title: Cognitive, social, and neural determinants of diminished decision-making and financial exploitation risk in aging and dementia: A review and new model.
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.
authors.affiliation: a Laboratory of Brain and Cognition, Human Neuroscience Institute, Department of Human Development , Cornell University , Ithaca , New York , USA.
authors.forename: R Nathan
authors.initials: RN
authors.lastname: Spreng
authors.affiliation: b Center for Neuroscience and Society, Alzheimer's Disease Center, Center for Bioethics, Departments of Medicine and Medical Ethics , University of Pennsylvania , Philadelphia , Pennsylvania , USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Karlawish
authors.affiliation: c Department of Neurology and Alzheimer's Disease Center , University of Alabama at Birmingham , Birmingham , Alabama , USA.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Marson
mesh_terms: D000368:Aged; D000375:Aging / Q000473:pathology* / Q000523:psychology; D003071:Cognition; D003657:Decision Making; D003704:Dementia / Q000473:pathology*; D004552:Elder Abuse / Q000191:economics* / Q000517:prevention & control; D015577:Geriatric Assessment; D006801:Humans; D016743:Mental Competency; D008960:Models, Psychological
keywords: Capacity assessment; decision making; elder abuse; financial capacity; financial exploitation