Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Parkwood Institute, Lawson Health Research Institute, University of Western Ontario, 550 Wellington Rd, London, ON, Canada.
Australian Psychological Society, Melbourne, Australia.
J Neurol. 2019 Jul;266(7):1698-1707. doi: 10.1007/s00415-019-09317-w. Epub 2019 Apr 22.
Changes in financial judgement and skills can herald a neurodegenerative dementia and are a common reason for referral for cognitive neurologic assessment. However, patients with neurodegenerative diseases affecting the frontal or temporal lobes may perform well on standard cognitive tests, complicating clinical determinations about their diagnosis and financial capacity.
Forty-five patients with possible or probable FTD or Alzheimer's disease and 22 healthy controls completed two financial assessment batteries, the FACT and the FCAI. Patients' performance was compared to study partner estimates of patients' financial abilities.
All three patient groups performed worse than controls on both the FACT and the FCAI. Study partners over-estimated the performance of patients with Alzheimer's disease.
These initial findings suggest that accurate clinical assessment of financial skills and judgement in patients with possible neurodegenerative dementias requires performance-based assessment.
财务判断和技能的变化可能预示着神经退行性痴呆，这也是进行认知神经评估的常见原因。然而，患有影响额叶或颞叶的神经退行性疾病的患者在标准认知测试中可能表现良好，这使得临床确定他们的诊断和财务能力变得复杂。
45 名可能或可能患有额颞叶痴呆或阿尔茨海默病的患者和 22 名健康对照者完成了两项财务评估测试，即 FACT 和 FCAI。将患者的表现与研究伙伴对患者财务能力的估计进行比较。
所有三组患者在 FACT 和 FCAI 上的表现均差于对照组。研究伙伴高估了阿尔茨海默病患者的表现。
这些初步发现表明，对可能患有神经退行性痴呆的患者进行准确的临床财务技能和判断评估需要基于表现的评估。
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