Neurodegenerative diseases (NDDs) form a heterogeneous, widespread group of disorders, generally characterized by progressive cognitive decline and neuropsychiatric disturbances. One of the abilities that seems particularly vulnerable to the impairments in neurodegenerative diseases is the capability to manage one’s personal finances. Indeed, people living with neurodegenerative diseases were shown to consistently present with more problems on performance-based financial tasks than healthy individuals. While objective, performance-based tasks provide insight into the financial competence of people living with neurodegenerative diseases in a controlled, standardized setting; relatively little can be said, based on these tasks, about their degree of success in dealing with the financial demands, issues, or questions of everyday life (i.e., financial performance). The aim of this systematic review is to provide an overview of the literature examining self and informant reports of financial performance in people living with neurodegenerative diseases. In total, 22 studies were included that compared the financial performance of people living with mild cognitive impairment (MCI), Alzheimer’s disease (AD), Parkinson’s disease, or multiple sclerosis to a (cognitively) normal control group. Overall, the results indicate that people living with neurodegenerative diseases are more vulnerable to impairments in financial performance than cognitively normal individuals and that the degree of reported problems seems to be related to the severity of cognitive decline. As the majority of studies however focused on MCI or AD and made use of limited assessment methods, future research should aim to develop and adopt more comprehensive assessments to study strengths and weaknesses in financial performance of people living with different neurodegenerative diseases.

神经退行性疾病 (NDD) 是一组异质性、广泛存在的疾病，通常以进行性认知能力下降和神经精神障碍为特征。管理个人财务的能力似乎特别容易受到神经退行性疾病损害的能力之一。事实上，与健康人相比，患有神经退行性疾病的人在基于绩效的财务任务上始终存在更多问题。虽然客观、基于绩效的任务可以在受控、标准化的环境中深入了解神经退行性疾病患者的财务能力；基于这些任务，关于他们在处理财务需求、问题或日常生活问题（即财务绩效）方面的成功程度，可以说相对较少。本系统综述的目的是概述神经退行性疾病患者的自我财务表现和知情报告的文献。总共纳入了 22 项研究，将患有轻度认知障碍 (MCI)、阿尔茨海默病 (AD)、帕金森病或多发性硬化症患者的财务表现与（认知）正常对照组进行比较。总体而言，结果表明，患有神经退行性疾病的人比认知正常的人更容易受到财务表现的损害，而且报告的问题程度似乎与认知能力下降的严重程度有关。然而，由于大多数研究都集中在 MCI 或 AD 上，并且使用的评估方法有限，未来的研究应该致力于开发和采用更全面的评估，以研究患有不同神经退行性疾病的人在财务表现方面的优势和劣势。