S. Duke Han|Patricia A. Boyle|Bryan D. James|Lei Yu|David A. Bennett
Mild Cognitive Impairment Is Associated with Poorer Decision-Making in Community-Based Older Persons
Rush University Medical Center|VA Long Beach Healthcare System|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center
objective test hypothesis mild cognitive impairment mci associated poorer financial healthcare decisionmaking design communitybased epidemiological cohort study setting communities throughout northeastern illinois participants older persons without dementia rush memory aging project n 730 measurements participants underwent detailed clinical evaluation decisionmaking assessment using measure closely approximates materials used realworld financial healthcare settings allowed measurement total decisionmaking financial healthcare decisionmaking regression models used examine whether mci associated lower level decisionmaking subsequent analyses relationship specific cognitive systems episodic memory semantic memory working memory perceptual speed visuospatial ability decisionmaking explored participants mci results mci associated lower total financial healthcare decisionmaking scores accounting effects age education sex effect mci total decisionmaking equivalent effect 10 additional years age additional models showed considering multiple cognitive systems perceptual speed accounted variance decisionmaking participants mci conclusion persons mci may poorer financial healthcare decisionmaking realworld situations perceptual speed may important contributor poorer decisionmaking persons mci