Financial capacity in frontotemporal dementia and related presentations.
FTD phenocopy
Financial capacity
Frontotemporal dementia
Journal
Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
31
12
2018
accepted:
09
04
2019
revised:
04
04
2019
pubmed:
24
4
2019
medline:
31
12
2019
entrez:
24
4
2019
Statut:
ppublish
Résumé
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.
Sections du résumé
BACKGROUND
BACKGROUND
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.
METHODS
METHODS
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.
RESULTS
RESULTS
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.
CONCLUSIONS
CONCLUSIONS
These initial findings suggest that accurate clinical assessment of financial skills and judgement in patients with possible neurodegenerative dementias requires performance-based assessment.
Identifiants
pubmed: 31011799
doi: 10.1007/s00415-019-09317-w
pii: 10.1007/s00415-019-09317-w
pmc: PMC6586696
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1698-1707Subventions
Organisme : Ministry of Research and Innovation, Ontario
ID : Early Researcher Award
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