HealthThe Costly Consequences of Cognitive Decline in Older Americans' Money Management

The Costly Consequences of Cognitive Decline in Older Americans’ Money Management

Do you know that ⁢millions ⁤of older Americans are experiencing cognitive decline that significantly impacts their ⁤financial skills? Surprisingly, ⁣75% of these individuals are still managing their own money.

A recent study published in ⁢ JAMA Network Open reveals that cognitive decline ​can lead to overconfidence, memory problems, and deficits in decision making, all of which pose⁢ risks ⁢in​ money management.

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“If​ seniors with ⁤cognitive decline continue to manage household finances, they may be at ‍high ‌risk of making financial mistakes that have potentially severe consequences, including missed bill ⁢payments, risky investment choices,‌ and financial exploitation,” said lead ⁤study author Jing​ Li, PhD, assistant professor of Health Economics at the University of Washington School of Pharmacy.

If you have a senior family member ‌or loved ​one who’s an older ‍adult, here’s what you need to know about the study ⁤findings and‌ steps​ that can be taken to address these challenges.

When scientists explored‌ the‌ potential link ‍between cognitive‍ decline and money management skills, they ⁢analyzed‌ data from the 2018⁤ Health and Retirement Study, a nationally-representative ​survey of American ‍adults aged 50⁤ and up. The researchers focused on nearly⁣ 8,800 men and women aged 65‌ and older with available data on their ‌memory and thinking ⁢status.

Eight in 10 of the individuals ‌studied​ did not have any detectable cognitive impairment. ⁤However, nearly 6% had dementia and roughly 14% had cognitively impaired ‌nondementia ⁤(CIND), characterized⁣ by slight (but noticeable) declines in‌ memory and thinking skills that have not ‍progressed to dementia.

When extrapolated to the general population level, the final segment of individuals represents about⁤ 7.4 million Americans.

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A majority of the‍ surveyed individuals reported that they ⁤still⁢ manage their own finances, and 40% of them ‍live‌ alone. Among those ‍who still handle their household finances,⁤ 57%⁢ of people with dementia and⁣ 15% of those with CIND⁣ found​ it ​difficult to manage their money.

Furthermore, about a‌ third of​ those with dementia ⁤or CIND reported owning a lot of “risky assets” like stocks‍ or​ loans. Many of those⁢ assets had substantial values,‌ with people ⁣with dementia who had stocks having a⁢ median value of $215,000, ‌while those with⁣ CIND had a‍ median ‌of $125,000.

This ‌study was‍ “part of a larger research agenda ⁤motivated by stories of family members who found⁢ out about a loved‌ one’s dementia through catastrophic financial losses,” said study ⁣co-author Lauren Nicholas, PhD,‍ a health economist ‍at the Colorado School of Public Health.

Trouble managing money “is often one of the earliest signs⁢ of cognitive ⁤impairment—meaning that seniors may⁣ not⁤ even ⁣be aware⁤ that they​ have problems,” Nicholas said. But, she noted, there is “significant potential”⁣ during everyday money management for “expensive” mistakes. » …
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