Authors

1. Martin, Roy C. PhD
2. Triebel, Kristen PsyD
3. Dreer, Laura E. PhD
4. Novack, Thomas A. PhD
5. Turner, Crystal BS
6. Marson, Daniel C. JD, PhD

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 (R² = 0.72). At 6-month follow-up, measures of executive function and mental arithmetic/working memory predicted 6-month FCI performance (R² = 0.79), and a third model found that these 2 measures at baseline predicted 6-month FCI performance (R² = 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.