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The Impact of Behavioral and Psychological Symptoms on Financial Decision-Making Capacity in Mild to Moderate
Valeska Delineau1, Ana Rita Ferreira2, Ivone Duarte3
1Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.
Objectives:
The study aims to assess the impact of behavioral and psychological symptoms on financial decision-making in individuals with mild to moderate dementia.
Methods:
A cross-sectional quantitative study assessed cognitive status, behavioral and psychological symptoms as well as financial capacities. A multiple regression hierarchical model determined the relative contributions of demographic, cognitive, and behavioral and psychological symptoms to financial capacity.
Results:
A total of 87 participants, with a median age of 84 years, were included in the study. Nearly all participants (94.5%) exhibited one or more behavioral and psychological symptoms. Greater dementia severity, increased behavioral and psychological symptoms, and lower educational levels were associated with poorer financial capacity.
Conclusions:
This study underlines the impact of behavioral and psychological symptoms on financial decision-making in individuals with mild to moderate dementia, even when accounting education and dementia severity. Further research is necessary to elucidate the connection between these symptoms and financial capacity.
Clinical Implications:
The critical need for early diagnosis of dementia and its associated behavioral and psychological symptoms is highlighted. Additionally, implementing timely behavioral and psychological management strategies and encouraging patients to engage in lifetime intellectual enrichment may be helpful for preserving financial capacity and promoting independence in individuals with dementia.
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