Mackin R Scott, Areán Patricia A
Department of Psychiatry and Langley Porter Psychiatric Institute, University of California, San Francisco, San Francisco, California 94143-0984, USA.
J Int Neuropsychol Soc. 2009 Sep;15(5):793-8. doi: 10.1017/S1355617709990300. Epub 2009 Jul 28.
Few studies have evaluated the prevalence of impairments of financial capacity among individuals with psychiatric disorders. Late life depression (LLD) is a common psychiatric disorder associated with significant disability and cognitive impairment. The purpose of this investigation was to determine the prevalence and cognitive correlates of impairments of financial capacity among individuals with LLD. Participants included 65 LLD individuals and 32 comparison subjects. Assessments included measures of financial capacity, cognitive functioning, and depression symptom severity. Individuals with LLD exhibited a significantly higher rate of impaired financial capacity (22%) than the comparison group (6%). Results of a multiple regression analysis indicated that performance on measures of executive functioning and attention, but not depression severity, were most strongly associated with financial capacity performance in LLD. Our results suggest impairments of financial capacity in LLD are largely explained by cognitive functioning in these domains.
很少有研究评估过精神疾病患者中财务能力受损的患病率。老年抑郁症（LLD）是一种常见的精神疾病，与严重的残疾和认知障碍有关。本调查的目的是确定LLD患者中财务能力受损的患病率及其认知相关性。参与者包括65名LLD患者和32名对照受试者。评估包括财务能力、认知功能和抑郁症状严重程度的测量。LLD患者的财务能力受损率（22%）显著高于对照组（6%）。多元回归分析结果表明，执行功能和注意力测量的表现，而非抑郁严重程度，与LLD患者的财务能力表现最密切相关。我们的结果表明，LLD患者的财务能力受损在很大程度上可由这些领域的认知功能来解释。
