Neurocognitive predictors of financial capacity in traumatic brain injury

Academic Article

Abstract

  • OBJECTIVE: To develop cognitive models of financial capacity (FC) in patients with traumatic brain injury (TBI). DESIGN: Longitudinal design. SETTING: Inpatient brain injury rehabilitation unit. PARTICIPANTS: Twenty healthy controls, and 24 adults with moderate-to-severe TBI were assessed at baseline (30 days postinjury) and 6 months postinjury. MAIN OUTCOME MEASURES: The FC instrument (FCI) and a neuropsychological test battery. Univariate correlation and multiple regression procedures were employed to develop cognitive models of FCI performance in the TBI group, at baseline and 6-month time follow-up. RESULTS: Three cognitive predictor models of FC were developed. At baseline, measures of mental arithmetic/working memory and immediate verbal memory predicted baseline FCI performance (R = 0.72). At 6-month follow-up, measures of executive function and mental arithmetic/working memory predicted 6-month FCI performance (R = 0.79), and a third model found that these 2 measures at baseline predicted 6-month FCI performance (R = 0.71). CONCLUSIONS: Multiple cognitive functions are associated with initial impairment and partial recovery of FC in moderate-to-severe TBI patients. In particular, arithmetic, working memory, and executive function skills appear critical to recovery of FC in TBI. The study results represent an initial step toward developing a neurocognitive model of FC in patients with TBI. Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.
  • Digital Object Identifier (doi)

    Author List

  • Martin RC; Triebel K; Dreer LE; Novack TA; Turner C; Marson DC
  • Volume

  • 27
  • Issue

  • 6