Money Management Activities in Persons With Multiple Sclerosis

      Abstract

      Objectives

      To examine whether participants with multiple sclerosis (MS) have more problems in managing finances compared with persons without MS, and to examine the variables that may contribute to these problems.

      Design

      A cross-sectional study.

      Setting

      Nonprofit rehabilitation research institution and the community.

      Participants

      Participants (N=53) comprised adults with MS (n=30) and persons without MS (n=23) who were recruited from a nonprofit rehabilitation research institution and from the community.

      Interventions

      Not applicable.

      Main Outcome Measures

      Participants were administered a battery of neuropsychological tests, a money management survey, and a functional test to assess money management skills.

      Results

      Individuals with MS reported and demonstrated more problems managing money than persons without MS. Impaired cognitive functioning was significantly correlated with difficulties in money management. Self-report of functional status (Functional Behavior Profile) was significantly correlated with self-reported money management skills.

      Conclusions

      To our knowledge, this is the first study to examine money management in MS. Money management is an important activity of daily living that presents problems for individuals with MS. Managing one's own money requires adequate processing speed abilities as well as executive-attentional abilities. Additional studies are needed to explore this area and understand the nature of the problem.

      Keywords

      List of abbreviations:

      AR ( Actual Reality), DKEFS ( Delis-Kaplan Executive Function System), FBP ( Functional Behavior Profile), IADL ( instrumental activities of daily living), MS ( multiple sclerosis), PASAT ( Paced Auditory Serial Addition Test), SDMT ( Symbol Digit Modalities Test)
      To read this article in full you will need to make a payment

