ArticleThe Gerontologist2020
Loneliness Interacts With Cognition in Relation to Healthcare and Financial Decision Making Among Community-Dwelling Older Adults.
Article in The Gerontologist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A scoping review of financial decision-making measures in midlife and beyond: results from the advancing reliable measurement in cognitive aging and decision-making ability (ARMCADA) study.Frontiers in psychology · 2025Pooled it
- Loneliness Biases Social Engagement Decisions: Evidence From Value-Based Choice Models.Annals of the New York Academy of Sciences · 2026Article
- Is dancing with care a possible solution to problematic smartphone use among middle-aged and older adults? A cross-sectional study.BMC public health · 2025Article
- Social Engagement and Neurocognition in Latino and Non-Latino White Older Persons with HIV.AIDS and behavior · 2025Article
- Measures of healthcare decision-making ability in cognitive aging: a scoping review from the Advancing Reliable Measurement in Cognitive Aging and Decision-Making Ability (ARMCADA) research initiative.Frontiers in public health · 2025Article
- Can Changes in Financial Performance Be Used in the Diagnosis of Neurocognitive Disorders? A Systematic Review of Findings from Greece.Brain sciences · 2024Review
- Associations of brain morphology with cortical proteins of cognitive resilience.Neurobiology of aging · 2024Article
- Getting Good Sleep with Family Support: The Role of Fear of Crime and Loneliness.Behavioral sciences (Basel, Switzerland) · 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
- Steeper memory decline after COVID-19 lockdown measures.Alzheimer's research & therapy · 2023Article
- Childhood socioeconomic status interacts with cognitive function to impact scam susceptibility among community-dwelling older adults.Aging & mental health · 2023Article
- Evaluation of cognitive functions in adult individuals with COVID-19.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Article
- Accelerated Cognitive Function Decline in Community-Dwelling Older Adults during COVID-19 Pandemic: The Korean Frailty and Aging Cohort Study (KFACS).International journal of environmental research and public health · 2022Article
- Purpose in Life and Cognition Interact to Impact Healthcare and Financial Decision Making in Old Age.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- The Long-Term Public Health Impact of Social Distancing on Brain Health: Topical Review.International journal of environmental research and public health · 2021Review
- Association of COVID-19 Pandemic and Rate of Cognitive Decline in Patients with Dementia and Mild Cognitive Impairment: A Cross-sectional Study.Gerontology & geriatric medicineArticle
- Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.Clinical gerontologistArticle
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Authors and funding
7 authors.
Funding
Abstract
BACKGROUND AND
objectivesCognition is a known determinant of healthcare and financial decision making in old age. Social vulnerabilities also might play a role in such decisions; however, the evidence for this is less clear. Here, we examined the association of loneliness with decision making and tested the hypothesis that loneliness is associated with decision making via its interaction with global cognition. RESEARCH DESIGN AND
methodsParticipants were 1,121 nondemented older adults from the Rush Memory and Aging Project. Healthcare and financial decision making was assessed via a performance-based measure; loneliness was assessed via the De Jong Gierveld Loneliness Scale; and cognition was assessed via a 19-test neuropsychological battery.
resultsIn a regression model adjusted for age, sex, and education, global cognition was associated with decision making (B = 2.43, SE = 0.14, p < .001) but loneliness was not (B = -0.04, SE = 0.11, p = .72). However, in a model including the interaction of loneliness with global cognition, the interaction was significant (B = 0.44, SE = 0.20, p = .03), such that the detrimental effect of loneliness on decision making was stronger when cognition was low. In secondary analyses examining the interaction of loneliness with 5 specific cognitive domains, the interaction between loneliness and working memory with decision making was significant (B = 0.35, SE = 0.15, p = .02). DISCUSSION AND IMPLICATIONS: Our results suggest that loneliness compromises healthcare and financial decision making among older adults with lower global cognition and, more specifically, lower working memory.
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