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血管性痴呆、抑郁症与财务能力评估

Vascular Dementia, Depression, and Financial Capacity Assessment.

作者信息

Giannouli Vaitsa, Tsolaki Magda

机构信息

School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Alzheimer Dis Assoc Disord. 2021;35(1):84-87. doi: 10.1097/WAD.0000000000000374.

DOI:10.1097/WAD.0000000000000374
PMID:32366802
Abstract

We still know little about financial capacity, which consists of multiple cognitive domains as well as specific skills, and the influence of depression in patients with vascular dementia (VaD). Participants were divided into 4 groups: (1) VaD with and (2) without depressive symptoms, (3) nondemented elders with and (4) without depression. The participants were examined with the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS-15), and the Legal Capacity for Property Law Transactions Assessment Scale (LCPLTAS). The findings extend earlier work in other groups of older patients and indicate that VaD patients' performance in cognitive functioning and financial capacity is severely impaired, while there is a statistically significant difference between depressed and nondepressed VaD patients. Thus, depression negatively influences financial capacity. Depression and mood disorders should be considered in future capacity research with older adults and with larger VaD populations.

摘要

我们对金融能力(它由多个认知领域以及特定技能组成)以及抑郁症对血管性痴呆(VaD)患者的影响仍然知之甚少。参与者被分为4组:(1)有抑郁症状的VaD患者,(2)无抑郁症状的VaD患者,(3)有抑郁症的非痴呆老年人,(4)无抑郁症的非痴呆老年人。参与者接受了简易精神状态检查表(MMSE)、老年抑郁量表(GDS - 15)以及财产法律交易评估量表(LCPLTAS)的测试。这些研究结果扩展了之前在其他老年患者群体中的研究工作,并表明VaD患者在认知功能和金融能力方面的表现严重受损,而抑郁和非抑郁的VaD患者之间存在统计学上的显著差异。因此,抑郁症会对金融能力产生负面影响。在未来针对老年人以及更大规模VaD人群的能力研究中,应考虑抑郁症和情绪障碍因素。

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