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Impaired Financial Capacity in Late-Life Depression: Revisiting Associations with Cognitive Functioning

Published online by Cambridge University Press:  06 August 2019

Ruth T. Morin Open the ORCID record for Ruth T. Morin [Opens in a new window] ,
Mitzi M. Gonzales ,
David Bickford ,
Daniel Catalinotto ,
Craig Nelson  and
R. Scott Mackin
Ruth T. Morin*
Affiliation:
Mental Health Service, San Francisco VA Health Care System, 4150 Clement Street, San Francisco, CA 94121, USA
Mitzi M. Gonzales
Affiliation:
Department of Neurology, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78229, USA
David Bickford
Affiliation:
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, San Francisco, CA 94143, USA
Daniel Catalinotto
Affiliation:
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, San Francisco, CA 94143, USA
Craig Nelson
Affiliation:
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, San Francisco, CA 94143, USA
R. Scott Mackin
Affiliation:
Mental Health Service, San Francisco VA Health Care System, 4150 Clement Street, San Francisco, CA 94121, USA Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, San Francisco, CA 94143, USA
*
Correspondence and reprint requests to: Ruth T. Morin, San Francisco VA Medical Center, 4150 Clement Street, Mental Health Service, San Francisco, CA 94121, USA. E-mail: [email protected]
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Abstract

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.

Keywords

DepressionCognitive dysfunctionAgingNeuropsychologyCognitionFunctionally impaired elderly
Type
Brief Communication
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 10 , November 2019 , pp. 1088 - 1093
Creative Commons
This is a work of the U.S. Government and is not subject to copyright protection in the United States.
Copyright
Copyright © INS. Published by Cambridge University Press, 2019

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References

REFERENCES

Benedict, R.H. (1997). Brief Visuospatial Memory Test–Revised: Professional Manual. Orlando, FL: PAR.Google Scholar
Benton, A.L. (1983). Judgment of Line Orientation. New York, NY: Oxford University Press.Google Scholar
Brandt, J. (1991). The Hopkins verbal learning test: Development of a new memory test with six equivalent forms. The Clinical Neuropsychologist, 5(2), 125–142.CrossRefGoogle Scholar
Butters, M.A., Whyte, E.M., Nebes, R.D., Begley, A.E., Dew, M.A., Mulsant, B.H., … Pollock, B.G. (2004). The nature and determinants of neuropsychological functioning in late-lifedepression. Archives of General Psychiatry, 61(6), 587–595.CrossRefGoogle Scholar
Creavin, S.T., Wisniewski, S., Noel-Storr, A.H., Trevelyan, C.M., Hampton, T., Rayment, D., … Milligan, R. (2016). Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Cochrane Database of Systematic Reviews, (1), CD011145.CrossRefGoogle Scholar
First, M., Gibbon, M., Spitzer, R., & Williams, J. (1996). User’s Guide for the Structured Interview for DSM-IV Axis I Disorders—Research Version (SCID-I, Version 2.0, February 1996 Final Version). New York: Biometrics Research.Google Scholar
Golden, C., & Freshwater, S. (2002). Stroop Color and Word Test, Revised 2002 Adult Manual for Clinical and Experimental Uses. Wood Dale, IL: Stoelting.Google Scholar
Hamilton, M. (1960). A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry, 23(1), 56.CrossRefGoogle Scholar
Kaplan, E., Goodglass, H., & Weintraub, S. (1983). The Boston Naming Test. 2nd. Philadelphia: Lea & Febiger.Google Scholar
Koenig, A.M., Bhalla, R.K., & Butters, M.A. (2014). Cognitive functioning and late-life depression. Journal of the International Neuropsychological Society, 20(5), 461–467. doi:10.1017/S1355617714000198 CrossRefGoogle ScholarPubMed
Loeb, P., & Fe, R. (1996). ILS: Independent Living Scales Manual. The Psychological Corporation. San Antonio: Harcourt Race Jonanovich, Inc.Google Scholar
Mackin, R.S., & Arean, P.A. (2009). Impaired financial capacity in late life depression is associated with cognitive performance on measures of executive functioning and attention. Journal of the International Neuropsychological Society, 15(5), 793–798.CrossRefGoogle ScholarPubMed
Mackin, R.S., Nelson, J.C., Delucchi, K.L., Raue, P.J., Satre, D.D., Kiosses, D.N., … Arean, P.A. (2014). Association of age at depression onset with cognitive functioning in individuals with late-life depression and executive dysfunction. The American Journal of geriatric psychiatry, 22(12), 1633–1641.CrossRefGoogle ScholarPubMed
Marson, D. (2016). Conceptual models and guidelines for clinical assessment of financial capacity. Archives of Clinical Neuropsychology, 31(6), 541–553. doi:10.1093/arclin/acw052 CrossRefGoogle ScholarPubMed
Marson, D.C., Sawrie, S.M., Snyder, S., McInturff, B., Stalvey, T., Boothe, A., … Harrell, L.E. (2000). Assessing financial capacity in patients with Alzheimer disease: A conceptual model and prototype instrument. Archives of neurology, 57(6), 877–884.CrossRefGoogle ScholarPubMed
Murray, C.J., Lopez, A.D., & Organization, W.H. (1996). The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary.Google Scholar
Nelson, J.C., Clary, C.M., Leon, A.C., & Schneider, L.S. (2005). Symptoms of late-life depression: frequency and change during treatment. The American Journal of geriatric psychiatry, 13(6), 520–526.CrossRefGoogle ScholarPubMed
Reitan, R., & Wolfson, D. (1993). The Halstead-Reitan Neuropsychological Battery. Tuscan, AZ: Theory and Clinical Interpretation Neuropsychology Press.Google Scholar
Wechsler, D. (1981). WAIS-R Manual: Wechsler Adult Intelligence Scale-Revised. New York: Psychological Corporation.Google Scholar
Wechsler, D. (1987). Wechsler Memory Scale-Revised (WMS-R). New York, NY: Psychological Corporation.Google Scholar
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