Danesin Laura, Giustiniani Andreina, Arcara Giorgio, Burgio Francesca
IRCCS San Camillo Hospital, 30126 Venezia, Italy.
Brain Sci. 2022 Apr 21;12(5):529. doi: 10.3390/brainsci12050529.
Financial abilities (FA) are a multi-dimensional domain comprising a wide range of conceptual, pragmatical, and judgmental skills ranging from basic abilities, such as bill payment, to high level abilities, such as financial decision-making (FDM). Preserved FDM abilities include the capacity to recognize fraud attempts, and they are fundamental for a person's independence. Previous studies have reported decreased FDM in older adults and in patients with mild cognitive impairment (MCI), who consequently become more susceptible to fraud attempts. However, FDM has scarcely been investigated in other neurological populations, and it is unclear whether FDM may be predicted by more basic FA. The aim of the present study was to investigate FDM across patients with MCI, Parkinson's disease (PD), or stroke, as well as healthy controls (HC), and to explore to what extent FDM could be inferred by other FA. We collected FDM and FA performances using the NADL-F short battery. Performances in the NADL-F short subtests were compared among groups. Additionally, the relationship between the scores at the FDM subtest and the performance obtained in other financial subtests of the NADL-F short were investigated for each group of participants. MCI patients performed worse than HC in FDM and in several FA domains. Conversely, FDM was relatively preserved in our sample of PD and stroke patients. In HC, FDM was associated with numeracy and financial knowledge applied to everyday situations, whereas this was true with some basic FA in both MCI and PD patients. No significant association was observed in stroke patients. Our results suggest that FDM is a complex ability, only partially inferable from other FA.
财务能力（FA）是一个多维度领域，包含从基本能力（如支付账单）到高级能力（如财务决策（FDM））等广泛的概念、实用和判断技能。保留的FDM能力包括识别欺诈企图的能力，它们对一个人的独立性至关重要。先前的研究报告称，老年人和轻度认知障碍（MCI）患者的FDM能力下降，因此他们更容易受到欺诈企图的影响。然而，FDM在其他神经学人群中几乎没有得到研究，而且尚不清楚FDM是否可以通过更基本的FA来预测。本研究的目的是调查MCI患者、帕金森病（PD）患者或中风患者以及健康对照（HC）的FDM情况，并探讨FDM在多大程度上可以由其他FA推断出来。我们使用NADL-F简短测试组合收集FDM和FA表现。在各组之间比较NADL-F简短子测试中的表现。此外，针对每组参与者，研究了FDM子测试得分与NADL-F简短测试中其他财务子测试获得的表现之间的关系。MCI患者在FDM和几个FA领域的表现比HC差。相反，在我们的PD和中风患者样本中，FDM相对保留。在HC中，FDM与应用于日常情况的计算能力和财务知识相关，而在MCI和PD患者中，FDM与一些基本FA相关。在中风患者中未观察到显著关联。我们的结果表明，FDM是一种复杂的能力，只能部分地从其他FA推断出来。
