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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.

DOI:10.1080/08946566.2016.1237918
PMID:27644698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8154217/
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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本文引用的文献

1
Financial exploitation, financial capacity, and Alzheimer's disease.金融剥削、金融能力与阿尔茨海默病。
Am Psychol. 2016 May-Jun;71(4):312-20. doi: 10.1037/a0040192.
2
Age-Associated Financial Vulnerability: An Emerging Public Health Issue.与年龄相关的经济脆弱性:一个新出现的公共卫生问题。
Ann Intern Med. 2015 Dec 1;163(11):877-8. doi: 10.7326/M15-0882. Epub 2015 Oct 13.
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Prefrontal Engagement and Reduced Default Network Suppression Co-occur and Are Dynamically Coupled in Older Adults: The Default-Executive Coupling Hypothesis of Aging.前额叶参与和默认网络抑制减弱同时出现且在老年人中动态耦合:衰老的默认-执行耦合假说
J Cogn Neurosci. 2015 Dec;27(12):2462-76. doi: 10.1162/jocn_a_00869. Epub 2015 Sep 9.
4
Financial decision-making abilities and financial exploitation in older African Americans: Preliminary validity evidence for the Lichtenberg Financial Decision Rating Scale (LFDRS).老年非裔美国人的财务决策能力和财务剥削:Lichtenberg 财务决策评分量表 (LFDRS) 的初步有效性证据。
J Elder Abuse Negl. 2016;28(1):14-33. doi: 10.1080/08946566.2015.1078760. Epub 2015 Aug 18.
5
Contrary to Psychological and Popular Opinion, There Is No Compelling Evidence That Older Adults Are Disproportionately Victimized by Consumer Fraud.与心理学和大众观点相反,没有令人信服的证据表明老年人不成比例地成为消费欺诈的受害者。
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J Cogn Neurosci. 2015 Nov;27(11):2147-57. doi: 10.1162/jocn_a_00846. Epub 2015 Jun 23.
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Gerontologist. 2015 Apr;55(2):320-7. doi: 10.1093/geront/gnu180. Epub 2015 Feb 18.
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Decision making in the ageing brain: changes in affective and motivational circuits.衰老大脑中的决策:情感与动机回路的变化
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Mild cognitive impairment is associated with poorer decision-making in community-based older persons.轻度认知障碍与社区老年人较差的决策能力有关。
J Am Geriatr Soc. 2015 Apr;63(4):676-83. doi: 10.1111/jgs.13346. Epub 2015 Apr 6.
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Salience processing and insular cortical function and dysfunction.突显加工与脑岛皮质的功能和障碍。
Nat Rev Neurosci. 2015 Jan;16(1):55-61. doi: 10.1038/nrn3857. Epub 2014 Nov 19.