ArticleAging clinical and experimental research2016
Discrepancies between cognition and decision making in older adults.
Article in Aging clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- A multinational analysis of how emotions relate to economic decisions regarding time or risk.Nature human behaviour · 2024Pooled it
- The Scammers' Psychological Warfare: A Call to Arms.Psychological science in the public interest : a journal of the American Psychological Society · 2025Article
- A person-centered approach to financial capacity: early memory loss, financial management and decision-making.Aging & mental health · 2024Article
- Correlated decline of cognitive and motor phenotypes and ADRD pathologies in old age.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Psychological Well-being Relates to Healthcare and Financial Decision Making in a Study of Predominantly White Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Cognitive and neuroimaging correlates of financial exploitation vulnerability in older adults without dementia: Implications for early detection of Alzheimer's disease.Neuroscience and biobehavioral reviews · 2022Review
- The WALLET Study: Examining Early Memory Loss and Personal Finance.Innovation in aging · 2022Article
- Subjective socioeconomic status is associated with risk aversion in a community-based cohort of older adults without dementia.Frontiers in psychology · 2022Article
- Informant report of practical judgment ability in a clinical sample of older adults with subjective cognitive decline, mild cognitive impairment, and dementia.Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition · 2022Article
- Reliability of self-report versus the capacity to consent to treatment instrument to make medical decisions in brain metastasis and other metastatic cancers.Brain and behavior · 2021Article
- The Association of Late Life Cognitive Activity with Healthcare and Financial Decision-Making in Community-Dwelling, Nondemented Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Age-related hearing loss and speech perception disorder: the broken interface between healthcare professionals and older adults.European geriatric medicine · 2020Article
- Context Matters: Financial, Psychological, and Relationship Insecurity Around Personal Finance Is Associated With Financial Exploitation.The Gerontologist · 2020Article
- Examining Health and Wealth Correlates of Perceived Financial Vulnerability: A Normative Study.Innovation in aging · 2020Article
- Financial and health literacy discrepancies with cognition in older adults.Neuropsychology · 2019Article
- Healthcare and Financial Decision Making and Incident Adverse Cognitive Outcomes among Older Adults.Journal of the American Geriatrics Society · 2019Observational
- Religious Orders Study and Rush Memory and Aging Project.Journal of Alzheimer's disease : JAD · 2018Review
- Aging and Informed Financial Decision Making: New Tools for the Professional Working With Older Adults.CSA journal (Denver, Colo.) · 2018Article
- Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.Clinical gerontologistArticle
- Perceived Financial Vulnerability, Wealth, and Wealth Change: The Health and Retirement Study.Clinical gerontologistArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND AND
aimsThere is increasing clinical and legal interest in discrepancies between decision-making ability and cognition in old age, a stage of life when decisions have major ramifications. We investigated the frequency and correlates of such discrepancies in non-demented older adults participating in a large community-based cohort study of aging, the Rush Memory and Aging Project.
methodsParticipants [n = 689, mean age 81.8 (SD 7.6), mean education 15.2 (SD 3.1), 76.8 % female and 93.3 % white] completed a measure of financial and healthcare decision making (DM) and a battery of 19 neuropsychological tests from which a composite measure of global cognition (COG) was derived.
resultsResults indicated that 23.9 % of the sample showed a significant discrepancy between DM and COG abilities. Of these, 12.9 % showed DM < COG, while 11.0 % showed DM > COG. Logistic regression models showed older age, being non-white, greater temporal discounting, and greater risk aversion were associated with higher odds of being in the DM < COG group. Being male was associated with higher odds of being in the DM > COG group. Education, income, depressive symptoms, and impulsivity were not associated with a discrepancy. Only demographic associations (age, sex, and race) remained significant in a fully adjusted model with terms included for all factors.
conclusionThese results support the consideration of decision making and cognition as potentially separate constructs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.