文章基本信息

标题：Decision making in the elderly: which tools for its evaluation by the clinician?
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作者：Caroline Hommet ; Thierry Constans ; Boriana Atanasova 等
期刊名称：Psychologie & NeuroPsychiatrie du vieillissement
印刷版ISSN：1760-1703
电子版ISSN：1950-6988
出版年度：2010
卷号：8
期号：3
页码：201-207
DOI：10.1684/pnv.2010.0221
出版社：John Libbey Eurotext
摘要：Numerous decision-making situations occur in the activities of daily living. The consequences of the decision-making capacity disturbances may have a great impact on the patient's autonomy, financial management, and his or her reaction to a diagnosis as well as the ability to accept a therapeutic option or give informed consent. Decision-making is a complex and multi-dimensional process and brings into play attention, memory and executive functions, which are processed in the prefrontal cortex, particularly vulnerable in aging. A better comprehension of the mechanisms of decision-making, and of the resulting social consequences of their dysfunction may improve autonomy of the elderly. Unfortunately, we still lack appropriate tools to explore decision-making in routine practice.
关键词：decision making; aging; executive functions; ventromedial prefrontal cortex