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Published on: February 14, 2014
Practical judgment in aging: examining behavioral vulnerabilities and neurobiological correlates.
Nicole Sergeyev1,2, Abi Heller-Wight3, Caroline Nester Rooney4,5
1Department of Psychology and Neuroscience, Duke University, Durham, NC, United States.
Practical judgment in older adults is linked to scam vulnerability and brain structure. Better connectivity in the uncinate fasciculus (UF) is associated with improved judgment and reduced scam engagement in aging individuals.
Area of Science:
- Neuroscience
- Gerontology
- Cognitive Psychology
Background:
- Practical judgment is crucial for independence in aging but is understudied in older adults without dementia.
- There's a knowledge gap regarding the association between judgment, scam vulnerability, and white matter integrity in aging.
- Structural white matter changes may precede objective cognitive decline, impacting everyday functioning.
Purpose of the Study:
- To examine objective and informant-rated measures of practical judgment in older adults.
- To investigate the association of judgment with scam vulnerability and white matter integrity.
- To explore the role of the uncinate fasciculus (UF) in practical judgment and its relation to cognitive status.
Main Methods:
- Community-dwelling older adults (cognitively unimpaired, subjective cognitive decline, mild cognitive impairment) completed the Test of Practical Judgment (TOP-J) and scam susceptibility measures.
- Informants provided ratings of participants' judgment and vulnerability.
- Structural MRI, including diffusion imaging, was used to assess white matter integrity, specifically fractional anisotropy (FA) and uncinate fasciculus (UF) connectivity.
Main Results:
- Greater UF structural connectivity was associated with better informant-reported judgment.
- Better practical judgment scores correlated with lower reported scam engagement.
- Participants with mild cognitive impairment (MCI) showed significantly worse objective and informant-rated judgment compared to cognitively unimpaired (CU) individuals.
Conclusions:
- Objective and informant assessments are valuable for evaluating real-world judgment and preventing negative outcomes in older adults.
- Structural connectivity within the UF shows promise as a biomarker for impaired judgment in older adults without dementia.
- Understanding these associations can inform interventions to support independence and safety in aging populations.
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