Akademik Veri Yönetim Sistemi
Current Aging Science, 2026 (Scopus)
Introduction: Financial capacity is a key determinant of independence, well-being, and protection against exploitation in older adults. Age-related changes, including cognitive decline, depressive symptoms, and socioeconomic disparities, may impair financial decision-making. This study assessed financial capacity and explored associated cognitive, psychological, and demographic factors among hospitalized older adults. Methods: A cross-sectional study was conducted in 2023 at Rasool Akram Hospital, Tehran, involving 207 elderly patients admitted to non-psychiatric wards (neurology, ICU, emergency). Stratified sampling was used. Data were collected through structured interviews with validated instruments: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Financial Capacity Instrument (FCI), and a demographic checklist. Results: Most participants demonstrated awareness of income and expenses (89.9%) and competence in basic money-handling (97.1%). However, fewer could make independent financial decisions (43.5%) or detect fraudulent messages (65.2%). Cognitive function and depressive symptoms were inversely correlated (r = -0.167, p = 0.016). MMSE scores declined significantly with age (r = -0.445, p < 0.001), while GDS scores slightly increased with age (χ2 = 0.147, p = 0.035). Gender and education were strongly associated with cognitive and emotional outcomes: gender with MMSE (χ2 = 56.68, p < 0.001) and GDS (χ2 = 63.95, p < 0.001); education with MMSE (χ2 = 125.91, p < 0.001) and GDS (χ2 = 90.89, p < 0.001). Discussion: Targeted interventions aimed at enhancing cognitive resilience, managing depressive symptoms, and providing financial literacy education may be crucial in helping older adults maintain financial independence. Furthermore, gender and educational disparities suggest the need for personalized approaches in interventions. Conclusion: Financial capacity in older adults is shaped by cognitive and emotional health, as well as demographic factors. Interventions that enhance cognitive resilience, reduce depressive symptoms, and strengthen financial literacy are crucial to preserving independence. Gender and educational disparities highlight the need for tailored strategies. These findings emphasize the complex interplay of cognitive, psychological, and social determinants in safeguarding older adults’ financial well-being.