Cognitive, social, and neural determinants of diminished decision-making and financial exploitation risk in aging and dementia: A review and new model

R. Nathan Spreng · Jason H. Karlawish · Daniel C. Marson

129 citations0/0 files storedJournal of Elder Abuse & Neglect

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Elder Abuse and Neglect Dementia and Cognitive Impairment Research Healthcare Decision-Making and Restraints

Abstract

In this article we will briefly review how changes in brain and in cognitive and social functioning, across the spectrum from normal to pathological aging, can lead to decision-making impairments that increase abuse risk in many life domains (e.g., health care, social engagement, financial management). The review will specifically focus on emerging research identifying neural, cognitive, and social markers of declining financial decision-making capacity in older adults. We will highlight how these findings are opening avenues for early detection and new interventions to reduce exploitation risk.

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References

2009Social and Emotional Aging 2009Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study 2010Emotional experience improves with age: Evidence based on over 10 years of experience sampling.2009The Age of Reason: Financial Decisions over the Life Cycle and Implications for Regulation 2005Stress, Life Events, and Socioeconomic Disparities in Health: Results from the Americans' Changing Lives Study 2010Financial Exploitation and Psychological Mistreatment Among Older Adults: Differences Between African Americans and Non-African Americans in a Population-Based Survey 2008Elder Mistreatment in the United States: Prevalence Estimates From a Nationally Representative Study 2013Elder Abuse as a Risk Factor for Hospitalization in Older Persons

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2020Supported Decision Making With People at the Margins of Autonomy 2017Financial Exploitation Is Associated With Structural and Functional Brain Differences in Healthy Older Adults 2020Unsung helpers: older adults as a source of digital media support for their peers 2019Physical and mental health correlates of perceived financial exploitation in older adults: Preliminary findings from the Finance, Cognition, and Health in Elders Study (FINCHES)

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