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

  • Ruth T. Morin (a1), Mitzi M. Gonzales (a2), David Bickford (a3), Daniel Catalinotto (a3), Craig Nelson (a3) and R. Scott Mackin (a1) (a3)...

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.

Copyright

Corresponding author

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: ruth.morin@va.gov

References

Hide All
Benedict, R.H. (1997). Brief Visuospatial Memory Test–Revised: Professional Manual. Orlando, FL: PAR.
Benton, A.L. (1983). Judgment of Line Orientation. New York, NY: Oxford University Press.
Brandt, J. (1991). The Hopkins verbal learning test: Development of a new memory test with six equivalent forms. The Clinical Neuropsychologist, 5(2), 125142.
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), 587595.
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.
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.
Golden, C., & Freshwater, S. (2002). Stroop Color and Word Test, Revised 2002 Adult Manual for Clinical and Experimental Uses. Wood Dale, IL: Stoelting.
Hamilton, M. (1960). A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry, 23(1), 56.
Kaplan, E., Goodglass, H., & Weintraub, S. (1983). The Boston Naming Test. 2nd. Philadelphia: Lea & Febiger.
Koenig, A.M., Bhalla, R.K., & Butters, M.A. (2014). Cognitive functioning and late-life depression. Journal of the International Neuropsychological Society, 20(5), 461467. doi:10.1017/S1355617714000198
Loeb, P., & Fe, R. (1996). ILS: Independent Living Scales Manual. The Psychological Corporation. San Antonio: Harcourt Race Jonanovich, Inc.
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), 793798.
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), 16331641.
Marson, D. (2016). Conceptual models and guidelines for clinical assessment of financial capacity. Archives of Clinical Neuropsychology, 31(6), 541553. doi:10.1093/arclin/acw052
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), 877884.
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.
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), 520526.
Reitan, R., & Wolfson, D. (1993). The Halstead-Reitan Neuropsychological Battery. Tuscan, AZ: Theory and Clinical Interpretation Neuropsychology Press.
Wechsler, D. (1981). WAIS-R Manual: Wechsler Adult Intelligence Scale-Revised. New York: Psychological Corporation.
Wechsler, D. (1987). Wechsler Memory Scale-Revised (WMS-R). New York, NY: Psychological Corporation.

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

  • Ruth T. Morin (a1), Mitzi M. Gonzales (a2), David Bickford (a3), Daniel Catalinotto (a3), Craig Nelson (a3) and R. Scott Mackin (a1) (a3)...

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