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首页> 外文期刊>International psychogeriatrics >Predictors of financial capacity performance in older adults using the Financial Competence Assessment Inventory
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Predictors of financial capacity performance in older adults using the Financial Competence Assessment Inventory

机译：使用财务能力评估清单预测老年人财务能力表现

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Background: Declines in financial capacity in later life may arise from both neurocognitive and/or psychiatric disorders. The influence of socio-demographic, cognitive, health, and psychiatric variables on financial capacity performance was explored. Methods: Seventy-six healthy community-dwelling adults and 25 older patients referred for assessment of financial capacity were assessed on pertinent cognitive, psychiatric, and financial capacity measures, including Addenbrooke's Cognitive Examination - Revised (ACE-R), Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), Geriatric Depression Scale (GDS), Geriatric Anxiety Inventory (GAI), selected Neuropsychiatric Inventory (NPI) items, Financial Competence Assessment Inventory (FCAI), and Social Vulnerability Scale (SVS). Results: The internal consistency of the debt management subscale of the FCAI was relatively poor in our sample. Financial capacity performance differed between controls and patients. In our sample, performance on the FCAI was predicted by Mini-Mental State Examination, IQCODE, and GAI, but not by ACE-R, GDS, NPI items, or SVS (adjusted R2 = 0.7059). Conclusions: Anxiety but not depression predicted financial capacity performance, possibly reflecting relatively low variance of depressive symptoms in this sample. Current cognitive decline as measured by the informant-rated IQCODE was more highly correlated to financial capacity than either educational attainment or ACE-R scores. Lack of significance of ACE-R data may reflect the instrument's decreased sensitivity to domains relevant to financial capacity, compared with more detailed neuropsychological assessment tools. The FCAI displayed fairly robust psychometric properties apart from the debt management subscale.
机译：背景：神经认知障碍和/或精神病性障碍可能导致以后生活的财务能力下降。探索了社会人口统计学，认知，健康和精神病学变量对财务能力表现的影响。方法：对76名健康的社区居民成年人和25名接受财务能力评估的老年患者进行了相关的认知，精神病学和财务能力测量，包括Addenbrooke的《认知检查-修订》（ACE-R），《认知能力下降知情调查表》。老年人（IQCODE），老年抑郁量表（GDS），老年焦虑量表（GAI），神经精神病学量表（NPI）项，财务能力评估量表（FCAI）和社会脆弱性量表（SVS）。结果：在我们的样本中，FCAI债务管理次级量表的内部一致性相对较差。对照组和患者的财务能力表现有所不同。在我们的样本中，FCAI的性能是通过Mini-Mental State Examination，IQCODE和GAI预测的，而不是ACE-R，GDS，NPI项或SVS预测的（调整后的R2 = 0.7059）。结论：焦虑而非抑郁预示了财务能力表现，可能反映了该样本中抑郁症状的相对较低方差。由知情者评定的IQCODE衡量的当前认知能力下降与财务能力的相关程度高于受教育程度或ACE-R得分。与更详细的神经心理学评估工具相比，ACE-R数据的重要性不足可能反映出该工具对与财务能力相关的领域的敏感性降低。除了债务管理次级量表以外，FCAI还显示出相当强大的心理计量特性。

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