4.1 Review

Cognitive, social, and neural determinants of diminished decision-making and financial exploitation risk in aging and dementia: A review and new model

Journal

JOURNAL OF ELDER ABUSE & NEGLECT
Volume 28, Issue 4-5, Pages 320-344

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/08946566.2016.1237918

Keywords

Capacity assessment; decision making; elder abuse; financial capacity; financial exploitation

Categories

Funding

  1. Alzheimer's Association [NIRG-14-320049]
  2. Elder Justice Foundation
  3. NIA [R01 AG21927, P30: AG01024]
  4. CDC [HBRN: U48 DP 005006, 005002, 005053, 005000, 005013]

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In this article we will briefly review how changes in brain and in cognitive and social functioning, across the spectrum from normal to pathological aging, can lead to decision-making impairments that increase abuse risk in many life domains (e. g., health care, social engagement, financial management). The review will specifically focus on emerging research identifying neural, cognitive, and social markers of declining financial decision-making capacity in older adults. We will highlight how these findings are opening avenues for early detection and new interventions to reduce exploitation risk.

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