Giannouli Vaitsa
School of Social Sciences, Hellenic Open University, 263 31 Patras, Greece.
Healthcare (Basel). 2025 Jul 4;13(13):1607. doi: 10.3390/healthcare13131607.
: Patients with bipolar disorder (BD) face many challenges as many basic cognitive and non-cognitive domains can be affected by their disease. Financial capacity requires complex cognitive functioning and is little investigated in BD, especially in the Greek cultural context. : This study, for the first time, is focusing on whether financial capacity shows deficits in female euthymic BD patients compared to controls and what the self-estimations of the patients for their performance are. : Patients and a sample of one-to-one matched healthy controls were examined with a detailed neuropsychological battery and the Legal Capacity for Property Law Transactions Assessment Scale (LCPLTAS). Before their neuropsychological assessment, participants responded to a single-item five-point Likert scale about their financial capacity. : Findings extend earlier work in other groups of older patients and indicate that euthymic BD patients' performance is lower than that of the control group in various subdomains and total score of LCPLTAS ( < 0.001), resembling the performance of patients with a diagnosis of Mild Cognitive Impairment (MCI). However, euthymic BD patients are not aware of their cognitive deficits compared to healthy controls and overestimate their financial capacities as they have more positive estimations regarding their financial capacity than controls (χ(1) = 8.315, = 0.004) despite their lower real performance. In addition, from a number of classic neuropsychological tests administered, only Trail Making Part B correlates with LCPLTAS scores for the group of euthymic BD patients (rho = -0.561, = 0.005). : The results support that special care must be provided for euthymic BD individuals, so we can prevent financial exploitation.
双相情感障碍（BD）患者面临诸多挑战，因为许多基本认知和非认知领域都会受到该疾病的影响。财务能力需要复杂的认知功能，而在BD患者中对此研究甚少，尤其是在希腊文化背景下。：本研究首次聚焦于与对照组相比，处于心境正常期的女性BD患者的财务能力是否存在缺陷，以及患者对自身表现的自我评估情况。：使用详细的神经心理测验组合和《财产法律交易评估量表》（LCPLTAS）对患者及一对一匹配的健康对照样本进行了检查。在进行神经心理评估之前，参与者就其财务能力对单项五点李克特量表做出了回应。：研究结果扩展了早期针对其他老年患者群体的研究工作，表明处于心境正常期的BD患者在LCPLTAS的各个子领域和总分中的表现均低于对照组（<0.001），类似于被诊断为轻度认知障碍（MCI）的患者的表现。然而，与健康对照组相比，处于心境正常期的BD患者并未意识到自己的认知缺陷，并且高估了自己的财务能力，因为尽管他们的实际表现较低，但他们对自己财务能力的估计比对照组更积极（χ(1)=8.315，=0.004）。此外，在进行的多项经典神经心理测试中，只有连线测验B部分与处于心境正常期的BD患者组的LCPLTAS分数相关（rho=-0.561，=0.005）。：结果支持必须为处于心境正常期的BD患者提供特殊护理，以便我们能够防止其遭受财务剥削。