      References

        • Morrow S.A.
        • Drake A.
        • Zivadinov R.
        • Munschauer F.
        • Weinstock-Guttman B.
        • Benedict R.H.
        Predicting loss of employment over three years in multiple sclerosis: clinically meaningful cognitive decline.
        Clin Neuropsychol. 2010; 24: 1131-1145
        • Prineas J.W.
        • McDonald W.I.
        • Franklin R.J.
        Demyelinating diseases.
        in: Graham D.I. Lantos P.L. Greenfield's neuropathology. Arnold, London2002: 471-550
        • Chiaravalloti N.D.
        • DeLuca J.
        Cognitive impairment in multiple sclerosis.
        Lancet Neurol. 2008; 7: 1139-1151
        • Goverover Y.
        • Strober L.
        • Chiaravalloti N.
        • DeLuca J.
        Factors that moderate activity limitation and participation restriction in people with multiple sclerosis.
        Am J Occup Ther. 2015; 69: 1-9
        • Strober L.
        • Chiaravalloti N.
        • Moore N.
        • DeLuca J.
        Unemployment in multiple sclerosis (MS): utility of the MS Functional Composite and cognitive testing.
        Mult Scler. 2014; 20: 112-115
        • Schultheis M.T.
        • Garay E.
        • DeLuca J.
        The influence of cognitive impairment on driving performance in multiple sclerosis.
        Neurology. 2001; 56: 1089-1094
        • Baughman B.C.
        • Basso M.R.
        • Sinclair R.R.
        • Combs D.R.
        • Roper B.L.
        Staying on the job: the relationship between work performance and cognition in individuals diagnosed with multiple sclerosis.
        J Clin Exp Neuropsychol. 2015; 37: 630-640
        • Strober L.B.
        • Christodoulou C.
        • Benedict R.H.
        • et al.
        Unemployment in multiple sclerosis: the contribution of personality and disease.
        Mult Scler. 2012; 18: 647-653
        • Hoskin K.M.
        • Jackson M.
        • Crowe S.F.
        Can neuropsychological assessment predict capacity to manage personal finances? A comparison between brain impaired individuals with and without administrators.
        Psychiatry Psychol Law. 2005; 12: 56-67
        • Lawton M.P.
        • Brody E.M.
        Assessment of older people: self-maintaining and instrumental activities of daily living.
        Gerontologist. 1969; 9: 179-186
        • Marson D.C.
        Loss of financial competency in dementia: conceptual and empirical approaches.
        Aging Neuropsychol Cogn. 2001; 8: 164-181
        • Hoskin K.M.
        • Jackson M.
        • Crowe S.F.
        Money management after acquired brain dysfunction: the validity of neuropsychological assessment.
        Rehabil Psychol. 2005; 50: 355-365
        • Bottari C.
        • Gosselin N.
        • Guillemette M.
        • Lamoureux J.
        • Ptito A.
        Independence in managing one's finances after traumatic brain injury.
        Brain Inj. 2011; 25: 1306-1317
        • Martin R.C.
        • Triebel K.
        • Dreer L.E.
        • Novack T.A.
        • Turner C.
        • Marson D.C.
        Neurocognitive predictors of financial capacity in traumatic brain injury.
        J Head Trauma Rehabil. 2012; 27: E81-E90
        • McColl M.A.
        • Davies D.
        • Carlson P.
        • et al.
        Transitions to independent living after ABI.
        Brain Inj. 1999; 13: 311-330
        • Elbogen E.B.
        • Tiegreen J.
        • Vaughan C.
        • Bradford D.W.
        Money management, mental health, and psychiatric disability: a recovery-oriented model for improving financial skills.
        Psychiatr Rehabil J. 2011; 34: 223-231
        • Cook J.A.
        • Mueser K.T.
        Economic security: an essential component of recovery.
        Psychiatr Rehabil J. 2013; 36: 1-3
        • Kurtz-Dougherty S.N.
        Money management for the severe and persistently mentally ill.
        ([dissertation]) Rowan Univ, Glassboro2014
        • Tilse C.
        • Setterlund D.
        • Wilson J.
        • Rosenman L.
        Minding the money: a growing responsibility for informal carers.
        Ageing Soc. 2005; 25: 215-227
        • Polman C.H.
        • Reingold S.C.
        • Banwell B.
        • et al.
        Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria.
        Ann Neurol. 2011; 69: 292-302
        • Randall K.D.
        • Kerns K.A.
        Selective reminding test.
        in: Kreutzer J.S. DeLuca J. Caplan B. Encyclopedia of clinical neuropsychology. Springer, New York2011: 2235-2237
        • Benedict R.H.
        • Schretlen D.
        • Groninger L.
        • Dobraski M.
        • Shpritz B.
        Revision of the Brief Visuospatial Memory Test: studies of normal performance, reliability, and validity.
        Psychol Assess. 1996; 8: 145-153
        • Woods S.P.
        • Moran L.M.
        • Dawson M.S.
        • Carey C.L.
        • Grant I.
        • HIV Neurobehavioral Research Center Group
        Psychometric characteristics of the Memory for Intentions Screening Test.
        Clin Neuropsychol. 2008; 22: 864-878
        • Delis D.C.
        • Kramer J.H.
        • Kaplan E.
        • Holdnack J.
        Reliability and validity of the Delis-Kaplan Executive Function System: an update.
        J Int Neuropsychol Soc. 2004; 10: 301-303
        • Smith A.
        Symbol Digits Modalities Test.
        Western Psychological Services, Los Angeles1982
        • Rudick R.
        • Antel J.
        • Confavreux C.
        • et al.
        Recommendations from the National Multiple Sclerosis Society Clinical Outcomes Assessment Task Force.
        Ann Neurol. 1997; 42: 379-382
        • Nyenhuis D.L.
        • Luchetta T.
        • Yamamoto C.
        • et al.
        The development, standardization, and initial validation of the Chicago Multiscale Depression Inventory.
        J Pers Assess. 1998; 70: 386-401
        • Spielberger C.
        Manual for the State-Trait Anxiety Inventory.
        Mind Garden Publishers, Palo Alto1983
        • Baum C.
        • Edwards D.F.
        • Morrow-Howell N.
        Identification and measurement of productive behaviors in senile dementia of the Alzheimer type.
        Gerontologist. 1993; 33: 403-408
        • Goverover Y.
        • O'Brien A.R.
        • Moore N.B.
        • DeLuca J.
        Actual reality: a new approach to functional assessment in persons with multiple sclerosis.
        Arch Phys Med Rehabil. 2010; 91: 252-260
        • Goverover Y.
        • Genova H.
        • Griswold H.
        • Chiaravalloti N.
        • DeLuca J.
        Metacognitive knowledge and online awareness in persons with multiple sclerosis.
        NeuroRehabilitation. 2014; 35: 315-323
        • Goverover Y.
        • DeLuca J.
        Actual Reality: using the internet to assess everyday functioning after traumatic brain injury.
        Brain Inj. 2015; 29: 715-721
        • McHugh L.
        • Wood R.L.
        Using a temporal discounting paradigm to measure decision-making and impulsivity following traumatic brain injury: a pilot study.
        Brain Inj. 2008; 22: 715-721
        • Kalmar J.H.
        • Gaudino E.A.
        • Moore N.B.
        • Halper J.
        • Deluca J.
        The relationship between cognitive deficits and everyday functional activities in multiple sclerosis.
        Neuropsychology. 2008; 22: 442-449
        • Parmenter B.A.
        • Weinstock-Guttman B.
        • Garg N.
        • Munschauer F.
        • Benedict R.H.
        Screening for cognitive impairment in multiple sclerosis using the Symbol Digit Modalities Test.
        Mult Scler. 2007; 13: 52-57
        • Goverover Y.
        • Kalmar J.
        • Gaudino-Goering E.
        • et al.
        The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis.
        Arch Phys Med Rehabil. 2005; 86: 2303-2308
        • Goverover Y.
        • Chiaravalloti N.
        • DeLuca J.
        Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) and performance of everyday life tasks: Actual Reality.
        Mult Scler. 2016; 22: 544-550
        • van den Broek M.D.
        Why does neurorehabilitation fail?.
        J Head Trauma Rehabil. 2005; 20: 464-473