Abstract
Scam susceptibility places older adults – even those with intact cognition – at great risk. Lower grey matter volumes, particularly within right medial temporal regions, are associated with higher scam susceptibility; however, very little is known about white matter associates. We investigated associations between white matter integrity measured using diffusion tensor imaging (DTI) and scam susceptibility in 302 non-demented older adults (75% female; mean years: age = 81.3 + 7.5, education = 15.7 + 2.9). Participants completed comprehensive neuroimaging (including DTI, T1- and T2-weighted imaging), a self-report measure of scam susceptibility, and neuropsychological testing. Tract-Based Spatial Statistics (TBSS) investigated associations of DTI-derived measures of fractional anisotropy (FA), trace of the diffusion tensor, axial and radial diffusivity (separately) with scam susceptibility adjusting for age, sex, education, and white matter hyperintensities (WMH; total volume and voxelwise separately). Statistical significance was determined at p < 0.05, Family Wise Error corrected. TBSS revealed significant negative associations between FA in tracts connecting a number of right hemisphere white matter regions and scam susceptibility, particularly after additional adjustment for global cognitive functioning. The pathways implicated were mainly in right temporal-parietal and temporal-occipital regions. Association of trace, axial, and radial diffusivity with scam susceptibility were not significant in fully-adjusted models. Lower white matter integrity within right hemisphere tracts was associated with higher scam susceptibility independent of relevant confounds including global cognition. Thus, a right hemisphere brain network that includes key structures implicated in multi-sensory processing of immediate and future consequences may serve as a neurobiologic substrate of scam susceptibility in vulnerable older adults.
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Acknowledgements
The authors thank the participants in the Rush Memory and Aging Project and the staff of the Rush Alzheimer’s Disease Center. More information regarding obtaining data from the Rush Memory and Aging Project for research use can be found at the RADC Research Resource Sharing Hub (www.radc.rush.edu).
Funding
The study was supported by National Institute on Aging (grant number R01AG17917, R01AG34374, R01AG33678, R01AG055430, and R01AG052200).
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Lamar, M., Arfanakis, K., Yu, L. et al. White matter correlates of scam susceptibility in community-dwelling older adults. Brain Imaging and Behavior 14, 1521–1530 (2020). https://doi.org/10.1007/s11682-019-00079-7
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DOI: https://doi.org/10.1007/s11682-019-00079-7