Effects of Healthy Aging and Mild Cognitive Impairment on a Real-Life Decision-Making Task

被引:23
|
作者
Pertl, Marie-Theres [1 ,2 ]
Benke, Thomas [1 ]
Zamarian, Laura [1 ]
Delazer, Margarete [1 ]
机构
[1] Med Univ Innsbruck, Dept Neurol, Anichstr 35, A-6020 Innsbruck, Austria
[2] Leopold Franzens Univ, Dept Psychol, Innsbruck, Austria
关键词
Aging; decision making; executive functions; mild cognitive impairment; numeracy; OLDER-ADULTS; NEUROCOGNITIVE PREDICTORS; FINANCIAL ABILITIES; ALZHEIMERS-DISEASE; YOUNGER ADULTS; RISK; CAPACITY; AGE; AMBIGUITY; NUMERACY;
D O I
10.3233/JAD-170119
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
In this study, we investigated the effects of age and of mild cognitive impairment (MCI) on decision making under risk by adopting a task representing real-life health-related situations and involving complex numerical information. Moreover, we assessed the relationship of real-life decision making to other cognitive functions such as number processing, executive functions, language, memory, and attention. For this reason, we compared the performance of 19 healthy, relatively younger adults with that of 18 healthy older adults and the performance of the 18 healthy older adults with that of 17 patients with MCI. Results indicated difficulties in real-life decision making for the healthy older adults compared with the healthy, relatively younger adults. Difficulties of patients with MCI relative to the healthy older adults arose in particular in difficult items requiring processing of frequencies and fractions. Significant effects of age and of MCI in processing frequencies were also evident in a ratio number comparison task. Decision-making performance of healthy participants and of the patient group correlated significantly with number processing. There was a further significant correlation with executive functions for the healthy participants and with reading comprehension for the patients. Our results suggest that healthy older individuals and patients with MCI make less advantageous decisions when the information is complex and high demands are put on executive functions and numerical abilities. Moreover, we show that executive functions and numerical abilities are not only essential in laboratory gambling tasks but also in more realistic and ecological decision situations within the health context.
引用
收藏
页码:1077 / 1087
页数:11
相关论文
共 50 条
  • [1] Risky decision-making in subtypes of mild cognitive impairment
    Samek, J. R.
    Wulff, L. L.
    Neijstrom, E. M.
    Brandt, J.
    [J]. ARCHIVES OF CLINICAL NEUROPSYCHOLOGY, 2008, 23 (06) : 639 - 639
  • [2] Decision-Making Profiles and Their Associations with Cognitive Performance in Mild Cognitive Impairment
    Zhang, Ying
    Wang, Jing
    Sun, Tingting
    Wang, Luchun
    Li, Tao
    Li, Huizi
    Zheng, Yaonan
    Fan, Zili
    Zhang, Ming
    Tu, Lihui
    Yu, Xin
    Wang, Huali
    [J]. JOURNAL OF ALZHEIMERS DISEASE, 2022, 87 (03) : 1215 - 1227
  • [3] Decision-Making in People With Dementia or Mild Cognitive Impairment: A Narrative Review of Decision-Making Tools
    Ho, Mu-Hsing
    Chang, Hui-Chen
    Liu, Megan F.
    Chien, Hui-Wen
    Tang, Li-Yu
    Chan, Su-Yuan
    Liu, Su-Hui
    John, Shibu
    Traynor, Victoria
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2021, 22 (10) : 2056 - +
  • [4] Medical decision-making capacity in patients with mild cognitive impairment
    Okonkwo, O.
    Griffith, H. R.
    Belue, K.
    Lanza, S.
    Zamrini, E. Y.
    Harrell, L. E.
    Brockington, J. C.
    Clark, D.
    Raman, R.
    Marson, D. C.
    [J]. NEUROLOGY, 2007, 69 (15) : 1528 - 1535
  • [5] Real-life decision-making impact of Oncotype DX
    Gianfilippo Bertelli
    Simon Holt
    [J]. Breast Cancer Research and Treatment, 2015, 154 : 209 - 210
  • [6] Real-life decision-making impact of Oncotype DX
    Bertelli, Gianfilippo
    Holt, Simon
    [J]. BREAST CANCER RESEARCH AND TREATMENT, 2015, 154 (01) : 209 - 210
  • [7] The forms and functions of real-life moral decision-making
    Krebs, DL
    Denton, K
    Wark, G
    [J]. JOURNAL OF MORAL EDUCATION, 1997, 26 (02) : 131 - 145
  • [8] Cognitive Reflection Predicts Real-Life Decision Outcomes, but Not Over and Above Personality and Decision-Making Styles
    Juanchich, Marie
    Dewberry, Chris
    Sirota, Miroslav
    Narendran, Sunitha
    [J]. JOURNAL OF BEHAVIORAL DECISION MAKING, 2016, 29 (01) : 52 - 59
  • [9] Decision-making styles in a real-life decision: Choosing a college major
    Galotti, Kathleen M.
    Ciner, Elizabeth
    Altenbaumer, Hope E.
    Geerts, Heather J.
    Rupp, Allison
    Woulfe, Julie
    [J]. PERSONALITY AND INDIVIDUAL DIFFERENCES, 2006, 41 (04) : 629 - 639
  • [10] Cognitive models of medical decision-making capacity in patients with mild cognitive impairment
    Okonkwo, O. C.
    Griffith, H. R.
    Belue, K.
    Lanza, S.
    Zamrini, E. Y.
    Harrell, L. E.
    Brockington, J. C.
    Clark, D.
    Raman, R.
    Marson, D. C.
    [J]. JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2008, 14 (02) : 297 - 308