TY - JOUR
T1 - Impaired financial capacity in late-life depression
T2 - Revisiting associations with cognitive functioning
AU - Morin, Ruth T.
AU - Gonzales, Mitzi M.
AU - Bickford, David
AU - Catalinotto, Daniel
AU - Nelson, Craig
AU - Mackin, R. Scott
N1 - Funding Information:
This research is supported by the Department of Veterans Affairs Office of Academic Affiliations Advanced Fellowship Program in Mental Illness Research and Treatment, Sierra Pacific Mental Illness Research Education and Clinic Centers, San Francisco VA Medical Center, and the Department of Psychiatry, University of California, San Francisco, and K08 grant MH081065.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Objectives: 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.Methods: Participants included 95 clinically depressed and 41 nondepressed 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.Results: Depressed participants performed significantly lower on financial capacity (t = 2.98, p <.01). Among depressed participants, executive functioning (B =.24, p <.05) was associated with reduced financial capacity, controlling for age, gender, education, depression severity, and other cognitive domains.Conclusions: 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.
AB - Objectives: 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.Methods: Participants included 95 clinically depressed and 41 nondepressed 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.Results: Depressed participants performed significantly lower on financial capacity (t = 2.98, p <.01). Among depressed participants, executive functioning (B =.24, p <.05) was associated with reduced financial capacity, controlling for age, gender, education, depression severity, and other cognitive domains.Conclusions: 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.
KW - Aging
KW - Cognition
KW - Cognitive dysfunction
KW - Depression
KW - Functionally impaired elderly
KW - Neuropsychology
UR - http://www.scopus.com/inward/record.url?scp=85070396019&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070396019&partnerID=8YFLogxK
U2 - 10.1017/S1355617719000705
DO - 10.1017/S1355617719000705
M3 - Article
C2 - 31383048
AN - SCOPUS:85070396019
VL - 25
SP - 1088
EP - 1093
JO - Journal of the International Neuropsychological Society
JF - Journal of the International Neuropsychological Society
SN - 1355-6177
IS - 10
ER -