Department of Psychiatry and Langley Porter Psychiatric Institute, 401 Parnassus Avenue, Box F-0984, San Francisco, CA 94143-0984. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Few studies have evaluated the prevalence of impairments of financial capacity among individuals with psychiatric disorders. Late life depression (LLD) is a common psychiatric disorder associated with significant disability and cognitive impairment. The purpose of this investigation was to determine the prevalence and cognitive correlates of impairments of financial capacity among individuals with LLD. Participants included 65 LLD individuals and 32 comparison subjects. Assessments included measures of financial capacity, cognitive functioning, and depression symptom severity. Individuals with LLD exhibited a significantly higher rate of impaired financial capacity (22%) than the comparison group (6%). Results of a multiple regression analysis indicated that performance on measures of executive functioning and attention, but not depression severity, were most strongly associated with financial capacity performance in LLD. Our results suggest impairments of financial capacity in LLD are largely explained by cognitive functioning in these domains. (JINS, 2009, 15, 793–798.)

Keywords

Financial capacityLate life depressionMild cognitive impairmentAbstract reasoningExecutive dysfunctionAttention
Type
Brief Communications
Information
Journal of the International Neuropsychological Society , Volume 15 , Issue 5 , September 2009 , pp. 793 - 798
Copyright
Copyright © The International Neuropsychological Society 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Anstey, K.J., von Sanden, C., Sargent-Cox, K., & Luszcz, M.A. (2007). Prevalence and risk factors for depression in a longitudinal, population-based study including individuals in the community and residential care. American Journal or Geriatric Psychiatry, 15(6), 497–505.Google Scholar
Benedict, R.H. (1997). Brief Visuospatial Memory Test-Revised. Lutz, FL: Psychological Assessment Resources.Google Scholar
Benton, A.L., Hamsher, K., & Sivan, A.B. (1983). Multilingual Aphasia Examination. Iowa City, IA: AJA Associates.Google Scholar
Brandt, J., & Benedict, R.H.B. (2001). Hopkins Verbal Learning Test-Revised. Lutz, FL: Psychological Assessment Resources.Google Scholar
Butters, M.A., Whyte, E.M., Nebes, R.D., Begley, A.E., Dew, M.A., Mulsant, B.H., et al. . (2004). The nature and determinants of neuropsychological functioning in late-life depression. Archives of General Psychiatry, 61(6), 587–595.Google Scholar
Chisholm, D., Sanderson, K., Ayuso-Mateos, J.L., & Saxena, S. (2004). Reducing the global burden of depression: Population-level analysis of intervention cost-effectiveness in 14 world regions. British Journal of Psychiatry, 184, 393–403.Google Scholar
Colarusso, R.P., & Hammill, D.D. (2005). Motor-Free Visual Perception Test. Novato, California: Academic Therapy Publications.Google Scholar
First, M., Spitzer, R.L, Gibbon, M., & Williams, J. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinician version. Arlington, VA: American Psychiatric Publishing.Google Scholar
Golden, C., & Freshwater, S.M. (2002). Stroop Color and Word Test. Wood Dale, Illinois: Stoelting.Google Scholar
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.CrossRefGoogle ScholarPubMed
Heaton, R. (2000). Wisconsin Card Sorting Test: Computer Version 4. Odessa, FL: Psychological Assessment Resources.Google Scholar
Kaplan, E., Goodglass, H., & Weintraub, S. (1983). Boston Naming Test (Revised). Philadelphia: Lea & Febiger.Google Scholar
Loeb, P.A. (1996). The Independent Living Scales. San Antonio, TX: The Psychological Corporation.Google Scholar
Loewenstein, D.A., Amigo, E., Duara, R., Guterman, A., Hurwitz, D., Berkowitz, N., et al. . (1989). A new scale for the assessment of functional status in Alzheimer’s disease and related disorders. Journal of Gerontology, 44(4), P114–121.Google Scholar
Marson, D.C., Sawrie, S.M., Snyder, S., McInturff, B., Stalvey, T., Boothe, A., et al. . (2000). Assessing financial capacity in patients with Alzheimer disease: A conceptual model and prototype instrument. Archives of Neurology, 57(6), 877–884.CrossRefGoogle ScholarPubMed
Reitan, R.M., & Wolfson, D. (1993). The Halstead-Reitan Neuropsychological Test Battery: Theory and clinical interpretation (2nd ed.). Tucson, AZ: Neuropsychology Press.Google Scholar
Schweitzer, I., Tuckwell, V., O’Brien, J., & Ames, D. (2002). Is late onset depression a prodrome to dementia? International Journal of Geriatric Psychiatry, 17(11), 997–1005.CrossRefGoogle ScholarPubMed
Sherod, M.G., Griffith, H.R., Copeland, J., Belue, K., Krzywanski, S., Zamrini, E.Y., et al. . (2009). Neurocognitive predictors of financial capacity across the dementia spectrum: Normal aging, mild cognitive impairment, and Alzheimer’s disease. Journal of the International Neuropsychological Society, 15(2), 258–267.Google Scholar
Smith, A. (2002). Symbol Digit Modalities Test. Los Angeles: Western Psychological Services.Google Scholar
Wechsler, D. (1997). Wechsler Adult Intelligence Scale (3rd ed.). San Antonio, TX: The Psychological Corporation.Google Scholar
Wilkinson, G.S. (1993). The Wide Range Achievement Test (3rd ed.). Wilmington, DE: Jastak Association.Google Scholar