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

J Elder Abuse Negl. 2016 Aug-Dec;28(4-5):320-344. doi: 10.1080/08946566.2016.1237918. Epub 2016 Sep 20.

Abstract

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.

Keywords: Capacity assessment; decision making; elder abuse; financial capacity; financial exploitation.

Publication types

  • Review

MeSH terms

  • Aged
  • Aging / pathology*
  • Aging / psychology
  • Cognition*
  • Decision Making*
  • Dementia / pathology*
  • Elder Abuse / economics*
  • Elder Abuse / prevention & control
  • Geriatric Assessment
  • Humans
  • Mental Competency
  • Models, Psychological