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衰老和痴呆症中决策能力下降及金融剥削风险的认知、社会和神经决定因素:综述与新模型

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

作者信息

Spreng R Nathan, Karlawish Jason, Marson Daniel C

机构信息

a Laboratory of Brain and Cognition, Human Neuroscience Institute, Department of Human Development , Cornell University , Ithaca , New York , USA.

b Center for Neuroscience and Society, Alzheimer's Disease Center, Center for Bioethics, Departments of Medicine and Medical Ethics , University of Pennsylvania , Philadelphia , Pennsylvania , USA.

出版信息

J Elder Abuse Negl. 2016 Aug-Dec;28(4-5):320-344. doi: 10.1080/08946566.2016.1237918. Epub 2016 Sep 20.

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.

摘要

在本文中,我们将简要回顾从正常衰老到病理性衰老过程中,大脑、认知和社会功能的变化如何导致决策障碍,进而增加许多生活领域(如医疗保健、社会参与、财务管理)中的受虐风险。本次综述将特别关注新兴研究,这些研究旨在确定老年人财务决策能力下降的神经、认知和社会标志物。我们将强调这些研究结果如何为早期检测和新的干预措施开辟道路,以降低被剥削的风险。

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