Declining financial capacity in mild cognitive impairment: A 1-year longitudinal study.

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