Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review

The proportion of people with dementia has been increasing yearly, and the decision-making capacity of these people has become a major concern in fields such as the financial industry and in medical settings. In this narrative review, we discuss decision-making in people with Alzheimer’s disease (AD...

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Autores principales:	Weiyi Sun, Teruyuki Matsuoka, Jin Narumoto
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	Alzheimer’s disease decision-making cognitive dysfunction emotional change feedback explicit advice Psychology BF1-990
Acceso en línea:	https://doaj.org/article/7c3379e3ef5c4cb0826b0c916766da9f
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spelling	oai:doaj.org-article:7c3379e3ef5c4cb0826b0c916766da9f2021-11-12T06:28:43ZDecision-Making Support for People With Alzheimer’s Disease: A Narrative Review1664-107810.3389/fpsyg.2021.750803https://doaj.org/article/7c3379e3ef5c4cb0826b0c916766da9f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.750803/fullhttps://doaj.org/toc/1664-1078The proportion of people with dementia has been increasing yearly, and the decision-making capacity of these people has become a major concern in fields such as the financial industry and in medical settings. In this narrative review, we discuss decision-making in people with Alzheimer’s disease (AD), and we propose the support for decision-making in people with AD, especially financial and medical decision-making. We summarize several hypotheses and theories on the decision-making capacity of people with AD. These include the frontal lobe hypothesis, physiological theory, dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis, and the Person-Task-Fit (PTF) framework. Both internal and external factors can affect decision-making by people with AD. Internal factors are affected by changes in the brain and neurotransmitters, as well as alterations in cognitive ability and emotion. External factors include task characters, task contents, and situation influence. Since feedback has a significant effect on decision-making capacity, a series of suggestions may be helpful to improve this capacity, such as explicit advice, simple options, pleasant rewards, the Talking Mats approach, memory and organizational aid, support by caregivers, cognitive training and feedback. Thus, in providing decision-making support for people with AD, it is important to identify the internal and external factors that impair this process and to deal with these factors.Weiyi SunTeruyuki MatsuokaJin NarumotoFrontiers Media S.A.articleAlzheimer’s diseasedecision-makingcognitive dysfunctionemotional changefeedbackexplicit advicePsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Alzheimer’s disease decision-making cognitive dysfunction emotional change feedback explicit advice Psychology BF1-990
spellingShingle	Alzheimer’s disease decision-making cognitive dysfunction emotional change feedback explicit advice Psychology BF1-990 Weiyi Sun Teruyuki Matsuoka Jin Narumoto Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review
description	The proportion of people with dementia has been increasing yearly, and the decision-making capacity of these people has become a major concern in fields such as the financial industry and in medical settings. In this narrative review, we discuss decision-making in people with Alzheimer’s disease (AD), and we propose the support for decision-making in people with AD, especially financial and medical decision-making. We summarize several hypotheses and theories on the decision-making capacity of people with AD. These include the frontal lobe hypothesis, physiological theory, dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis, and the Person-Task-Fit (PTF) framework. Both internal and external factors can affect decision-making by people with AD. Internal factors are affected by changes in the brain and neurotransmitters, as well as alterations in cognitive ability and emotion. External factors include task characters, task contents, and situation influence. Since feedback has a significant effect on decision-making capacity, a series of suggestions may be helpful to improve this capacity, such as explicit advice, simple options, pleasant rewards, the Talking Mats approach, memory and organizational aid, support by caregivers, cognitive training and feedback. Thus, in providing decision-making support for people with AD, it is important to identify the internal and external factors that impair this process and to deal with these factors.
format	article
author	Weiyi Sun Teruyuki Matsuoka Jin Narumoto
author_facet	Weiyi Sun Teruyuki Matsuoka Jin Narumoto
author_sort	Weiyi Sun
title	Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review
title_short	Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review
title_full	Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review
title_fullStr	Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review
title_full_unstemmed	Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review
title_sort	decision-making support for people with alzheimer’s disease: a narrative review
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/7c3379e3ef5c4cb0826b0c916766da9f
work_keys_str_mv	AT weiyisun decisionmakingsupportforpeoplewithalzheimersdiseaseanarrativereview AT teruyukimatsuoka decisionmakingsupportforpeoplewithalzheimersdiseaseanarrativereview AT jinnarumoto decisionmakingsupportforpeoplewithalzheimersdiseaseanarrativereview
_version_	1718431116785876992

Decision-Making Support for People With Alzheimer’s Disease: A Narrative Review

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