Department of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, The Netherlands.
Department of Neurology and Alzheimer Center Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Neuropsychol Rev. 2024 Jun;34(2):668-719. doi: 10.1007/s11065-023-09597-0. Epub 2023 Aug 18.
Neurodegenerative diseases (NDDs) form a heterogeneous, widespread group of disorders, generally characterized by progressive cognitive decline and neuropsychiatric disturbances. One of the abilities that seems particularly vulnerable to the impairments in neurodegenerative diseases is the capability to manage one's personal finances. Indeed, people living with neurodegenerative diseases were shown to consistently present with more problems on performance-based financial tasks than healthy individuals. While objective, performance-based tasks provide insight into the financial competence of people living with neurodegenerative diseases in a controlled, standardized setting; relatively little can be said, based on these tasks, about their degree of success in dealing with the financial demands, issues, or questions of everyday life (i.e., financial performance). The aim of this systematic review is to provide an overview of the literature examining self and informant reports of financial performance in people living with neurodegenerative diseases. In total, 22 studies were included that compared the financial performance of people living with mild cognitive impairment (MCI), Alzheimer's disease (AD), Parkinson's disease, or multiple sclerosis to a (cognitively) normal control group. Overall, the results indicate that people living with neurodegenerative diseases are more vulnerable to impairments in financial performance than cognitively normal individuals and that the degree of reported problems seems to be related to the severity of cognitive decline. As the majority of studies however focused on MCI or AD and made use of limited assessment methods, future research should aim to develop and adopt more comprehensive assessments to study strengths and weaknesses in financial performance of people living with different neurodegenerative diseases.
神经退行性疾病（NDDs）形成了一组异质的、广泛存在的疾病，通常以进行性认知衰退和神经精神障碍为特征。在神经退行性疾病中，似乎有一种能力特别容易受到损害，那就是管理个人财务的能力。事实上，与健康个体相比，患有神经退行性疾病的人在基于表现的财务任务上表现出更多的问题。虽然客观的、基于表现的任务可以在受控的标准化环境中提供对患有神经退行性疾病的人的财务能力的深入了解，但基于这些任务，我们对他们在处理日常生活中的财务需求、问题或问题方面的成功程度（即财务表现）知之甚少。本系统评价的目的是提供一个文献综述，探讨了患有神经退行性疾病的人自我和知情人报告的财务表现。共有 22 项研究被纳入，这些研究比较了轻度认知障碍（MCI）、阿尔茨海默病（AD）、帕金森病或多发性硬化症患者的财务表现与认知正常对照组的财务表现。总的来说，结果表明，与认知正常个体相比，患有神经退行性疾病的人更容易在财务表现方面受到损害，而且报告的问题程度似乎与认知衰退的严重程度有关。然而，由于大多数研究都集中在 MCI 或 AD 上，并且使用了有限的评估方法，因此未来的研究应该旨在开发和采用更全面的评估方法，以研究不同神经退行性疾病患者的财务表现的优势和劣势。
